Progressive immediate loading of a perforated maxillary sinus dental implant: a case report

Mohammed Jasim Al-Juboori Department of Oral Surgery, MAHSA University, Kuala Lumpur, Malaysia Abstract: The displacement of a dental implant into the maxillary sinus may lead to implant failure due to exposure of the apical third or the tip of the implant beyond the bone, resulting in soft tissue growth. This case report discusses dental implant placement in the upper first molar area with maxillary sinus involvement of approximately 2 mm. A new technique for progressive implant loading was used, involving immediately loaded implants with maxillary sinus perforation and low primary stability. Follow-up was performed with resonance frequency analysis and compared with an implant placed adjacent in the upper second premolar area using a conventional delayed loading protocol. Implants with maxillary sinus involvement showed increasing stability during the healing period. We found that progressive implant loading may be a safe technique for the placement of immediately loaded implants with maxillary sinus involvement. Keywords: progressive implant loading, resonance frequency analysis, implant stability, provisional crown, bone density, maxillary sinu

Treatment of chronic oroantral fistula with platelet-rich fibrin clot and collagen membrane: a case report

Mohammed Jasim Al-Juboori,1 Mohammed Ahmed Al-Attas,2 Luiz Carlos Magno Filho3 1Department of Periodontology, Al-Rafidain College, Baghdad, Iraq; 2Prosthodontic and Dental Implant Department, Riyadh Dental Center, King Saud Medical City, Riyadh, Saudi Arabia; 3Department of Oral Implantology, CA Implantes, São Paulo, Brazil Abstract: An oroantral fistula is a complication of the maxillary posterior teeth that can occur after a tooth extraction that affects the maxillary sinus. Improper management may lead to a persistent fistula, which may become chronic. In this case report, platelet-rich fibrin (PRF) was used with a collagen membrane to close a chronic fistula in a single patient. A flap was raised, the oroantral fistula tract was eliminated, and the opening was closed with a resorbable membrane as a first layer and covered with a PRF clot as a second layer. The flap was closed, and the patient was followed up for suture removal and confirmation of complete soft tissue closure. The postsurgical sign and symptoms of the patient disappeared in the first week; complete tissue healing was detected within 2 weeks, and tissue hypertrophy was observed in the fourth week. The use of PRF may have advantages for soft-tissue healing and for accelerating soft tissue formation by subsequent hypertrophy. Keywords: maxillary sinus, growth factor, soft tissue, fla

Laser/Light Applications in Neurology and Neurosurgery

Applications of light in neurology and neurosurgery can be diagnostic or therapeutic. Neurophotonics is the science of photon interaction with neural tissue. Photodynamic therapy (PDT) has been attempted to destroy infiltrative tumor cells in tissue. Spatially modulated imaging (MI) is a newly described non-contact optical technique in the spatial domain. With this technique, both quantitative mapping of tissue optical properties within a single measurement and cross sectional optical tomography can be achieved rapidly. The ability to control the activity of a defined class of neurons has the potential to advance clinical neuromodulation