• Title/Summary/Keyword: Dental complications

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Local anesthesia of the temporomandibular joint to reduce pain during mouth opening for dental treatment in a patient with spinal muscular atrophy

  • Chi, Seong In;Kim, Hyun Jeong;Seo, Kwang-Suk;Lee, Jong Ho;Chang, Juhea
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.16 no.2
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    • pp.137-140
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    • 2016
  • Spinal muscular atrophy (SMA) is an autosomal recessive, severe neuromuscular disorder in which degeneration of alpha motor neurons in the spine progressively weakens and ultimately paralyzes the proximal muscles. It occurs in one per 6,000-10,000 infants, and is a genetic disorder with the second-highest mortality rate worldwide. An 18-year-old male patient with SMA was referred for general anesthesia for difficulty in performing dental treatment due to limited mouth opening caused by temporomandibular joint (TMJ) pain. However, the patient had a high risk of general anesthesia complications, so TMJ pain during mouth opening was reduced through local anesthesia of the TMJ. Fortunately, the anesthesia was successful in reducing pain during mouth opening, enabling the patient to receive dental treatment with an adequate mouth opening.

A prospective clinical of lithium disilicate pressed zirconia and monolithic zirconia in posterior implant-supported prostheses: A 24-month follow-up (리튬 디실리케이트-지르코니아 이중도재관과 단일구조 지르코니아로 제작된 구치부 고정성 임플란트 지지 보철물의 전향적 임상연구: 24개월 추적관찰)

  • Roh, Kyoung-Woo;Jeon, Young-Chan;Jeong, Chang-Mo;Yun, Mi-Jung;Huh, Jung-Bo;Lee, So-Hyoun;Yang, Dong-Seok;Bae, Eun-Bin
    • The Journal of Korean Academy of Prosthodontics
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    • v.57 no.2
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    • pp.134-141
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    • 2019
  • Purpose: The purpose of this study was to compare the clinical outcomes of lithium disilicate ceramic pressed zirconia prostheses and monolithic zirconia prostheses and to investigate the complications after two years of follow-up in posterior edentulous site. Materials and methods: A total 17 patients (male: 12, female: 5) were treated with 60 posterior fixed implant-supported prostheses (LP. lithium disilicate ceramic pressed zirconia prostheses: n = 30, MZ. monolithic zirconia prostheses: n = 30). After 24-month, clinical examination of Implant survival rate, marginal bone resorption, probing depth, plaque index, bleeding index, calculus and complications were evaluated. Results: There were no failed implants and all implants were normal in function without mobility. Marginal bone resorption was lower in LP group than MZ group at 12-month (P < .05), and 12-month probing depth and calculus deposit in LP group were significantly higher than MZ group (P < .05). Most common complications in MZ were marginal bone resorptions more than 1.5.mm and 2 chipping occurred in LP group. Conclusion: Within the limitations of the present study, lithium disilicate ceramic pressed zirconia is considered as a predictable treatment option as much as monolithic zirconia in posterior fixed implant-supported prostheses.

Clinical and scanning electron microscopic analysis of fractured dental implants: a retrospective clinical analysis

  • Kwon, Kyung-Hwan;Sim, Kyu-Bong;Cha, Jae-Won;Kim, Eun-Ja;Lee, Jae-Min
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.6
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    • pp.371-378
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    • 2012
  • Many longitudinal studies have reported the successful osseointegration of dental implants, with survival rates approaching 90-95%. However, implants regarded as a "success" may have also failed to undergo osseointegration. A variety of complications and failures have been observed, including implant fracture - a rare and delayed biomechanical complication with serious clinical outcomes. Given the increasing popularity of dental implants, an increase in the number of failures due to late fractures is expected. This study sought to determine the rate of implant fractures and factors associated with its development. This retrospective evaluation analyzed implants placed at Wonkwang Dental Hospital (from 1996 to the present). In our study we found that the frequency of dental implant fractures was very low (0.23%, 8 implant fractures out of 3,500 implants placed). All observed fractures were associated with hybrid-surface threaded implants (with diameter of 4.0 or 3.75 mm). Prosthetic or abutment screw loosening preceded implant fracture in a majority of these cases.

Prosthodontic treatment for cases with poor implant position and orientation (임플란트의 위치와 방향이 좋지 않은 증례의 보철 치료)

  • Noh, Kwantae
    • The Journal of the Korean dental association
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    • v.58 no.9
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    • pp.583-589
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    • 2020
  • If the implant is planted in the wrong position or direction, it is disadvantageous for stress distribution, and it is easy to cause complications such as screw loosening, abutment fracture, and implant fracture. If the position or orientation of the implant is not good, efforts should be made to minimize the problem through proper implant prosthetic treatment. In this article, the prosthetic method for facilitating future maintenance in cases with poor implant placement or orientation will be presented.

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A CASE REPORT OF CEMENTOMA OF MANDIBULAR FIRST MOLAR (하악대구치부에 발생한 백아종의 일례)

  • Kim, Gwang-Hyeon;Bae, Chang;Kim, Seong-Gon
    • The Journal of the Korean dental association
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    • v.13 no.3
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    • pp.231-234
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    • 1975
  • The true cementoma (attached cementoma) is an unusual benign jaw neoplasm fused to the root of the involved tooth. The authors have treated a true cementoma occurs at the right mandibular first molar. The 26 years old male patient who has complained of sweeling and discomfort of the involved tooth. The radiograph showed that the tumor represents a dense radiopacity bordered by a well demarcated peripheral radiolucent zone. Treatment was performed by extraction of the involved tooth with complete enucleation of the tumor. So the operation was done without any complications.

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Alveolar ridge augmentation for implant placement (임플란트식립을 위한 치조제증대술)

  • Yu, Sang-Joun
    • The Journal of the Korean dental association
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    • v.57 no.12
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    • pp.768-777
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    • 2019
  • Alveolar bone resorption are unpredictable and always occur after tooth extraction. Such bone resorption causes insufficient alveolar ridge which make implant placement difficult. There are many techniques to increase the alveolar ridge. Representative procedures include ridge split, guided bone regeneration, bone graft using autogenous block bone, and alveolar distraction. In each procedure, there are indications and complications. Depending on the shape and the width of bone defects, we can choose procedures for horizontal bone augmentation and vertical bone augmentation.

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The Orthodontic Treatment of Mnalocclusion Including Fused Teeth (유합치를 포함한 부정교합의 교정치료)

  • Lee, Yong-Kook;Nahm, Dong-Seok;Yang, Won-Sik
    • The Journal of the Korean dental association
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    • v.25 no.2 s.213
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    • pp.171-176
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    • 1987
  • Fused teeth, with all its lower prevalence, produce many problems in orthodontic treatment because of their altered form, large root, and unbalance of teeth numbers between upper and lower jaws. The authors have reviewed on its etiology, differential diagnosis, prevalence, clinical features and complications. Orthodontic treatment cases of 2 sisters with malocclusion including fused teeth were presented, in which asymmetrical extractions were performed and edgewise appliances were utilized.

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Ridge augmentation in implant dentistry

  • Kim, Young-Kyun;Ku, Jeong-Kui
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.46 no.3
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    • pp.211-217
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    • 2020
  • In patients with insufficient bone height and width, the successful placement of dental implants is difficult with regards to maintaining an ideal pathway and avoiding important anatomical structures. Vertical and/or horizontal ridge augmentation may be necessary using various bone substitute materials and bone graft procedures. However, effective one-wall reconstruction has been challenging due to its poor blood supply and insufficient graft stability. In this paper, the authors summarize current evidence-based literature based on the author's clinical experience. Regarding bone substitutes, it is advantageous for clinicians to select the types of bone substitutes including autogenous bone. The most important consideration is to minimize complications through principle-based ridge augmentation surgery. Ridge augmentation should be decided with complete consent of the patients due to the possible disadvantages of surgery, complications, and unpredictable prognosis.