Journal of Orofacial Rehabilitation

Year 2024
Vol 4 Issue 1

Editorial

1. Editorial l J Orofacial Rehabilitation. 2024 Apr;4(1):1-2.

DOI: 10.5281/zenodo.11044796

Digital impression – The future of prosthodontics.

Arka Swarnakar.

Review Articles

2. Review Article l J Orofacial Rehabilitation. 2024 Apr;4(1):3-9.

DOI: 10.5281/zenodo.11044884 

Prosthodontic management of endodontically treated teeth: A Review.

Sandipan Dutta, Shafath Ahmed A, Vidyashree Nandini V.

Abstract

Background -Dental professionals face a challenge in determining a tooth having endodontic treatment which is fitted with a post and crown. The author explored contemporary materials such fiber-reinforced posts and ceramic, as well as the concepts regarding the usage of post and core.

Study setting and design– The author selected publications from previous reviews and original research on teeth with endodontic treatment and post and core using MEDLINE and cross-references.

Aim– The article discusses the essential decision-making aspects and associated factors like selection of a post, planning the treatment and rehabilitation of teeth after an endodontic procedure.

Methodology– Advancements in endodontic and prosthodontic restorative methods, along with a wide range of treatment options of differing complexity, have influences and increased the longevity of restorations. Teeth after endodontic treatment are restored to their previous form and function with use of either prefabricated or custom post systems.

Conclusion– for the success of a post and core treatment the selection of a suitable post and core build up material is crucial to address interrelated aesthetic, biological, and mechanical factors.

 

Keywords: Cement, core, endodontic treatment, grossly decayed teeth, post, restoration.

3. Review Article l J Orofacial Rehabilitation. 2024 Apr;4(1):10-16.

DOI: 10.5281/zenodo.11045681

Anaplastology – Advancements in Maxillofacial Prosthetics.

Prashant Kothari, Dangar Shyam Maganbhai, Aravind D Kumbhar, NagaSai Pranathi Gundimeda, Poonam Deshmukh, Navneeth Krishnaa Sankaran.

Abstract

Objective: This article explores cutting-edge developments in maxillofacial prosthetics within the field of anaplastology. It delves into innovative techniques, materials, and technologies driving prosthetic rehabilitation, ultimately aimed at restoring confidence and improving the lives of individuals with facial defects.

Background: Anaplastology combines expertise from various fields like prosthodontics and medical art to offer comprehensive care. The article examines drawbacks in traditional surgical methods, like limited tissue and patient preferences, leading to prosthetic rehabilitation. It discusses prosthetic fabrication techniques like conventional methods, Computer-aided design/computer-assisted manufacture (CAD/CAM), and 3D printing, and explores material advancements for realistic aesthetics and durability.

Method: We extensively searched PubMed, Scopus, and Google Scholar using keywords like “anaplatology,” “prosthetics,” “ear prosthesis,” “silicones,” and “CAD/CAM,” supplemented by manual searches of reference lists. Our inclusion criteria encompassed studies on mobility aids, governmental and non-governmental initiatives for the disabled, and challenges in assistive mobility solutions. We considered original research and review papers published between 1979 and 2023.

Conclusion: Creating prosthetic solutions for maxillofacial defects is complex, requiring the right materials and techniques for satisfactory results. Anaplastology bridges traditional methods and recent advancements, enabling the adoption of improved approaches that balance effectiveness, affordability, and simplicity.

 

Keywords: Anaplastology, CAD/CAM, ear prosthesis, high-density porous polythene, prosthetics, silicones.

4. Review Article l J Orofacial Rehabilitation. 2024 Apr;4(1):17-21.

DOI: 10.5281/zenodo.11045896    

Ultraviolet photofunctionalization: A review.

Debajyoti Datta, Ranjita Nandi, Preeti Goel, Samiran Das, Sayan Majumdar, Shubhabrata Roy.

Abstract

Objective: Greater biologic capabilities in implant surfaces are required to address the challenges and rising expectations in implant therapy.

Background: The results of current in vitro and in vivo investigations on titanium’s ultraviolet (UV) photofunctionalization are compiled in this article.

Method: The term “UV photofunctionalization” describes a comprehensive phenomenon of surface alteration of titanium after exposure to UV light, encompassing modifications to physicochemical properties and enhancements to biological capacities. In an animal model, bone morphogenesis surrounding titanium implants exposed to UV light is significantly better than that surrounding untreated control implants, with nearly 100% bone-to-implant contact. UV irradiation dramatically enhanced the adhesion, retention, and following

osteogenic cell cascades that are functioning and come from both humans as well as animals, according to a number of in vitro studies. Its surfaces are titanium.

Conclusion: For all types of titanium surface treatment studied, UV treatment has been shown to be efficient and inexpensive. According to these findings, UV photofunctionalization may be an efficient technique for enhancing implant therapy in the domain of dentistry. The goal of future study will be to confirm these results in clinical investigations.

 

Keywords: Bone–implant interface, dental implant, osseointegration, titanium, ultraviolet.

Case Reports

5. Case Report l J Orofacial Rehabilitation. 2024 Apr;4(1):22-27.

DOI: 10.5281/zenodo.11049874

Esthetic rehabilitation in patient with guided bone regeneration around dental implants: A case report.

Vishal Paul, Bisma Reyaz, Neha Srivastava, Rahul Nagrath, Manesh Lahori.

Abstract

Introduction: The concept of demineralized bone which is used to fill the bony voids around the implants supporting proper osseointegration plays an important role. The areas accommodating demineralized bone showed active bone remodeling.

Case description: A male patient reported to rehabilitate the upper and the lower anterior segment following a road traffic accident. The patient opted for a fixed restorative treatment. CBCT was advised and blood reports were checked. Immediate extractions of root pieces were planned in the upper and lower arches with subsequent placement of implant of proper diameter.

Discussion: Edentulous maxilla with its spongy bone becomes a tail-and-made situation for implants along with bone grafts. Using a guide for bone regeneration to build up bone deficiencies in predictable ways to regenerate enough bone volume for a dental implant to be placed correctly. These may be done simultaneously with an implant placement or in stages.

 

Keywords: Demineralized bone graft, esthetic reconstruction, guided bone regeneration, immediate implants, surgical guides.

6. Case Report l J Orofacial Rehabilitation. 2024 Apr;4(1):28-32.

DOI: 10.5281/zenodo.11050154

Premature prosthodontic intervention for two brothers afflicted by ectodermal dysplasia– A case report.

Srishti Mishra, Mehr Yazdani, Nivea Verma, Manesh Lahori.

Abstract

The abstract presents a case study involving two brothers afflicted by ectodermal dysplasia (ED), an uncommon genetic condition that affects structures originating from the ectoderm. The primary classification of ED discussed includes the hypo hidrosis form, characterized by features such as hypodontia, hypohidrosis, and hypotrichosis, commonly caused by ectodysplasin gene mutations. The case reports detail the clinical presentation of both brothers, including missing teeth, heat intolerance, and physical anomalies typical of ED. The treatment approach involved prosthetic intervention with complete dentures to address functional and aesthetic concerns. The procedural steps for a prosthesis fabrication are outlined, emphasizing the value of long-term monitoring and interdisciplinary cooperation in the care of pediatric patients with ED. The abstract underscores the significance of early intervention and comprehensive care customized to the specific needs of patients with ED to enhance their quality of life.

Keywords- Anodontia, complete dentures, ectodermal dysplasia, hypohidrosis, hypotrichosis.

7. Case Report l J Orofacial Rehabilitation. 2024 Apr;4(1):33-39.

DOI: 10.5281/zenodo.11050404

Rehabilitation of severely resorbed mandibular ridge using the neutral zone conceptA case report.

Sreeprada Dash, Gunjan Srivastava, Subrat Kumar Padhiary, Monika Samal.

Abstract

Complete denture prostheses are mechanical devices that harmonize with the surrounding oral mucosa, tongue, and standard neuromuscular control. In patients with severely compromised mandibular ridges, prosthetic restoration becomes difficult due to severe resorption of the ridges and poor muscular control. The neutral zone concept is applied to have a promising outcome for the mandibular complete denture prosthesis and to obtain adequate basal tissue support. This case report describes the fabrication of a mandibular complete denture prosthesis using neutral zone and salvage the resorbed mandibular ridge.

Keywords: Complete denture, neutral zone, residual ridge resorption, retention, stability.

8. Case Report l J Orofacial Rehabilitation. 2024 Apr;4(1):40-45.

DOI: 10.5281/zenodo.11050968

Splinting of periodontally weakened teeth with aesthetic replacement of missing teeth: A case series.

Sandip Kulavi, Swet Nisha, Anumita Manna, Subhas Chakraborty.

Abstract

Replacement of missing anterior teeth, lost due to chronic periodontitis is very challenging to the dentists due to the poor support of the abutment teeth where conventional modalities like removable partial dentures (RPDs) or fixed prosthesis cannot be fabricated. Stainless steel wire reinforced composite splint is a viable treatment modality with the use of acrylic tooth as pontic provides both the aesthetic and functional purpose of stabilizing the adjacent mobile teeth. This treatment option is economical, fast, and easy to perform chairside technique. This case series presents three cases of missing mandibular anterior teeth with periodontally compromised abutments which were replaced with acrylic teeth as pontic using stainless steel wire reinforced composite splints.

Key words: Acrylic tooth pontic, aesthetics, composite splint, periodontitis, stainless steel wire.

9. Case Report l J Orofacial Rehabilitation. 2024 Apr;4(1):46-52.

DOI: 10.5281/zenodo.11051318   

Immediate non-functional loading of single tooth implant in esthetic zone – A case report.

Kumari Deepika, Neeta Pasricha.

Abstract

Immediate implant loading with provisional crown plays an important role to evaluate aesthetics, phonetics and occlusal function prior to the final implant restoration. There are different methods given in the literature for the fabrication of the provisional crown so clinicians should be aware about them and indications for their use when planning implant restorations. Provisional crown can be given in functional or nonfunctional contact depending upon the primary stability achieved during implant placement. In this case report, immediate provisional restoration having non-functional contact was given to the patient, despite of achieving good primary stability as guided bone regeneration was done due to the presence of bony concavity labially at implant site. Provisional crown was fabricated using composite resin. The aim of immediate loading was to restore function and to achieve a good emergence profile in definitive restoration.

Keywords: Esthetic zone, immediate loading, non-functional loading, provisional crown, single tooth- implant.

10. Case Report l J Orofacial Rehabilitation. 2024 Apr;4(1):53-57.

DOI: 10.5281/zenodo.11064199      

Sinus augmentation procedure a reliable technique for enhancing vertical height in preparation for implant placement – A case report.

Shreyas Bhaskarrao Shingane, Sanjeev Singh, Saumya Sharma.

Abstract

Maxillary sinus pneumatization and variations in Schneider’s membrane thickness contribute to anatomical complexity. The direct technique, which involves meticulously elevating the sinus membrane and placing bone graft material, offers precise control but is invasive. This study assesses the long-term radiographic changes in sinus graft height after lateral maxillary sinus augmentation with Bio-Oss®, typically allowing a comprehensive treatment plan that includes both horizontal and vertical bone augmentation. In such cases, incorporating a direct sinus lift may address height deficiency in the posterior maxilla, aiming to provide a solid foundation for successful dental implant placement. This case report provides a comprehensive examination of the direct techniques, synthesizing insights from diverse studies to help clinicians choose the most appropriate approach for their patients.

Keywords: Bone graft, dental implant, direct sinus lift, maxillary sinus, sinus augmentation.