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Oral and Maxillofacial Surgery Clinics of North America

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https://read.qxmd.com/read/31416664/advances-in-surgical-training-using-simulation
#1
REVIEW
Kamal F Busaidy
Simulation involves the re-creation of real-life situations, processes, or structures for the purpose of improving safety, effectiveness, and efficiency of health care services: simulation provides a controlled and safe environment for training and assessment. In an age in which regulatory burdens, fiscal challenges, and renewed focus on patient safety increasingly constrain surgical residency programs, innovation in teaching is vital for the future of oral and maxillofacial surgery (OMS) training. Of the simulation technologies in modern day health care education, many have found their way into OMS training...
August 12, 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31399286/surgical-navigation-for-oral-and-maxillofacial-surgery
#2
REVIEW
Nagi Demian, Craig Pearl, Timothy Charles Woernley, James Wilson, Justin Seaman
This article reviews the basic setup and function of surgical navigation and displays a variety of applications in oral and maxillofacial surgery. The use of surgical navigation for dental implant placement is discussed elsewhere in this issue.
August 7, 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31164269/three-dimensional-custom-root-replicate-tooth-dental-implants
#3
REVIEW
Brock Westover
This article summarizes the accomplishments and knowledge gained over the past 2 decades with respect to immediate dental root analogue implants (RAIs). It discusses how the artificial nature of the present dental implant materials and unnatural shapes cause complications, posing a threat to long-term biointegration, and how RAIs will influence the way that implants are produced. Will an osseointegrated RAI be the optimal immediate replacement for extracted teeth in the future? How will three-dimensional printing be involved in these more biomimetic RAI systems? The present research and developments seem promising and will continue to shape the future of implant prosthodontics...
June 1, 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31164268/fibular-reconstruction-of-the-maxilla-and-mandible-with-immediate-implant-supported-prosthetic-rehabilitation-jaw-in-a-day
#4
REVIEW
Ashish Patel, Phillip Harrison, Allen Cheng, Brian Bray, R Bryan Bell
The fibula free flap is a workhorse flap used to reconstruct ablative, osseous defects in the upper and lower jaws. Traditionally, the fibula free flap is inset into the defect freehand; dental implants are placed secondarily; and final prosthetic rehabilitation often occurs more than 1 year after ablative surgery. Virtual surgical planning and rapid prototyping of cutting guides and guide stents for head and neck reconstruction have facilitated improved accuracy in fibular transfer. This article describes the Jaw in a Day technique, allowing maxillary or mandibular resection, fibular free flap reconstruction, immediate implant placement, and prosthetic rehabilitation in a single operation...
June 1, 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31153725/digitally-augmented-learning-in-implant-dentistry
#5
REVIEW
Mark Durham, Benjamin Engel, Thomas Ferrill, Jaron Halford, Tejinder P Singh, Michael Gladwell
The economic forces in the dental education industry yield a high cost for a dental degree, yet the financial return for this education yields a small margin above the costs for this degree. Industries with unfavorable return to investment ratios tend to be vulnerable to changes. Productive technologies are emerging that may be useful in improving the return to investment ratios in dental education. Virtual reality and online learning provide productive value that could be useful to the dental education industry...
May 29, 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31147105/guided-nitinol-retained-smileloc-single-tooth-dental-restorations
#6
REVIEW
Ole T Jensen, Curtis E Jansen, Young Seo, George Yellich
Nitinol metal alloy that changes shape according to temperature has been in clinical use at select clinics worldwide for the past 2 years and is now released for general use. The Smileloc Abutment and nitinol sleeve enable "cementless," "screwless," crown fastening that saves time and cost with the prospect of replacement of much of the present, sometimes troublesome, anthropic, soon to be anachronistic, technology.
May 27, 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31126730/bone-reconstruction-planning-using-computer-technology-for-surgical-management-of-severe-maxillomandibular-atrophy
#7
REVIEW
Mark E Wong, Chung H Kau, James C Melville, Tirth Patel, Daniel B Spagnoli
Digital imaging technology and refined software programs have significantly improved a clinician's ability to assess and evaluate anatomic structures and quantify both defect size and required graft volume. This article summarizes the computed tomography-based technology used in these applications to illustrate their current use as exemplified by computer-assisted planning and treatment of severe maxillofacial atrophy treated using both interpositional and mesh-onlay grafting methodology.
May 21, 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31253346/computer-guided-dental-implant-treatment-of-complete-arch-restoration-of-edentulous-and-terminal-dentition-patients
#8
REVIEW
Gary Orentlicher, Andrew Horowitz, Leonard Kobren
The treatment of completely edentulous or soon-to-be completely edentulous dental arches with complete-arch fixed denture restorations, supported by dental implants, are some of the more complicated patient cases in oral and maxillofacial surgery and prosthodontics. This article discusses the use of digital technologies, computerized tomographic (CT) guided planning software applications, and surgical guides in treating these complex dental implant patient cases. A discussion of the nuances and workflows of different types of treatments are provided...
August 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31155381/artificial-intelligence-2019-surprise-free-dental-implant-dentistry
#9
EDITORIAL
Ole T Jensen, Mark Durham
No abstract text is available yet for this article.
August 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31133506/vertical-alveolar-augmentation-using-bmp-2-acs-allograft-with-printed-titanium-shells-to-establish-an-early-vascular-scaffold
#10
REVIEW
Nardy Casap, Heli Rushinek, Ole T Jensen
Traditional reconstruction of major alveolar ridge deficiency has required autogenous cortical cancellous particulate bone grafts, often augmented with particulate allogeneic components. Now there is a new concept to consider, that of orthoalveolar form. This paradigm shift involves components of the tissue engineering triad of inductive growth factors combined with a matrix and stem cells, together with osteotomies or devices designed for space maintenance. Reported here is early experience with computer technology used to redesign deficient alveolar ridges deriving ideal alveolar-shaped bone-forms made from powdered titanium, sintered by laser at high temperature using rapid prototype technology...
August 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31109844/computer-simulation-and-maxillary-all-on-four-surgery
#11
REVIEW
R John Tannyhill, Ole T Jensen
Maxillary all-on-four implant reconstruction requires training beyond normal dental implant training. It conjoins technical surgical acumen, anatomic and complex spatial relationship understanding, thorough awareness of dental prosthodontic principles, and excellent patient management skills. Acquisition of appropriate training to the level of competence in an era of greater patient expectations and increased vigilance for patient safety and overall quality of care is limited. Repeated purposeful practice in performing complex psychomotor tasks is of paramount importance in achieving competence...
August 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31103316/robotics-in-dental-implantology
#12
REVIEW
Yiqun Wu, Feng Wang, Shengchi Fan, James Kwok-Fai Chow
Robotic surgery is no longer a fiction and its clinical applications are rapidly developing. Robotic surgery is increasingly used because of its minimal invasiveness. This article provides an overview of robotic surgery and its current applications in oral and maxillofacial surgery and implant dentistry. Robotic surgery is constantly evolving, and its applications are continuously expanding. Recently, robot-assisted surgery has been used for dental implant placement. In the United States, the first robotic dental surgery system was cleared by the Food and Drug Administration for dental implant procedures in 2017...
August 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31113696/real-time-navigation-in-zygomatic-implant-placement-workflow
#13
REVIEW
Yiqun Wu, Feng Wang, Wei Huang, Shengchi Fan
Zygomatic implant placement has been shown to be a reliable method to reconstruct severe maxillary atrophy and maxillary deficiency defects. The placement of zygomatic implants is more complex and more challenging than conventional oral implant placement especially in the quad approach. The application of navigation surgery in complex craniomaxillofacial procedures has become very helpful in transferring the surgical plan to the patient and avoiding adjacent anatomic injuries. This article shows the feasibility of real-time navigation in zygomatic implant placement via building a clear workflow...
May 18, 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31109843/computerized-navigation-for-minimal-invasive-retrieval-of-displaced-dental-implants-in-the-lower-jaw
#14
REVIEW
Michael Alterman, Heli Rushinek, Amir Lavi, Nardy Casap
Displaced dental implants in the mandible may constitute a clinical challenge for both physicians and patients. The complex anatomy of the floor of the mouth, together with its subsequent violation due to implant displacement makes implant allocation and retrieval a challenging procedure. Computerized navigation surgery (CNS) has been previously described and proved successful in various surgical modalities. In this article, the authors present a recommended protocol for the use of CNS for the retrieval of displaced dental implants in the mandible and describe the workflow through the stages of diagnosis, preoperative surgical planning, and the surgical procedure...
May 17, 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31104949/computer-simulation-training-for-mandibular-all-on-four-all-on-three-surgery
#15
REVIEW
R John Tannyhill, Ole T Jensen
Mandibular all-on-4 implant reconstruction techniques are less complex than maxillary but more complex than routine dental implant surgery, requiring advanced technical skills, deeper understanding of prosthodontic principles, and more complex surgical planning. Surgical simulation may assist experienced surgeons seeking to acquire new skills through increased planning ability, improved intraspecialty communication, and enhanced technical competence. Achieving competence is different for the trainee devoted to the learning process and the practicing surgeon with limited time and balancing other roles and responsibilities...
May 16, 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/31088711/shape-memory-retained-complete-arch-guided-implant-treatment-using-nitinol-smileloc-abutments
#16
REVIEW
Kumar C Shah, Denny Chao, Benjamin M Wu, Ole T Jensen
A case report of a complete arch interim prosthesis executed using digital work flows and with guided implant surgery is presented. The novel shape-memory retained system used to retain the complete dental prosthesis is easily indexed onto the remaining dentition, thereby being both efficient and cost-effective in the short and long term.
May 11, 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/30947851/extra-long-nasal-wall-directed-dental-implants-for-maxillary-complete-arch-immediate-function-a-pilot-study
#17
REVIEW
Giovanni Nicoli, Simone Piva, Pietro Ferraris, Federico Nicoli, Ole T Jensen
Immediate loading of maxillary denture prostheses in the context of severe bone atrophy is complicated by posterior implant placement, sometimes requiring a complex surgical approach as zygomatic or pterygoid implants. To overcome this complexity, the authors developed an extra-long (20-24 mm) 24-degree angulated platform. It was tested on 33 patients, with 24 patients immediately loaded (72.7%) for a total of 115 implants (46% nasal). All delayed loading implants osseointegrated. Eight bilateral and six unilateral sinus grafts were performed...
May 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/30947850/guided-bone-regeneration-in-alveolar-bone-reconstruction
#18
REVIEW
Istvan A Urban, Alberto Monje
Guided bone regeneration is an effective alternative for the reconstruction of atrophic ridges. Adequate flap management together with immobilization of the barrier membrane and graft are crucial to ensure successful regenerative radiographic and clinical outcomes. Moreover, tension-free flap closure should be accomplished to guarantee to maximize the effectiveness of guided bone regeneration.
May 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/30947849/quad-zygoma-technique-and-realities
#19
REVIEW
Rubén Davó, Lesley David
Four zygomatic implants may be used in patients with severe maxillary atrophy for rehabilitation with a fixed or removable prosthesis. Immediate loading is also typically performed, providing patients with a less invasive and more efficient solution for rehabilitation. Options for immediate loading are presented. The indications, contraindications, procedure, and complications are reviewed. Appropriate treatment planning and work-up are highlighted, as they are required for success in conjunction with advanced surgical skill...
May 2019: Oral and Maxillofacial Surgery Clinics of North America
https://read.qxmd.com/read/30947848/complex-dental-implant-cases-algorithms-subjectivity-and-patient-cases-along-the-complexity-continuum
#20
REVIEW
Mark Durham, Marco Brindis, Nicholas Egbert, Leslie R Halpern
Algorithms for predictable outcomes, or checklists in health care, have been widely supported due to their highly effective outcomes. This article shares "algorithmic roadmaps" to restore single-tooth, partially edentulous, and fully edentulous complex dental implant cases in the patient population. A review of the current literature is presented to provide systematic assessments followed by criteria in a checklist format that allows the surgeon and restorative dentist to determine whether a removable or fixed implant prosthesis is the best patient option...
May 2019: Oral and Maxillofacial Surgery Clinics of North America
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