Literature review 9-15-05

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      1- Accuracy of image-guided implantology DOWNLOAD.
      Study compared accuracy of two image-guided implant insertion devices (Robodent and IGI).
      Machine-guided insertion was significantly more accurate than manual implantation . . . accuracy of manual is sufficient for most clinical situations.

      2- Load-related implant reaction of miniimplants used for orthodontic anchorage DOWNLOAD.
      South Korea is currently very active in use of implants for orthodontics . . . recent Nobelbiocare OnPlant (HA coated) was not popular - lacked promotion . . . current technology is essentially a pin which passes through and through alveolar ridge (avoiding roots) - can be loaded immediately if fully inserted.

      3-  Prevalence of subjects with progressive bone loss at implants DOWNLOAD
      Looked at number of patients (not number of implants) with fixed prostheses only . . . progressive bone loss defined as 3+ threads at five years, all implants were machined surface . . . found that 30% of patients had PBL at 5+ years

      4- Influence of platelet-rich plasma added to xenogenic bone grafts on bone mineral density associated with dental implants. DOWNLOAD
      Dog study: 9 dogs, 90 sites . . . bottom line: No difference with or without PRP

      5- Dental implant failure rate and associated risk factors. DOWNLOAD
      What are risk factors for implants - some surprising results . . . highest risk factors: radiation treatment, menopause AND receiving hormone replacement . . . surprisingly, chemotherapy and steroid treatment LOWERED risk . . .

      6- Stress analysis in edentulous mandibular bone supporting implant-retained 1 piece or multiple superstructures. DOWNLOAD
      Model-based study . . . most forces concentrated at crestal bone and implant apex areas . . . not much force concentrated along length of implant . . . forces are greatest at endpoints of FPD span - may explain why more failures are seen in posterior

      7- Impact of smoking on marginal bone loss. DOWNLOAD
      Israeli study (25% of population are smokers) - looked only at non-grafted sites . . . 60% were immediate-placement . . . measurements were taken directly from panoramic radiograph (accuracy?) . . . found more initial marginal bone loss in smokers . . . comment: with a clean, closed surgical site = not much difference between smokers and non-smokers

      8- Peri-implant pathology caused by peri-apical lesion of an adjacet natural tooth: a case report: DOWNLOAD
      Pathology not visible on PA radiograph will be visible on CBCT . . . maybe teeth adjacent to planned implant sites should be routinely vitality tested prior to implant placement

      9- Neurosensory disturbances following bone harvesting in the symphysis: a prospective clinical study. DOWNLOAD
      Swiss study . . . devitalizing of teeth as well as loss of proprioreception is seen in cases where horizontal incision is made for bone harvesting from symphysis . . . flap design can be altered (as discovered by endodontists) to minimize these potential sequelae . . .  hard to justify harvesting of autogenous bone from symphysis now that evidence shows equal success rate in sinus grafting with non-autogenous sources