Oroantral Fistulas in Comparison with other Fistulas of the OMF Region in Tirana, OMF Surgery Service

Objectives: To evaluate the report that the OAF have with other fistulas of the OMF region and also to give the most frequent method of their treatment in our OMF Surgery Service. Material and methods: N=25 patients, treated from 2011-2015 in our OMF Surgery Service, ”Mother Teresa” University Hospital Centre were included in this study.Diagnose and treatment plan was done after careful examination. digital panoramic x-ray or CT scan was asked depending on the case. Results: Oroantral fistula makes up 60% of the cases with OMF fistulas. The male was more affected than a female from OMF and OAF fistulas. The main cause of the OAF was the first maxillary molar extraction, followed by the second maxillary molar extraction.Keywords: OMF region fistulas, Oroantral fistula

The Use of Arthrocentesis in Patients with TMJ Dysfunction

Aim: The aim of this study is to demonstrate the use of Arthrocentesis as a medical therapy in patients with TMJ dysfunction. Material and Method: There are studied the clinical signs in 10 patients with the TMJ disfunction, before and after treatment with Arthrocentesis. The patients before Arthrocentesis had pain in TMJ region, click, and difficulties in mouth opening. To evaluate the pain is used Visual Analog Scale. The patients are treated and followed up in Maxilo Facial Service, French Hospital ―Claude Bernard, University Hospital Center, Tirana. Results: Through the lavage of the intra-articular space, it is seen the improvement in mouth opening till 35 mm, and the pain in TMJ was reduced. Conclusions: The use of Arthrocentesis was shown to be effective in reducing pain and improving the mouth opening in patients with TMJ disfunction, so we suggest the use of it in these series of patients.Keywords: Arthrocentesis, Temporomandibular joint dysfunction, TMJ

The Use of Arthrocentesis in Patients with TMJ Dysfunction

Aim: The aim of this study is to demonstrate the use of Arthrocentesis as a medical therapy in patients with TMJ dysfunction. Material and Method: There are studied the clinical signs in 10 patients with the TMJ disfunction, before and after treatment with Arthrocentesis. The patients before Arthrocentesis had pain in TMJ region, click, and difficulties in mouth opening. To evaluate the pain is used Visual Analog Scale. The patients are treated and followed up in Maxilo Facial Service, French Hospital ―Claude Bernard, University Hospital Center, Tirana. Results: Through the lavage of the intra-articular space, it is seen the improvement in mouth opening till 35 mm, and the pain in TMJ was reduced. Conclusions: The use of Arthrocentesis was shown to be effective in reducing pain and improving the mouth opening in patients with TMJ disfunction, so we suggest the use of it in these series of patients

All-On-Four Concept Literature Review

The All-on-4 concept is a dental implant technique that provides a solution for patients who have lost or are about to lose all of their teeth in one or both jaws. This concept was developed to simplify the implant process and make it more accessible for individuals with extensive tooth loss. In the review performed in Pubmed and Cochrane Library between 2005 and 2023, Full arch implant-supported prosthesis, 4-implant full arc, osseointegration, inclined implant, total edentulism and different combinations in which some of these keywords were used together were chosen. 100 of the articles achieved from the review were evaluated with respect to the subject we examined. The inclusion criteria for articles were as follows: 1-Articles were related to the all-on-four concept. 2-Abstracts were obtained when the full texts could not be obtained. The All-on-4 concept in dental implantology offers several advantages, making it a popular and effective solution for patients with extensive tooth loss. The All-on-4 concept allows for the immediate loading of prostheses onto the implants shortly after surgery. Compared to traditional implant approaches, All-on-4 reduces treatment time significantly. The concept utilizes tilted posterior implants, which take advantage of available bone and reduce the necessity for bone grafting in areas with insufficient bone volume. All-on-4 may be more cost-effective than traditional implant-supported restorations due to the reduced number of implants and the associated surgical procedures. The concept aims to provide a fixed, full-arch prosthesis that closely resembles natural teeth. Numerous studies have reported high success rates for the All-on-4 concept, with the majority of patients experiencing successful osseointegration and long-term stability of the implants. All-on-4 often results in a more comfortable experience for patients, with fewer surgical interventions and reduced healing periods. The tilted posterior implants increase the contact between bone and implant, enhancing stability and support for the prosthesis