Along with functions like grasping and feeling, hands also have an esthetic impact and they can emphasize the beauty of a gesture or grace of a movement Finger and partial finger amputations are some of the most frequently encountered forms of partial hand loss.Whether the traumatic loss of limb or finger is due to war, congenital malformations, systemic diseases (diabetes), an industrial, domestic or vehicular accident, amputation leaves the individual with a long lasting emotional scar from the disfigurement.The concealment of the amputation with the help of reconstructive surgery or prosthesis usage can shield an amputee from social stigma and help improve emotional healing process.Fabrication of finger prosthesis is as much as an art as it is science. The traditional techniques of prosthesis fabrication as described in the review, via silicone and osseointegrated implant for anchorage of digital prosthesis serves an alternative to complex surgical procedures.
Aim: Peri-implantitis causes progressive loss of the supporting bony structure around the dental implant. Implantoplasty mechanically removes contaminated threads to achieve smoother implant surface thus reducing the bacterial load enabling fibroblastic growth to stimulate the healing effect. This Systematic review is done to appraise the outcome of implantoplasty on surface quality of Implant (roughness), biocompatibility of implants in peri-implantitis cases. Settings and Design: The Settings of the studies are major online databases like PubMed, Scopus, and Cochrane online library. The design of the current study is systematic review of published qualitative studies. Materials and Method: 37 articles were identified for the present review and systematic electronic literature search was done from August 2022 to January 2023, via PubMed, Scopus, Medline, and The Cochrane Library (Wiley) databases [PRISMA guidelines]. In vitro studies on implantoplasty for peri-implantitis were included for the review. 2 examiners independently selected based on the inclusion criteria and recorded the necessary data. Statistical Analysis Used: Risk of bias assessment tool was evaluated with Newcastle Ottawa scale (NOS) and screened based on Selection, Comparability, and Outcome with the following categories: - maximum of 4, 2 and 4 points respectively. The observations were tabulated and analysed. Results: Among the 8 selected studies, two studies reported no statistical difference between implantoplasty and control, one study proposed carbide burs were better than diamond burs, another study also suggested multilaminar burs were better than diamond and carbide. The Newcastle Ottawa scale (NOS) score for the quality of the included studies ranged from 6 to 8. Two of the studies had score of 6 points, eight had 7 points and one had 8 points. Conclusion: Implantoplasty has been recommended as an efficacious treatment protocol for peri-implantitis that helps to diminish the inflammation and accompanied by a high success rate.
The variety of terms used has contributed to a great amount of confusion that exists in this already complicated field of study. Lack of communication and coordination of research efforts often begins with differences in terminology. Therefore in an attempt to coordinate efforts, the American Dental Association began to use TMD to include all functional disturbances of the masticatory system. The article reviews the research work done by various authors pertaining to the disorders of the temporomandibular joint.
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