Browsing by Subject "Defects"

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    Peri-Implant Bone Loss and Peri-Implantitis: A Report of Three Cases and Review of the Literature
    (Hindawi Publishing Corporation, 2016) John, Vanchit; Shin, Daniel; Marlow, Allison; Hamada, Yusuke; Department of Periodontics & Allied Dental Programs
    Dental implant supported restorations have been added substantially to the clinical treatment options presented to patients. However, complications with these treatment options also arise due to improper patient selection and inadequate treatment planning combined with poor follow-up care. The complications related to the presence of inflammation include perimucositis, peri-implant bone loss, and peri-implantitis. Prevalence rates of these complications have been reported to be as high as 56%. Treatment options that have been reported include nonsurgical therapy, the use of locally delivered and systemically delivered antibiotics, and surgical protocols aimed at regenerating the lost bone and soft tissue around the implants. The aim of this article is to report on three cases and review some of the treatment options used in their management.
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    Treatment of an Erratic Extraction Socket for Implant Therapy in a Patient with Chronic Periodontitis
    (Hindawi Publishing Corporation, 2016) Hamada, Yusuke; Prabhu, Srividya; John, Vanchit; Department of Periodontics & Allied Dental Programs
    As implant therapy becomes more commonplace in daily practice, preservation and preparation of edentulous sites are key. Many times, however, implant therapy may not be considered at the time of tooth extraction and additional measures are not taken to conserve the edentulous site. While the healing process in extraction sockets has been well investigated and bone fill can be expected, there are cases where even when clinicians perform thorough debridement of the sockets, connective tissue infiltration into the socket can occur. This phenomenon, known as "erratic healing," may be associated with factors that lead to peri-implant disease and should be appropriately managed and treated prior to surgical implant placement. This case report describes the successful management of an erratic healing extraction socket in a 62-year-old Caucasian male patient with chronic periodontitis and the outcomes of an evidence-based treatment protocol performed prior to implant therapy. Careful preoperative analysis and cone beam computed tomography imaging can help detect signs of impaired healing in future implant sites and prevent surgical complications.