In the realm of modern dentistry, sub-periosteal implantation has emerged as a revolutionary technique that offers individuals a second chance at restoring their smile and regaining their oral health. This lecture delves into the intricacies of sub-periosteal implantation, explaining its benefits, procedure, and why it stands out as an unparalleled solution to dental issues.
Atrophy of the maxilla poses significant challenges to dental rehabilitation, particularly in the context of dental implant placement. There exist numerous approaches to manage such scenarios, ranging from invasive techniques such as zygomatic implants, sinus lifting, and bone grafting, to more minimal invasive methods utilizing pterygoid implants and the transnasal approach. The latter techniques are particularly interesting due to their potential for early loading, where patients can receive a fixed rehabilitation within 2-3 weeks post-operatively.
Background
Immediate implant placement protocols are the most technique sensitive protocols with the high risk of complication and extreme aesthetic compromise, or even a failure. Throughout the years, a big dilemma aroused where clinicians continuously faced disappointing results that affected their belief in immediate implantation concept and its promising goals.
Aim/Hypothesis
Research and clinical studies were focusing on understanding the etiology and defining the factors of complications aiming fot solutions. Dramatic changes had been achieved on the level of understanding bone and soft tissue biology and esthetics criteria that led to new innovations and new protocols.
Materials and Methods
A 20 years retrospective clinical review of cases taken from my practice of immediate implantation that ended with complications, and failures will be presented.
Evidence based research and publications related to understanding the etiology and factors that led to complications, ending to management.
New vision of understanding bone and soft tissue biology surrounding immediately placed implants. Continuously changing guidelines in terms of concept, methods, techniques, and protocols that were developed to overcome those complications will be presented.
Results
Dramatic changes in terms of concept, techniques, guidelines, and protocols had taken place to overcome immediate implant complications. Despite we may have a long history of successful cases, there were always pitfalls as well, which are defined as complications. It is true that there are complications for every method or technique that may occur, but a simple flash back on cases done in the past will show that most of our complications were a sequence of unintended mistakes done because of lack of knowledge and understanding at that time.
Conclusions and Clinical implications
As we climb up higher with our learning curve, and gain more experience by continuously updating our knowledge, we become more capable to define almost every year a new cutting edge in our understanding of complications and failures. Many techniques proffered in the past are now mostly neglected and considered now as MISTAKES, while till now the literature is still not definitive in terms of any one treatment modality to recover all such complications.
We will be discussing the interrelationship between malocclusion, sleep disordered breathing and TMD.
Included in the lecture will be topics such as preventing dentofacial dysmorphosis, health based orthodontics, craniofacial pain, the implications for poor sleep and sub optimal breathing.
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