Indian Journal of Public Health Research & Development

Vijay Ebenezer ¹, Balakrishnan Ramalingam ¹, M. Elumalai ²

Affiliations
1 Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, BIHER, IN
2 Department of Advanced Zoology and Biotechnology, Govt Arts and Science College, Nandhanam, Chennai, IN

Abstract

Biocompatibility of dental implants is affected by corrosion, and their functional ability and useful lifetime. It can cause a lot of problems or even failure of the implant.The oral environment is affected by the electrolytes and oxygen compositions that are produced differ from that of tissue fluids.This is a review and update of the interaction of dental implants with the environment, and effects of secretion contamination on the load of implant prostheses.

Keywords

Saliva Milieu, Materialsof Dental Implants, pH of Saliva, Systemic Diseases.

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Vijay Ebenezer ¹, Balakrishnan Ramalingam ¹

Affiliations
1 Department of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, Bharath University, Chennai, Tamilnadu, IN

Abstract

Background: Displacement of dental implants into the maxillary sinus is rare, but it primarily occurs in patients with severe pneumatization of the maxillary sinus and/or deficiency of the alveolar process. Some complications such as the infection of the paranasal sinuses and formation of the oroantral fistula can be followed by the displacement of a dental implant. Therefore, the displaced implant has to be removed immediately with surgical intervention show and another plan for rehabilitation should be considered.

Main body: The conventional procedure for the removal of a displaced implant from the maxillary sinus involves sinus bone grafting and new implant placement performed in two or more steps with a significant time gap in between. Simplification of these surgical procedures can decrease the treatment duration and patient discomfort.

Conclusions: In this review, we discuss the anatomical characteristics of the maxillary sinus and the complications associated with implant displacement into the sinus.

Keywords

Dental Implant Displacement, Maxillary Sinus, Simultaneous Treatment.

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Vijay Ebenezer ¹, Balakrishnan Ramalingam ¹

Affiliations
1 Department of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, Bharath University, Chennai, Tamilnadu, IN

Abstract

Objective: The aim of this article is to review survival/success rate of dental implants inserted invascularized free fibula grafts.

Background: Placement of dental implants following mandibular reconstruction during ablative surgery using vascularized free fibula grafts has proved to be a successful technique to achieve good mastication and complete dental rehabilitation. Insertionof implantsinto the new mandible provides a better access to the bone, interdental relationships are easier to assess, and oral rehabilitation can be acquired in a short span of time.

Result: Study design, treatment methods, follow-ups, defect location, and morphology varied among studies. A definite conclusion could not be reached. Future studies with long-term follow-ups are required.

Conclusion: Osseointegration of dental implants is a relatively safe technique with minimal complications. Patient selection plays a vital role, dental implants may be placed primarily, thus reducing the time to oral rehabilitation. Vascularized fibula grafts are a suitable method of mandibular reconstruction and are amenable to be successful in both primary and secondary endosseous implantation.

Keywords

Free Fibula, Dental Implantation, Osseointegration.

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Chandhini Asokan ¹, Vijay Ebenezer ², Balakrishnan Ramalingam ³

Affiliations
1 Post Graduate, Department of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, Velachery Main Road, Narayanapuram, Pallikaranai, IN
2 Professor, Head of the Department of Oral and Maxillofacial Surgery, Sree Balaji Dental College and Hospital, BIHER, IN
3 Professor, Department of Oral Maxillofacial Surgery, Sree Balaji Dental College and Hospital, BIHER, Chennai, Tamilnadu, IN

Abstract

Objective: A systematic review of the literature was undertaken examining data to find the evidence of prophylactic administration of antibiotics inrelation to treating patients of maxillofacial fractures.

Study Design: Studies that fulfilled most of the requirements pertaining to it were retrieved. A computerized search was carried out using PubMed, and MEDLINE databases with the logical operators: "antibiotic" and "prophylaxis" and "maxillofacial trauma."

Results: A survey of these studies showed a drastic decrease in the infection rate of mandibular fractures in the antibiotic treated groups when being compared with the control groups. A variety of antibiotics had been used with an apparently constant effect. An "once a day" regimen ora 1-day treatment course had a similar or perhaps even better result than 7 days of treatment. No infections were corresponding to condylar, maxillary, or zygomafractures.

Conclusion: An "once a day" regimenor 1-day administration of prophylactic antibiotics seem to be the best documented to reduce infections.

Keywords

Antibiotics, Fracture, Prophylaxis.

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Vijay Ebenezer ¹, Balakrishnan Ramalingam ², M. Elumalai ³

Affiliations
1 Professor and Head, Oral and Maxillofacial Surgery Sree Balaji Dental College and Hospital, BIHER, IN
2 Professor, Oral and Maxillofacial Surgery Sree Balaji Dental College and Hospital, BIHER, IN
3 Department of Advanced Zoology and Biotechnology, Govt Arts and Science College, Nandhanam, Chennai, IN

Abstract

The use of implants in replacement of missing teeth is usually minimal in patients with completed craniofacial growth. This literature review is to give an insight about the use of dental implants in growing patients and in patients with ectodermal dysplasia and the effect of maxillary and mandibular skeletal and dental growth on the strength of these implants. It is advisable that on deciding the optimal individual for implant placement, the time point of implant insertion, the status of skeletal growth, the degree of hypodontia, and extension of related psychological stress should be taken into consideration, in addition to the status of existing dentition and dental compliance of a pediatric patient.

Keywords

Children, Dental Implants, Ectodermal Dysplasia, Growth.

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Vijay Ebenezer ¹, Balakrishnan Ramalingam ², M. Elumalai ³

Affiliations
1 Professor and Head, Oral and Maxillofacial Surgery Sree Balaji Dental College and Hospital, BIHER, IN
2 Professor, Oral and Maxillofacial Surgery Sree Balaji Dental College and Hospital, BIHER, IN
3 Department of Advanced Zoology and Biotechnology, Govt Arts and Science College, Nandhanam, Chennai, IN

Abstract

Implant is the best alternative option nowadays for missing tooth replacement. Lack of bone height poses a significant obstacle for its placement. Bone augmentation is an option to counter this problem. To treat the local physiological as well as anatomical limitation, maxillary sinus floor elevation has become an important pre-placement procedure in maxilla. With the advent of Various methodologies to increase the thickness of maxillary sinus floor, One of the techniques involve minimal elevation of maxillary sinus membrane, Schneiderian membrane, while other include placement of various type of grafts including allografts, autografts, bone morphogenetic proteins, and hydroxyapatite crystals. The bone substitutes used in sinus lift is reviewed in this article.

Keywords

Dental Implant, Schneiderian Membrane, Sinus Lift, Bone Graft.

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Vijay Ebenezer ¹, Balakrishnan Ramalingam ², M. Elumalai ³

Affiliations
1 Professor and Head, Oral and Maxillofacial Surgery Sree Balaji Dental College and Hospital, BIHER, IN
2 Professor, Oral and Maxillofacial Surgery Sree Balaji Dental College and Hospital, BIHER, IN
3 Department of Advanced Zoology and Biotechnology, Govt Arts and Science College, Nandhanam, Chennai, IN

Abstract

Success of a dental implant depends on osseointegration which is the direct structural and functional connection between the dental implant and the alveolar bone. Successful osseointegration requires both primary stability (mechanical stability) between the implant and the bone and secondary stability (biological stability) which occurs during bone remodelling during healing.

Keywords

Osseodensification, Osteotomy, Bone Density.

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