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Tilted implants as an alternative treatment to sinus lift

2009-01-01T00:00:00Z

Title: Tilted implants as an alternative treatment to sinus lift Authors: Atamni, Fahim Abstract: The purpose of this investigation was to modify the method for implant placement in the posterior maxilla to extend fixed implant connected prosthesis further distally and to reduce the length of cantilevers in complete – arch prostheses without performing any bone graft procedures in the posterior maxilla. One hundred eighteen patients were treated with 256 maxillary implants placed in tilted positions. There were identified from a search of more than 10 years archive materials based on retrospective study reporting on implants with a follow up time from 1to 10 years of functional loading. The posterior implants were placed close to and parallel with the sinus walls were tilted anteriorly /posteriorly approximately 30 to 35 degree. As a result of implant tilting patients gained a mean distance of 9.5 mm of prostheses support. Panoramic radiographs and maxillary computerized tomograms had been made for all patients prior to treatments. One hundred eighteen patients with severely resorbed maxilla were included in the study. Two hundred fifty six implants (two to eight in each patient) were placed to support 118 fixed prostheses; 125 were tilted anteriorly and 131 were tilted posteriorly. The success rate of tilting implants was 97 % (250/256). Secondary stability (SS) through Periotest values (PV) were recorded. All patients had stable prostheses at the end of observation period. Patients were satisfied with comfort and stability. Satisfactory medium-term results concerning osteointegration and significant extension of prostheses support show that the method can be recommended. Anteriorly/posteriorly tilted implants in the atrophied posterior maxilla may be a viable alternative to bone grafting procedure in posterior maxilla. Description: Clinic for Oral-Surgery and Implantology Tel-Aviv Department of Oral and Maxillofacial Surgery, Orthopedic Stomatology and Oral Implantology USMF “N.Testemitianu”

Vîrsta pacienţilor cu nevralgie trigeminală şi eficacitatea terapiei tisulare

2009-01-01T00:00:00Z

Title: Vîrsta pacienţilor cu nevralgie trigeminală şi eficacitatea terapiei tisulare Authors: Munteanu, Ion; Guţan, Arsenie Abstract: Treatment effectiveness of trigeminal neuralgia depends on lots of various factors, the patient’s age inclusively. We followed up 191 patients, 30.5 per cent of these being aged over 60. The use of tissue therapy in this category of patients was quite positive, though its results and their duration depended on the fact whether the patients were primary or they had been previously treated by other methods. Eficacitatea tratamentului neuralgiei de trigemen depinde de mai mulţi factori, inclusiv şi de vîrsta pacientului. Sub observaţia noastră din 191 pacienţi, 30,5% pacienţi au depăşit vîrsta de 60 ani. Aplicarea terapiei tisulare la aceеasta categorie de pacienţi (la fel) a fost pozitivă, dar rezultatul terapiei şi durata lui depinde de faptul dacă bolnavii au fost primari sau dacă au fost trataţi anterior prin alte metode. Description: Catedra Chirurgie oro-maxilo-facială, stomatologie ortopedică şi implantologie orală FPM USMF „Nicolae Testemiţanu”

Chirurgia fără lambou în implantologia orală. Consideraţiuni clinice

2009-01-01T00:00:00Z

Title: Chirurgia fără lambou în implantologia orală. Consideraţiuni clinice Authors: Dobrovolschi, Oleg Abstract: A clinical postoperative study was performed in two groups of patients after dental two stage implantation. 88 implants were installed at 34 patients from control group using open technique (open flap method), 102 implants were installed at 38 patients from main group transgingival using flapless method. Algic syndrome and postoperative soft tissue oedema at patients from main group was considerable less evident (p<0,001). La două grupe de pacienţi după instalarea implantelor dentare endoosoase a fost efectuat studiul comparativ a evoluţiei clinice postoperatorii. La 34 pacienţii din grupa de referinţă 88 implantele au fost instalate cu decolarea lambourilor mucoperiostale, iar la 38 pacienţi (102 implante) din grupa de studiu – transgingival, fără decolarea lambourilor. Sindromul algic şi edemul ţesuturilor moi la pacienţii din grupa de studiu semnificativ (p<0,001) au fost mai puţin pronunţate. Description: Catedra Chirurgie OMF, stomatologie ortopedică şi implantologie orală FPM USMF „Nicolae Testemiţanu”, Dentalmedcom SRL, Braşov, România

Aspecte statistice comparative a traumatismului asociat al complexului zigomatic

2009-01-01T00:00:00Z

Title: Aspecte statistice comparative a traumatismului asociat al complexului zigomatic Authors: Hîţu, Dumitru Abstract: During 11 years associate trauma of zygomatic complex remained constant, taking the 4th place among associate face trauma. Craniocerebral trauma associated with zygomatic complex fracture decreased times,while ethylic ebriety remained on the same level. The most frequent method of zygomatic complex reposition with Limberg hook decrease 3 times. Pe parcursul a 11 ani traumatismul asociat al complexului zigomatic a rămas constant, ocupînd locul patru printre traumatismul asociat al feţei. Traumatismul craniocerebral asociat cu fracturile complexului zigomatic s-a micşorat de 2 ori pe cînd ebrietatea etilică a rămas la acelaş nivel. Metoda cea mai frecventă de repoziţie a complexului zigomatic cu cîrligul Limberg a scăzut de aproximativ de 3 ori. Description: Laboratorul ştiiinţific Chirurgie oro-maxilo-facială USMF ”Nicolae Testemiţanu”