Implant Surgery: The Management of Soft Tissues

An, Cranin

doi:10.1563/1548-1336(2002)028<0230:istmos>2.3.co;2

Cited by 23 publications

(17 citation statements)

References 2 publications

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“…In such cases, the mental foramen was found in the surface of alveolar bone and directly under the gums [77-79]. To avoid direct injury with scalpel, the initial incision should be made more lingually and a full-thickness flap is elevated until the mental foramen is identified [80]. In addition, flap reflection or retraction, suturing, soft tissue swelling and pressure on the mental nerve area can also cause injury to that nerve, resulting in altered sensation after surgery [6,9,34,81,82].…”

Section: Methodsmentioning

confidence: 99%

Injury of the Inferior Alveolar Nerve during Implant Placement: a Literature Review

Juodžbalys¹,

Wang²,

Sabalys

2011

JOMR

123

146

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ObjectivesThe purpose of present article was to review aetiological factors, mechanism, clinical symptoms, and diagnostic methods as well as to create treatment guidelines for the management of inferior alveolar nerve injury during dental implant placement.Material and MethodsLiterature was selected through a search of PubMed, Embase and Cochrane electronic databases. The keywords used for search were inferior alveolar nerve injury, inferior alveolar nerve injuries, inferior alveolar nerve injury implant, inferior alveolar nerve damage, inferior alveolar nerve paresthesia and inferior alveolar nerve repair. The search was restricted to English language articles, published from 1972 to November 2010. Additionally, a manual search in the major anatomy, dental implant, periodontal and oral surgery journals and books were performed. The publications there selected by including clinical, human anatomy and physiology studies.ResultsIn total 136 literature sources were obtained and reviewed. Aetiological factors of inferior alveolar nerve injury, risk factors, mechanism, clinical sensory nerve examination methods, clinical symptoms and treatment were discussed. Guidelines were created to illustrate the methods used to prevent and manage inferior alveolar nerve injury before or after dental implant placement.ConclusionsThe damage of inferior alveolar nerve during the dental implant placement can be a serious complication. Clinician should recognise and exclude aetiological factors leading to nerve injury. Proper presurgery planning, timely diagnosis and treatment are the key to avoid nerve sensory disturbances management.

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Section: Methodsmentioning

confidence: 99%

Injury of the Inferior Alveolar Nerve during Implant Placement: a Literature Review

Juodžbalys¹,

Wang²,

Sabalys

2011

JOMR

123

146

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“…As a result of soft tissue thickening the translucency of restorative materials or discoloured devital teeth and the occurrence of recessions are reduced [16]. Soft tissue augmentation procedures are usually performed by harvesting either autologous free gingival [19] or connective tissue grafts [20].…”

Section: Introductionmentioning

confidence: 99%

Biodegradation pattern and tissue integration of native and cross-linked porcine collagen soft tissue augmentation matrices – an experimental study in the rat

et al. 2014

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IntroductionWithin the last decades, collagen types I and III have been established as a sufficient biomaterial for GBR and GTR procedures. They might also be an adequate matrix for soft tissue augmentations. However, collagen materials differ significantly regarding resorption time, biodegradation pattern and the invasion of inflammatory cells.The aim of the present study was to compare the biodegradation and tissue integration of native, differently processed and cross-linked collagen scaffolds in rats.MethodsFour experimental porcine collagen matrices of 1.0 mm thickness, developed for soft tissue augmentation procedures, were tested. Based on the same native dermal Type I and III collagen, native (ND, Mucoderm® prototype), specifically defatted (DD), ethylene dioxide cross-linked (ECL) and dehydrothermally cross-linked (DCL) dermis collagen (AAP/Botiss Biomaterials, Berlin, Germany) were evaluated. Two specimens of 1 × 1 cm were fixed around a non-absorbable spacer using non-absorbable sutures. After rehydration, specimens (N = 8) were randomly allocated in unconnected subcutaneous pouches on the back of 40 Wistar rats. Rats were divided into five groups (1, 2, 4, 8 and 12 weeks), including eight animals each. After each period, eight rats were sacrificed and explanted specimens were prepared for histological analysis. The following parameters were evaluated: membrane thickness as a sign of biodegradation and volume stability, cell ingrowth, vascularization, tissue integration and foreign body reaction.ResultsBiodegradation pattern of the non cross-linked collagen scaffolds differed only slightly in terms of presence of inflammatory cells and cell invasion into the matrix. In terms of biodegradation, ECL displayed a considerable slower resorption than ND, DCL and DD. Chemical cross-linking using ethylene dioxide showed a significant higher invasion of inflammatory cells.ConclusionWithin the limits of the present study it was concluded that the processing techniques influenced the collagen properties in a different intensity. Dehydrothermal cross-linking and special defatting did not notably change the biodegradation pattern, whereas cross-linking using ethylene dioxide led to significant higher volume stability of the matrix. However, ECL showed an increased inflammatory response and compromised tissue integration. Therefore, ethylene dioxide seems to be not suitable for stabilization of collagen matrices for soft tissue augmentation procedures.

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“…Après examen clinique et l'analyse des examens d'imagerie, l'ORL donne un avis favorable pour la réalisation d'une intervention de chirurgie implantaire pour fermer la CBS et combler à terme l'édentement de 26. Cette technique a déjà été décrite dans la littérature [6,7].…”

Section: Observationunclassified

“…Cette technique nécessite un faible volume osseux pour l'utilisation des implants larges pour obtenir une bonne stabilité primaire de l'implant, sinon celui-ci doit être déposé en per-opératoire [6]. La fermeture de la CBS a entrainé une disparition immédiate et complète de la sinusite chronique entretenue par la persistance de la CBS.…”

Section: Commentairesunclassified

Utilisation d’un implant pour la fermeture d’une communication bucco-sinusienne

Bouaziz

Corcos

Ejeil

2011

Med Buccale Chir Buccale

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Key words: oroantral fistula / implantAbstract -Implant treatment in a case of oroantral fistula. In spite of caution, a maxillary tooth extraction can induce a communication between maxillary sinus and oral cavity. Numerous techniques are outlined to close theses oroantral fistulas. Wide implants can be an option in case of a narrow oroantral fistula related to one tooth gap. This technique is easy to make and allows foreseeing prosthetic rehabilitation. The agreement of the ENT specialist is necessary.La communication bucco-sinusienne (CBS) se définit comme une solution de continuité entre le sinus maxillaire et la cavité buccale [1].Les étiologies principales des CBS sont les suivantes [1, 2] :

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Implant Surgery: The Management of Soft Tissues

Cited by 23 publications

References 2 publications

Injury of the Inferior Alveolar Nerve during Implant Placement: a Literature Review

Injury of the Inferior Alveolar Nerve during Implant Placement: a Literature Review

Biodegradation pattern and tissue integration of native and cross-linked porcine collagen soft tissue augmentation matrices – an experimental study in the rat

Utilisation d’un implant pour la fermeture d’une communication bucco-sinusienne

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