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Aesthetic Management Of Peri-Implant Soft Tissue Dehiscence. A Case Report Of A Combined Perio Restorative Approach, Ahmed Hamdy, Dalia M. Ghalwash
Aesthetic Management Of Peri-Implant Soft Tissue Dehiscence. A Case Report Of A Combined Perio Restorative Approach, Ahmed Hamdy, Dalia M. Ghalwash
Dentistry
This case report designates a combined perio restorative technique in the management of peri-implant 3-dimensional soft tissue defects in an esthetic zone. A staged approach was implemented to treat this case; the first stage was planned to treat the horizontal defect around the implant, in which crown was removed, and coronally advanced flap with connective tissue graft were used to treat the soft tissue defect. At the second stage, a modified coronally advanced flap with connective tissue graft was used to augment the vertical defect, and no vertical releasing incision was made in this stage to maximize the blood supply …
The Effect Of Different Drilling Protocols On Bone Healing Around Dental Implants., Sara Fikry, Amr Amin Ghanim, Hisham El Sheikh, Omar El Sergany
The Effect Of Different Drilling Protocols On Bone Healing Around Dental Implants., Sara Fikry, Amr Amin Ghanim, Hisham El Sheikh, Omar El Sergany
Dentistry
Materials and Methods: 20 patients with kennedy class III modification 1 edentulous areas were recruited for this study and divided into two groups; Control group received implants with conventional osteotomy preparation following standard drilling protocol (speed= 1200 rpm) with torque of 30N and sufficient saline irrigation, while Study group received implants with osteotomy preparation following a low speed drilling protocol (speed < 200 rpm) without irrigation and a torque of 50 N. Cone Beam CT was used to evaluate bone height and density around the implants at 3, 6 and 12 months after insertion. Implant primary stability was evaluated using Ostell by Resonance Frequency Analysis. Results The results showed no significant difference between bone height changes and densities in the control and study groups. Implants primary stability also showed no significant difference in ISQ values between both groups. Conclusion Biologic drilling is a promising implant drilling protocol with a potential to insert implants showing successful osseointegration and acceptable bone changes.