RESUMO
Background: The two-implant retained mandibular overdenture utilizing nonsplinted implants is a proven treatment modality for completely edentulous patients. However, a lacuna still exists regarding the suitability of mini dental implants for this purpose. The purpose of the study was to evaluate implant stability and crestal bone loss in single-piece mini dental implants loaded with immediate or conventional loading protocols to retain a mandibular overdenture. Method: Twenty-four completely edentulous patients were rehabilitated using conventional maxillary complete denture and a mandibular two-implant retained overdenture utilizing nonsplinted single piece mini implants. The implants were loaded with immediate or conventional loading protocols. Implant stability (with Periotest TM) and crestal bone loss (with radiovisiograph and radiographic grid) were evaluated at the time of loading and at one, two, and six months after loading. Statistical analysis was done with the Independent Samples "t" test and One-Way ANOVA. Results: Mean Periotest Values observed were significantly more negative in implants loaded with the conventional loading protocol. Crestal bone loss was significantly lesser in the immediate loading protocol but was still higher than the requisite 1.5 mm postulated by established criteria. Conclusion: Two single-piece nonsplinted mini implants may be sufficient to retain a mandibular overdenture utilizing the immediate loading protocol. Further studies with a longer duration of observation and larger sample size are required.
RESUMO
BACKGROUND: The restoration of an endodontically treated fractured tooth has been a challenge for restorative dentists for decades. The performance of fiber posts when used in conjunction with direct composite resin restorations have been largely unreported. This study was conducted with the aim of evaluating the survival rate of endodontically treated teeth restored with adhesive bonded fiber reinforced resin posts and direct composite core with additional crown coverage. METHODS: Sixty patients who required endodontic treatment with post core crown were selected from outpatient department of Air Force Institute of Dental Sciences, Bangalore. Sixty-four teeth were endodontically treated and restored with fiber post and direct resin composite core restoration. Patients were evaluated immediately after restoration and reevaluated at the end of first, second and third months. After 3 months of clinical evaluation, if teeth were asymptomatic they were restored with complete coverage porcelain fused to metal restorations and evaluated immediately, and again reevaluated at the end of first, third, and sixth months. RESULTS: After 3 months of clinical evaluation, only two teeth exhibited periapical lesion with clinical symptoms and three teeth without any clinical symptoms. Five teeth exhibited slight marginal staining, three teeth showed partial loss of restoration, and two teeth exhibited complete loss of restoration with the fracture of the post. At the end of sixth month after restoration with full coverage crown, two teeth had dislodged restoration due to fracture of post and two teeth exhibited displacement of the post. CONCLUSION: Fiber posts are the best alternative for restoration of fractured endodontically treated teeth. Fiber posts and direct composite resin core materials are strongly recommended for restoration of endodontically treated mutilated teeth among the dental establishments of Armed Forces.
RESUMO
This clinical report describes a multidisciplinary approach for the rehabilitation of a young patient with mobile and missing front teeth. The objectives of the treatment were to eliminate tooth mobility and replacing missing tooth, while enhancing aesthetics and restoring masticatory function. Treatment included placement of endodontic stabilizer and rehabilitating missing tooth with fixed partial denture and gingival porcelain to satisfy the patient's aesthetic and functional expectations.
