By Nadeem Karimbux, Hans-Peter Weber
Clinical circumstances in Implant Dentistry provides forty nine real medical circumstances, followed through educational remark, that query and train the reader approximately crucial themes in implant dentistry, encompassing prognosis, surgical web site guidance and location, recovery, and upkeep of dental implants.
- Unique case-based layout helps problem-based learning
- Promotes autonomous studying via self-assessment and demanding thinking
- Highly illustrated with full-color scientific cases
- Covers all crucial subject matters inside of implant dentistry
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Additional resources for Clinical cases in implant dentistry
Owing to limited evidence, a final conclusion cannot be drawn, but caution is indicated when implants are planned in such patients. The circulating antigen–antibody complexes in Crohn’s disease may lead to autoimmune inflammatory processes in several parts of the body, including the bone-toimplant interface during the healing phase. Factors associated with the disease, such as medication or malnutrition, may also play a role in regard to implant placement . Cardiovascular disease. Five forms of cardiovascular disease (hypertension, atherosclerosis, vascular stenosis, coronary artery disease, and congestive heart failure) may impair the healing process, which depends on oxygen supply delivered by a normal blood flow .
There have been some studies (mainly animal models) that have shown that cyclosporin impairs peri-implant bone healing and implant osseointegration . However, many patients receiving organ transplantation (mainly liver and kidney) with long-term cyclosporin therapy have had successful dental implant therapy [32–35]. Similarly, no significant problems after dento-alveolar surgery have been reported in HIV-positive patients [36,37]. In a recently published case–control series of HIVpositive patients receiving different regimens of highly active antiretroviral therapy, after assessing peri-implant health, the authors concluded that dental implants may represent a reasonable treatment option in HIV-positive patients, regardless of CD4 cell count, viral load levels, and type of antiretroviral therapy .
Javed F, Almas K. Osseointegration of dental implants in patients undergoing bisphosphonate treatment: a literature review. J Periodontol 2010;81:479–484. Answers to Self-Study Questions A. The achievement of osseointegration is a biological concept already adopted in implant dentistry . The long-term maintenance of bone around an osseointegrated implant is paramount to clinical success, and peri-implant bone remodeling is important to long-term survival rates . It is believed that several factors may affect peri-implant bone resorption: local, surgical, implant, postrestorative, and patient-related risk factors, which include systemic diseases, medications used to 16 Clinical Cases in Implant Dentistry treat systemic diseases, genetic traits, chronic drug or alcohol consumption, and smoking status .
Clinical cases in implant dentistry by Nadeem Karimbux, Hans-Peter Weber