A prospective, controlled clinical trial evaluating the clinical and radiological outcome after 3 years of immediately placed implants in sockets exhibiting periapical pathology

Abstract Objectives: The aim of the present study was to compare the clinical and radiological outcome of immediately placed implants in sockets with or without periapical pathology 3 years after implant placement. Materials and methods: Twenty-nine patients with immediate implant placement were clinically and radiologically followed 3 years after implant placement (test group: 16 patients without periapical pathology, control group: 13 patients with periapical pathologies). Clinical (full-mouth bleeding score, full-mouth plaque score, clinical attachment level measurements and width of keratinized mucosa buccaly of the implant) and radiological parameters (vertical distance from the implant shoulder to the first bone-to-implant contact [IS-BIC]) were assessed. Both 95% confidence intervals, as well as results of statistical tests (one-sample, two-sample and paired t-test) were provided. Results: The implant survival rate was 100% for all 29 implants after 3 years. The clinical and radiological parameters showed no statistically significant difference between the test and the control group at 3 years (two-sample t-test). The IS-BIC was between 1.54 +/- 0.88 mm (mesial, test) and 1.69 +/- 0.92 mm (distal, test). Between the 1- and 3-year visit the IS-BIC increased in both groups significantly on one side of the implant: 0.30 +/- 0.37 mm (mesial, test) and 0.33 +/- 0.43 mm (distal, control) (one-sample t-test). None of the 13 examined radiographs of implants immediately placed in sockets with periapical pathologies revealed retrograde peri-implantitis after 3 years. Conclusion: It is concluded within the limitations of this study, that after careful debridement of the extraction socket, immediate placement of implants into sites with periapical pathologies can be a successful treatment modality for at least 3 years with no disadvantages in clinical and radiological parameters to immediately placed implants into healthy sockets. To cite this article: Truninger TC, Philipp AOH, Siegenthaler DW, Roos M, Hämmerle CHF, Jung RE. A prospective, controlled clinical trial evaluating the clinical and radiological outcome after 3 years of immediately placed implants in sockets exhibiting periapical pathology. Clin. Oral Impl. Res. xx, 2010; 000-000

Dimensional change of the healed periosteum on surgically created defects

PURPOSE: The final goal of regenerative periodontal therapy is to restore the structure and function of the periodontium destroyed or lost due to periodontitis. However, the role of periosteum in periodontal regeneration was relatively neglected while bone repair in the skeleton occurs as a result of a significant contribution from the periosteum. The aim of this study is to understand the histological characteristics of periosteum and compare the native periosteum with the repaired periosteum after elevating flap or after surgical intervention with flap elevation. METHODS: Buccal and lingual mucoperiosteal flaps were reflected to surgically create critical-size, "box-type" (4 mm width, 5 mm depth), one-wall, intrabony defects at the distal aspect of the 2nd and the mesial aspect of the 4th mandibular premolars in the right and left jaw quadrants. Animals were sacrificed after 24 weeks. RESULTS: THE RESULTS FROM THIS STUDY ARE AS FOLLOWS: 1) thickness of periosteum showed difference as follows (Pflap-elevation group (0.36±0.07 mm)>defect formation group (0.26±0.03 mm), 2) thickness of gingival tissue showed difference as follows (Pflap-elevation group (2.02±0.25 mm)>control group (1.88±0.27 mm), 3) higher cellular activity was observed in defect formation group and flap-elevation groups than control group, 4) the number of blood vessles was higher in defect formation group than control group. CONCLUSIONS: In conclusion, prolonged operation with increased surgical trauma seems to decrease the thickness of repaired periosteum and increase the thickness of gingiva. More blood vessles and high cellular activity were observed in defect formation group.ope

Accidents in dental treatment: A questionnaire investigation

The relationship between the operational situation of dental treatment and accidents experienced was investigated through questionnaires sent to members of the Kagawa Dental Association. Responses were received from 261 dentists (53% response rate), of whom 113 (43%) had experienced accidents during dental examinations and/or treatment during the past one year. Dentists with a particularly high risk of having accidents were predominantly young males who possessed many medical chairs at their clinic and who daily examined many patients. Those dentists who worked together with two or more colleagues had a lower risk of accidents. These factors should be considered when trying to take preventive measures against accidents during medical examinations and treatment

The impact of project marketing on the projects finality

In the last years we assist at the level of the Republic of Moldova and also at international level at a trend to offer financial support with a special focus on project-based funding. Once with the appearance and development of the project concept, other related concepts are being developed such as project management or newly, we can also speak about the projects marketing. Until recently, the product marketing was intensely discussed; concepts such as services marketing appeared afterwards, but also the specific marketing for various branches, such as agromarketing, political marketing, etc. Given that fact that the projects are a product / service itself, at the moment, more and more often projects marketing is discussed

The E-governance Development in Educational Sector of Republic of Moldova

Part 3: Organizational AspectsInternational audienceDuring the last years e-governance is being implemented in many countries. Within the same country, the level of achieved results can vary significantly between sectors. The implementation of e-governance in Republic of Moldova has had a good start, but some stagnation in the implementation of the e-governance agenda is registered. In the educational sector, the implementation is still at the low level. This practical paper surveys the e-tools in the educational sector of the Republic of Moldova, thus revealing the e-governance level of the sector. By comparing with the usage of IT tools in the Swedish educational system, and identifying the benefits and issues met during their development, it proposes a way for future implementation of the e-governance agenda in the educational sector in Moldova. While Moldova as a country has extensive Internet coverage, Sweden was choose for the comparison because of its Internet coverage plus its focus on furthering the skills of its workforce and also the considerable efforts of e-governance agenda implementation

Point-to-point registration with mandibulo-maxillary splint in open and closed jaw position. Evaluation of registration accuracy for computer-aided surgery of the mandible

INTRODUCTION: Computer navigation plays an increasingly important role in craniomaxillofacial surgery. The difficulties in computer navigation at the craniomaxillofacial site lie in the accurate transmission of the dataset to the operating room. This study investigates the accuracy of the dental-splint registration method for the skull, midface, and mandible. MATERIAL AND METHODS: A synthetic human skull model was prepared with landmarks and scanned with cone beam computer tomography (CBCT). Two registration splints fixed the mandible against the viscerocranium in two different positions (closed vs. open). The target registration error was computed in all 278 landmarks spread over the entire skull and mandible in 10 repeated measurements using the VectorVision(2) (BrainLAB Inc., Feldkirchen, Germany) navigation system. RESULTS: If registered in the closed position an average precision of 2.07mm with a standard deviation (SD) of 0.78mm was computed for all landmarks distributed over the whole skull. Registration in the open position resulted in an average precision of 1.53mm (SD=0.55mm). For single landmarks the precision decreases linearly with distance from the reference markers. The longer the three-dimensional distance between the registration points, the more precise the computer navigation is, mainly in the most posterior area of the cranium. CONCLUSION: Our findings in the cranium are comparable with those of other studies. Artificial fixation of the lower jaw via splint seems to introduce no additional error. The registration points should be as far apart from each other as possible during navigation with the splint