Journal of Orofacial Rehabilitation
Year 2023
Vol 3 Issue 2
1. Editorial l J Orofacial Rehabilitation. 2023 Aug;3(2):1.
DOI: 10.5281/zenodo.8247430
Era of Digital Impressions.
Arka Swarnakar.
2. Review Article l J Orofacial Rehabilitation. 2023 Aug;3(2):2-8.
DOI: 10.5281/zenodo.8246824
Vacuum forming equipment in dentistry: A narrative review.
Meghna Das, V Vidyashree Nandini.
Abstract
Objective: To concise existing peer reviewed literature provide valuable information and a narrative on vacuum forming equipment and the materials used in Prosthodontics.
Background: In dentistry, vacuum formers are utilized to create imprints of opposing bites and fabrication of various dental appliances, including splints, bleaching trays and orthodontic appliances. Though vacuum formers are used extensively, there is lack of a concise knowledge-base on this subject.
Methodology: English based literature online and offline, published from 1986 to 2023 is considered to obtain information. This has been analysed and scripted in a contextual manner.
Results: Knowledge and information on vacuum forming equipment and materials used in Prosthodontics will contribute in better understanding and handling of the equipment leading to improved clinical application and research.
Conclusion: It represents the most basic thermoforming technique and relies on the utilization of vacuum suction pumps to carry out the process. It is particularly advantageous for small-scale production due to its flexibility, time efficiency, cost effectiveness, and consistency.
Application: Vacuum formers are utilized to create imprints of opposing bites and for various dental appliances, including sports mouth guards, occlusal splints, bleaching trays, and orthodontic appliances.
Keywords: Acrylonitrile Butadiene Styrene, pressure forming, vacuum forming equipment.
3. Review Article l J Orofacial Rehabilitation. 2023 Aug;3(2):9-16.
DOI: 10.5281/zenodo.8246836
Bridge to integration and implant stability: A review.
Purvayan Mandal, Arindam Karmakar, Uttam Kumar Sen, Shambaditya Pahari, Sreetama Taraphdar, Neha Mukhopadhyay.
Abstract
Objective: This article examines and conducts a critical comparison of various studies regarding the stability modifications and the relationship between primary and secondary stability.
Background: The main factor on which the outcome depends upon is the implant stability. It can be classified into primary and secondary stability, former is a mechanical phenomenon, whereas the latter is a biological phenomenon resulting from osseointegration.
Methods: Invasive and non-invasive techniques are two categories for studying the stability of the implants. Histological analysis, Tensional test, along with Push-out pull-out test, Reverse torque test are invasive methods. Radiographs, Cutting Torque Analysis, Insertion Torque Analysis, Percussion Test, Finite Element Analysis (FEA), Pulsed Oscillation Waveform, periotest, Resonance Frequency Analysis (RFA) are non-invasive methods.
Results: Due to the capacity to measure the stability of the implant more accurately than other methods and provide an early diagnosis of implant failure, insertion torque analysis, periotest and RFA has become a popular choice.
Conclusion: The precision in implant stability refers to the accuracy and consistency of implant placement procedures, while perfection refers to the ideal implant position, orientation and stability.
Application: Implant stability applications are vital for treatment planning, surgical guidance, monitoring healing, predicting success, evaluating treatment effectiveness in implant dentistry.
Keywords: Finite element analysis, implant stability quotient, periotest, resonance frequency analysis.
4. Review Article l J Orofacial Rehabilitation. 2023 Aug;3(2):17-25.
DOI: 10.5281/zenodo.8247202
Modern prosthodontic implications of dental implants in aesthetic zone: A review.
Shrutokirti Banerjee, Arindam Karmakar, Uttam Kumar Sen, Shambaditya Pahari, Neha Mukhopadhyay.
Abstract
Objective: Assessment of dental implant placement with prosthetic rehabilitation in the anterior aesthetic zone.
Background: Bone loss, periodontal disease and trauma affect both soft tissue and hard tissue. It is essential for any successful implant reconstruction to have an acceptable prosthesis and healthy surrounding soft tissue.
Method: A collective information from reference articles were studied. Information about smile line, 3-dimensional placement of dental implant and prosthesis were evaluated. The concept of immediate implant with prosthesis in anterior aesthetic zone is also described. The pink aesthetic score is revised and its implementation is also explained.
Results: Based on these analyses, a method is proposed for dental implant emplacement in anterior aesthetic zone. Compilation of the information can be used to guide the clinician for reconstruction of anterior aesthetics with dental implant
Conclusion: This review article compiles the techniques of surgical and prosthetic restoration using dental implants. A 4D concept using time as a variable is an important tool for 3-dimensional reconstruction of prothesis with dental implant in anterior aesthetic zone.
Application: Most applications of the above information mentioned can be used for a successful dental implant placement with prosthetic rehabilitation in anterior aesthetic zone.
Keywords: Aesthetic restoration, gingival biotype, immediate implant, pink aesthetic score.
5. Review Article l J Orofacial Rehabilitation. 2023 Aug;3(2):26-33.
DOI: 10.5281/zenodo.8247220
Implant collars and connections-pioneers of implant success: A review.
Soham Paul, Uttam Kumar Sen, Arindam Karmakar, Shambaditya Pahari, Sreetama Taraphdar, Neha Mukhopadhay.
Abstract
Objective: Determination of the type/design/shape of implant collar and implant connection most favorable for increasing the rate of osseointegration surrounding an implant.
Background: Implant collars are frequently located at the superior part of the crest module in designs that incorporate microscopic components into the implant bodies through coatings with hydroxyapatite. For single tooth restorations, the implant/abutment connection needs to be exact, stable, and should incorporate an anti-rotation mechanism.
Method: We have reviewed the impact of various implant collar and connection designs and forms, which have become modern dental practice trends, on the peripheral bone and the rate of osseointegration.
Results: Depending on the designs and shapes of implant collars and connections, the condition of the peri-implant tissues and aesthetic considerations are seen to alter remarkably after placement of the implant.
Conclusion: Collars and connections being integral parts of dental implant system help in determining peri-implant tissue health, rate of osseointegration and thereby help in determining success of an implant to a great extent.
Application: Selection of the design of collar and connection prior placement has to be done precisely in order to achieve implant success.
Keywords: Barrier membrane, Guided bone regeneration, Immediate implants, Indirect sinus augmentation, Surgical guides.
6. Review Article l J Orofacial Rehabilitation. 2023 Aug;3(2):34-38.
DOI: 10.5281/zenodo.8247273
Unifying dental restoration: the role of splinting in harmonizing implants and natural teeth: A review.
Palak Khanna, Rishi Ray, Surbhi Yadav, Tapan Kumar Giri, Debabrata Biswas, Bidhan Chandra Mandal.
Abstract
Purpose: Connecting teeth to implants seems like a viable option to replace missing teeth in partially edentulous arches, but it leads to various biological and biomechanical complications. There are certain guidelines for splinting the implant and natural tooth. Critical evaluation of the situation is important to design a treatment plan and to decide if splinting of an implant to natural teeth should be done or a cantilever prosthesis from the teeth or the implant should be given. The clinician needs to be knowledgeable about the consequences of the proposed plan and potential complications and present them to the patient with their consent.
Data sources: The data has been sources by various text books and articles concerning implant prosthesis in partially edentulism cases.
Conclusion: A critical evaluation of each treatment option available for the replacement of teeth in patients with partial edentulism is important. Implant can be of great help as an abutment where insufficient teeth are present for prosthesis support, but splinting of implant and natural teeth has to be done in some situations but certain guidelines are to be followed.
Keywords: Implant cantilever, implant splinting, implant pier abutment.
7. Case Report l J Orofacial Rehabilitation. 2023 Aug;3(2):39-44.
DOI: 10.5281/zenodo.8247300
Implant supported prosthesis with guided bone regeneration and indirect sinus augmentation procedure: A case report.
Vishal Paul, Rahul Naghrath, Manesh Lahori.
Abstract
Introduction: Guided Bone Regeneration (GBR) approach aims to regenerate osseous defects predictably by enabling osteogenic cell populations originating from the parent bone to occupy the osseous wound. In implant therapy, there are two ways to use GBR: simultaneously during implant insertion (simultaneous approach) and stagedly beforehand to heighten the alveolar ridge or improve ridge morphology. Subantral augmentation, was created to add more bone to the posterior maxilla. Indirect sinus augmentation procedure involves the direct manipulation of the Schneiderian membrane by using round end drills of proper diameter.
Case description: A male patient wanted to rehabilitate the upper posterior tooth in both the quadrants and complete lower arch. The patient opted for fixed dental therapy. The plausible causes and precautions were explained to the patients and a cone beam computerized tomography (CBCT) was advised. Hematological examinations were done. Keeping the bone dimensions in consideration fixed implant prosthesis was planned and executed. Immediate extractions were planned in the lower arch and subsequent implant placement was done.
Discussion: Edentulous maxilla with inadequate spongy bone and D3-D4 density bone around maxillary sinus region are handled with direct or indirect sinus augmentation procedure in combination with GBR around the placed implants. In the present case indirect sinus augmentation was approached keeping in mind around 6-8mm residual alveolar bone in the sinus regions.
Keywords: Barrier membrane, Guided bone regeneration, Immediate implants, Indirect sinus augmentation, Surgical guides.
8. Case Report l J Orofacial Rehabilitation. 2023 Aug;3(2):45-49.
DOI: 10.5281/zenodo.8247318
Customized healing abutment for enhancing the emergence profile: A case report.
Dipali Pandey, Souvik Samaddar, Arindam Karmakar, Sreetama Taraphdar.
Abstract
Introduction: The esthetics of dental implants is dependent on the soft tissue form and emergence profile. The use of healing abutments has a history of producing the best aesthetic results and guiding the soft tissue.
Case description: Healing abutments direct soft tissue recovery in proper shape. The round cross shape of traditional healing abutments and the same gingival architecture they produce might not be ideal for creating an attractive restoration. Therefore, in order to generate the ideal gingival architecture, a customized healing abutment is required. Therefore, in order to improve the aesthetic outcomes of fixed implant-supported restorations, this article aims to provide a simple and inexpensive method for creating an emerging profile.
Discussion: Customized healing abutments are necessary to achieve an ideal gingival shape and visually acceptable restoration, as opposed to ordinary healing abutments. They are an important key to success in implant surgery.
Keywords: Customized healing abutment, Dental implant, Emergence profile, Esthetics.
9. Case Report l J Orofacial Rehabilitation. 2023 Aug;3(2):50-54.
DOI: 10.5281/zenodo.8247358
Preservation of alveolar bone and proprioception using overdenture: A case report.
Souvik Samaddar, Dipali Pandey, Arindam Karmakar.
Abstract
Introduction: Overdenture, is a prosthesis that is designed to sit on top of something, i.e. tooth or implant and are of two types overdentures construction: tooth-supported and implant-supported. Tooth-supported overdentures sits on remaining natural teeth, while implant-supported overdentures are anchored to dental implants that are surgically placed into jawbone.
Overdentures offer several benefits over conventional dentures, including improved stability, retention. And also prevent further bone loss and aids in preservation of sensory proprioception.
Case Presentation: We present a case of 61-year-old woman was highly motivated for preservation of the remaining natural teeth. Thus, preservation of maxillary natural teeth was performed and the lower canines and premolars were used for supporting the overdenture. Clinically the patient was stable and her periodontium seemed uncompromised so endodontical treatment was performed along with prosthetic rehabilitation.
Discussion: This case discuss the huge advantage of preserving the remaining natural teeth and using it to harbor the denture. Careful case selection and patient compliance is the key to successful overdenture.
Keywords: Bone loss, overdenture, Retention, Sensory proprioception, Stability.
10. Clinical Technique l J Orofacial Rehabilitation. 2023 Aug;3(2):55-58.
DOI: 10.5281/zenodo.8247383
Guidelines for dentists and other healthcare workers for conducting teleconsultations effectively.
Anirudh Koul
Abstract
Objective: To establish guidelines for effective patient doctor communication while using online video calling (teleconsultations).
Design: Based on empirical observations.
Setting: Can be utilized for single doctor or multi chair or multi doctor clinic or hospital setup.
Conclusion: Effective patient doctor communication can be achieved even in online mode with use of modern-day telecommunication gadgets and platforms. This ensures dissemination of correct technical/medical knowledge and leads to democratization of healthcare.
Keyword: Dentistry, Mobile internet, Mobile telephony, Teleconsultation.
11. Clinical Technique l J Orofacial Rehabilitation. 2023 Aug;3(2):59-62.
DOI: 10.5281/zenodo.8247407
Visualizing, identifying and correcting occlusal surface anatomy post restoration in a deaf and mute patient: A novel approach.
Anirudh Koul.
Abstract
Objective: During the composite restoration procedure and subsequent occlusal adjustment, the patient has to respond to operator’s verbal commands regarding jaw and tongue movement. In a deaf and mute person, it is a big obstacle to achieve ideal operator-patient interaction during the procedure. The present study presents a novel method to mark occlusal high points before occlusal correction in deaf and mute patient.
Design: Novel treatment method designed by author
Setting: Can be utilized for single doctor or multi chair or multi doctor clinic or hospital setup
Conclusion: The presented techniques is low cost and reliable method to find occlusal highpoints after a composite restoration in a deaf and mute patient. These methods helps the operator to reliably modify the occlusal surface and prevent over-reduction or under-filling which can impair the final treatment outcome thus providing quality dental care to a functionally compromised group of patients.
Keywords: Auditory deficit, composite resin, deaf, dental occlusal adjustment, mute.