Context:Rehabilitation of jaws with reduced bone height is technically demanding and expensive. Short implants are emerging as an alternate in such cases.Aim:This study aimed to evaluate the survival of implants of 8 mm in length (short implants), clinically and radiographically, in posterior resorbed ridges.Materials and Methods:A total of 11 patients with single missing posterior tooth, having 9–10 mm of residual bone height determined using radiographs, were selected for the study. Twelve implants of 8 mm length were inserted in the resorbed alveolar ridges following standard operating procedure. A second-stage surgery was performed 4–6 months after implant placement for placement of gingival former. This was followed by placement of prosthesis. Twelve months after prosthesis placement, all the patients were examined clinically and radiographically.Results:According to Albrektsson et al.'s criteria, all implants were successful with mean bone loss of 1.1 ± 0.32 mm mesially and 0.83 ± 0.35 mm distally with healthy gingival condition at 12-month follow-up.Conclusion:Short implants (8 mm in length) can be a viable alternative in cases of atrophic alveolar ridges.
A pleasing smile is desired by all, and forms the main focus of aesthetic dentistry. However, pigmented gums can be a major cause of embarrassment for patients, especially those with a gummy smile. Attempts have been made to meet these cosmetic demands by various methods such as using a surgical blade, diamond burs, electrosurgery, cryosurgery or a laser, but with limited results. Therefore, in the present case series, a free gingival autograft was used for treating gingival melanin hyperpigmentation with a follow-up of six months with no signs of repigmentation. CPD/Clinical Relevance: This review outlines a method of free gingival autograft as a treatment modality for gingival pigmentation.
Periodontally accelerated osteogenic orthodontic procedure has become useful adjunct to reduce orthodontic treatment time as compared with conventional orthodontics. This case demonstrates the use of Piezosurgery® to facilitate rapid tooth movement with relatively shorter treatment time. A 23-year-old male with Angles Class I malocclusion having spaced anterior teeth and protrusion requested orthodontic treatment with reduced time period. Before surgery, presurgical orthodontic treatment was done to do initial alignment of the teeth. This was followed by piezosurgical corticotomy and final space closure was achieved by active orthodontic tooth movement. The total treatment time required to complete the orthodontic treatment was 5 months. 1-year follow-up revealed no evidence of any adverse periodontal effects or relapse. Thus, Piezosurgery®-assisted corticotomy may prove to be a noble and effective treatment approach to decrease the orthodontic treatment time.
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