Background: Simultaneous and staged guided bone regeneration (GBR) is one of the several surgical techniques that have been developed in the past two decades to regenerate bone and thus to allow implant placement in compromised sites (fenestration and dehiscence). It is a surgical procedure that consists of the placement of a cell-occlusive physical barrier between the connective tissue and the alveolar bone defect. The treatment concept advocates that regeneration of osseous defects is predictably attainable via the application of occlusive membranes, which mechanically exclude non-osteogenic cell populations from the surrounding soft tissues, thereby allowing osteogenic cell populations originating from the parent bone to inhabit the osseous wound. Augmentation utilizing guided bone regeneration (GBR) has become a major treatment option to provide optimal bone to support Osseointegrated dental implants. One of the objectives of GBR is the formation of new bone at sites deficient in bone volume. Another objective is to treat fenestrations and dehiscence at implant surfaces as well as defects associated with simultaneous implant placement. GBR has allowed for placement of restorations at a more ideal location in the oral cavity, thus improving esthetics and functions. This study aimed to improve the alveolar ridge width by using of synthetic bone substitute covered by resorbable collagen membrane in simultaneous dental implants placement and to compare the ridge width at three levels (crestal, middle and apical) clinically (osteometer) and radiographically (CT) pre operatively and postoperatively. Materials and methods: This prospective study was conducted in teaching dental hospital in College of Dentistry of Baghdad University on (15) patients with (21) dental implant with insufficient bony support for simultaneous dental implants , this study extended from March 2013 to the end of December 2013. All patients were treated at the time of implantation by using a synthetic bone substitute covered by resorbable collagen membrane .All patients examined clinically by osteometer and radio graphics (CT) to assess ridge width and height and bone density. Results: Clinically and radiographically evaluation showed increasing of ridge width after 6 months of healing period at three levels: apical, middle and crestal, statistically, there were no significant differences between ridge width gain measured clinically and radio graphically and gender and age groups. In this study the success rate (95.24) % in (20) dental implant and only (1) dental implant was failed (4.76) % at age 47 years old. Conclusion: There was significant increase in ridge volume that augmented at the time of implantation to become sufficient width for support implant esthetically and functionally. This study revealed that there was no effect in gender and age on bone augmentation with synthetic bone substitute. Keywords: GBR, Simultaneous dental implant, osteometer, CT, ridge width and height and bone density.
Background: Improved glucose level control with insulin injections have allowed for the diabetic population to live longer and healthier lives. Unfortunately diabetes remains a worldwide epidemic disease with multiple health implications. Specifically, its effects upon fracture healing are compromised in diabetics with as high as 87% recovery delay relative to “healthy†counterparts. Current medical treatments for bone injuries have been largely focused on replacing the lost bone with allogenic or autogenous bone grafts, beta-tricalcium phosphate (β -TCP), a ceramic alloplast, has interconnected system of micropores, has been widely used as a biologically safe osteoconductive bone substitute. The aim of this study was histol
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The long healing time of bone after tooth extraction in order to construct artificial teeth is uncomfortable to the patient because of aesthetic or masticatory problems in addition to the daily visit to dental clinic. The objective of this study was to evaluate the effect of 805 nm diode laser with long time intervals on repair of bone and skin incisions in rabbits through biochemical, radiological and histological findings. Eighteen New-Zealand rabbits were undergone surgical operations to make a cavity in the bone of the lower jaw, the rabbits were divided into two groups:- Group A (control group) containing nine rabbits. Group B (lased group) containing nine rabbits in which two cavities were done, one on the right side and the other
... Show MoreBackground: Evaluation and measurement of primary stability could be achieved by several methods, including the resonance frequency analysis (RFA) and implant insertion torque (IT) values. The need for a sufficient primary stability, guaranteed by an adequate insertion torque and implant stability quotient values, increased its importance mainly in one stage implants or in immediate loading protocols. The aims of this study was to find if there is a correlation between the peak insertion torque (PIT) and ISQ values of implants inserted in the jaws of different bone quality which regarded as two important clinical determinant factors for prediction of implant primary stability, and to evaluate and compare whether an experienced clinician cou
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Background: Tooth wear is one of the most common problems in the older dentate population which results from the interaction of three processes (attrition, abrasion and erosion) and it affects all societies, different age groups, and all cultures. This study was achieved to evaluate the prevalence and distribution of tooth wear among institutionalized residents in Baghdad city\ Iraq. Subjects and Methods: This survey was accomplished on four private and one governmental institution in Baghdad city. One-hundred twenty three (61 males, 62 females) aged 50-89 years were participated in this study. The diagnosis and recording of tooth wear were according to criteria of Smith and Knight. Results: The prevalence of tooth wear was 100% with a mean
... Show MoreBackground. Bone healing is a complex and dynamic process that represents a well-orchestrated series of biological events of cellular recruitment, proliferation, and differentiation. The use of medicinal plants in bone healing has attracted increasing interest because of their lower side effects. Punica granatum seed oil (PSO) contains high levels of phenolic compounds, promotes osteoblast function, and plays an important role in bone remodeling. A gelatin sponge (Spongostan) is a hemostatic agent that is extensively applied as scaffolds in engineering and as drug carriers in the medical field. This study aimed to evaluate the effectiveness of PSO for bone healing enhancement. Twenty adult male New Zealand rabbits, weighing an avera
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