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Research paper thumbnail of Immediate placement of osseointegrated oral implants into pathological dentoalveolar sites- retrospective clinical case-serious study

Clinical Oral Implants Research, 2018

Background : The immediate placement of dental implants into fresh non-infected sockets is an acc... more Background : The immediate placement of dental implants into fresh non-infected sockets is an accepted successful technique, while placement of these implants into pathological Dento-alveolar sockets is still a controversial issue Aim/Hypothesis : The aim of this clinical case-serious study was to report, retrospectively, the survival rate of immediate dental implants placed immediately after extraction of teeth with infected Dento-alveolar sockets in the maxilla and mandible at the osseointegration period (3 months). Material and Methods : A retrospective analysis was made of the clinical and radiographic findings corresponding to 15 consecutive patients (7 women and 8 men, between the ages 21and 59 years) with a mean age of 44.14 years (SD= 9.28). A total of 36 locking-taper Bicon dental implants (hydroxyapatite, HA coated) were immediately placed into infected fresh extraction-sockets included radicular cysts, chronic periapical lesions and sub-acute periodontal and endodontic infections using the flap or flapless surgery. Retrospective data on implant position implant size, pathological condition and a base-line radiographs were obtained from patient records. Clinical and radiographic analyses were performed to evaluate the treatment-outcome. Data was analyzed using descriptive statistics. Results : All the implants (n = 36) except 2 achieved osseointegration in 3 months follow up. This reflects 94.44% success rate within this small study group and 5.55% failure rate. Complications were related to the reasons for tooth loss. Conclusions and Clinical Implications : This retrospective clinical case-serious study showed the possibility that immediate dental implant placement might be successful in infected extraction sockets.

Research paper thumbnail of Management of dermato fi brosarcoma protuberans of the face using lower trapezius musculocutaneous pedicle fl ap reconstruction : a case report

Dermatofibrosarcoma protuberans (DFSP) is a rare neoplasm which represents <0.1% of all tumors... more Dermatofibrosarcoma protuberans (DFSP) is a rare neoplasm which represents <0.1% of all tumors but it is considered the most common skin sarcoma. It is a slow-growing tumor that arises from the dermis and invades deeper tissues. The precise origin of DFSP is not well known. It is most frequently seen on the trunk, extremities, and head and neck. The standard treatment of the localized huge DFSP consists of a wide local surgical resection with recommended surgical margins of 2–3 cm. Local recurrence after incomplete excision is common. We present a case of 35-year-old man with enormous bulky mass on the face. Upon histological examination, the diagnosis of DFSP was made, and the patient underwent en bloc wide local excision of the mass followed by the use of Trapezius musculocutaneous pedicle flap reconstruction. On 32 months follow-up, no recurrence has been reported.

Research paper thumbnail of Management of dermatofibrosarcoma protuberans of the face using lower trapezius musculocutaneous pedicle flap reconstruction: a case report

Journal of Surgical Case Reports

Dermatofibrosarcoma protuberans (DFSP) is a rare neoplasm which represents <0.1% of all tumors bu... more Dermatofibrosarcoma protuberans (DFSP) is a rare neoplasm which represents <0.1% of all tumors but it is considered the most common skin sarcoma. It is a slow-growing tumor that arises from the dermis and invades deeper tissues. The precise origin of DFSP is not well known. It is most frequently seen on the trunk, extremities, and head and neck. The standard treatment of the localized huge DFSP consists of a wide local surgical resection with recommended surgical margins of 2-3 cm. Local recurrence after incomplete excision is common. We present a case of 35-year-old man with enormous bulky mass on the face. Upon histological examination, the diagnosis of DFSP was made, and the patient underwent en bloc wide local excision of the mass followed by the use of Trapezius musculocutaneous pedicle flap reconstruction. On 32 months follow-up, no recurrence has been reported.

Research paper thumbnail of The effect of smoking and nonsmoking on bone healing (Osseo integrated phase) around locking-taper dental implants

Journal of Dental Implants, 2015

Background: It has been shown that smoking habits characterize an increased risk for impaired Oss... more Background: It has been shown that smoking habits characterize an increased risk for impaired Osseo integration or bone healing and finally implant failure. Purpose: The aim of this retrospective clinical study was to investigate the impact of cigarette smoking and nonsmoking on the bone healing around locking-taper dental implants. Materials and Methods: A retrospective analysis was made over a 4 years and 9 months period of the clinical and radiographic findings corresponding to 54 consecutive patients (34 women and 20 men) who had received a total of 162 implants. Patients were divided into two groups: Smokers, 20 patients (received 72 implants); and nonsmokers (NS), 34 patients (received 90 implants). Smokers were identified as people smoking >15 cigarettes per day. The success and failure cases were evaluated and studied. The data were analyzed using descriptive statistics. Results: Four implants out of 162 implants (2.46%) failed and had to be removed. Conclusions: Within the limitations of this study, the results indicated a high success rate 97.5% (158/162). No real difference in proportion of failure of implant placement both smokers and NS (P = 0.8577).

Research paper thumbnail of Immediate placement of osseointegrated oral implants into pathological dentoalveolar sites- retrospective clinical case-serious study

Clinical Oral Implants Research, 2018

Background : The immediate placement of dental implants into fresh non-infected sockets is an acc... more Background : The immediate placement of dental implants into fresh non-infected sockets is an accepted successful technique, while placement of these implants into pathological Dento-alveolar sockets is still a controversial issue Aim/Hypothesis : The aim of this clinical case-serious study was to report, retrospectively, the survival rate of immediate dental implants placed immediately after extraction of teeth with infected Dento-alveolar sockets in the maxilla and mandible at the osseointegration period (3 months). Material and Methods : A retrospective analysis was made of the clinical and radiographic findings corresponding to 15 consecutive patients (7 women and 8 men, between the ages 21and 59 years) with a mean age of 44.14 years (SD= 9.28). A total of 36 locking-taper Bicon dental implants (hydroxyapatite, HA coated) were immediately placed into infected fresh extraction-sockets included radicular cysts, chronic periapical lesions and sub-acute periodontal and endodontic infections using the flap or flapless surgery. Retrospective data on implant position implant size, pathological condition and a base-line radiographs were obtained from patient records. Clinical and radiographic analyses were performed to evaluate the treatment-outcome. Data was analyzed using descriptive statistics. Results : All the implants (n = 36) except 2 achieved osseointegration in 3 months follow up. This reflects 94.44% success rate within this small study group and 5.55% failure rate. Complications were related to the reasons for tooth loss. Conclusions and Clinical Implications : This retrospective clinical case-serious study showed the possibility that immediate dental implant placement might be successful in infected extraction sockets.

Research paper thumbnail of Management of dermato fi brosarcoma protuberans of the face using lower trapezius musculocutaneous pedicle fl ap reconstruction : a case report

Dermatofibrosarcoma protuberans (DFSP) is a rare neoplasm which represents <0.1% of all tumors... more Dermatofibrosarcoma protuberans (DFSP) is a rare neoplasm which represents <0.1% of all tumors but it is considered the most common skin sarcoma. It is a slow-growing tumor that arises from the dermis and invades deeper tissues. The precise origin of DFSP is not well known. It is most frequently seen on the trunk, extremities, and head and neck. The standard treatment of the localized huge DFSP consists of a wide local surgical resection with recommended surgical margins of 2–3 cm. Local recurrence after incomplete excision is common. We present a case of 35-year-old man with enormous bulky mass on the face. Upon histological examination, the diagnosis of DFSP was made, and the patient underwent en bloc wide local excision of the mass followed by the use of Trapezius musculocutaneous pedicle flap reconstruction. On 32 months follow-up, no recurrence has been reported.

Research paper thumbnail of Management of dermatofibrosarcoma protuberans of the face using lower trapezius musculocutaneous pedicle flap reconstruction: a case report

Journal of Surgical Case Reports

Dermatofibrosarcoma protuberans (DFSP) is a rare neoplasm which represents <0.1% of all tumors bu... more Dermatofibrosarcoma protuberans (DFSP) is a rare neoplasm which represents <0.1% of all tumors but it is considered the most common skin sarcoma. It is a slow-growing tumor that arises from the dermis and invades deeper tissues. The precise origin of DFSP is not well known. It is most frequently seen on the trunk, extremities, and head and neck. The standard treatment of the localized huge DFSP consists of a wide local surgical resection with recommended surgical margins of 2-3 cm. Local recurrence after incomplete excision is common. We present a case of 35-year-old man with enormous bulky mass on the face. Upon histological examination, the diagnosis of DFSP was made, and the patient underwent en bloc wide local excision of the mass followed by the use of Trapezius musculocutaneous pedicle flap reconstruction. On 32 months follow-up, no recurrence has been reported.

Research paper thumbnail of The effect of smoking and nonsmoking on bone healing (Osseo integrated phase) around locking-taper dental implants

Journal of Dental Implants, 2015

Background: It has been shown that smoking habits characterize an increased risk for impaired Oss... more Background: It has been shown that smoking habits characterize an increased risk for impaired Osseo integration or bone healing and finally implant failure. Purpose: The aim of this retrospective clinical study was to investigate the impact of cigarette smoking and nonsmoking on the bone healing around locking-taper dental implants. Materials and Methods: A retrospective analysis was made over a 4 years and 9 months period of the clinical and radiographic findings corresponding to 54 consecutive patients (34 women and 20 men) who had received a total of 162 implants. Patients were divided into two groups: Smokers, 20 patients (received 72 implants); and nonsmokers (NS), 34 patients (received 90 implants). Smokers were identified as people smoking >15 cigarettes per day. The success and failure cases were evaluated and studied. The data were analyzed using descriptive statistics. Results: Four implants out of 162 implants (2.46%) failed and had to be removed. Conclusions: Within the limitations of this study, the results indicated a high success rate 97.5% (158/162). No real difference in proportion of failure of implant placement both smokers and NS (P = 0.8577).

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