BRAVISSIMO: 12-month results from a large scale prospective trial.

The BRAVISSIMO study is a prospective, non-randomized, multi-center, multi-national, monitored trial, conducted at 12 hospitals in Belgium and 11 hospitals in Italy. This manuscript reports the findings up to the 12-month follow-up time point for both the TASC A&B cohort and the TASC C&D cohort. The primary endpoint of the study is primary patency at 12 months, defined as a target lesion without a hemodynamically significant stenosis on Duplex ultrasound (>50%, systolic velocity ratio no greater than 2.0) and without target lesion revascularization (TLR) within 12 months. Between July 2009 and September 2010, 190 patients with TASC A or TASC B aortoiliac lesions and 135 patients with TASC C or TASC D aortoiliac lesions were included. The demographic data were comparable for the TASC A/B cohort and the TASC C/D cohort. The number of claudicants was significantly higher in the TASC A/B cohort, The TASC C/D cohort contains more CLI patients. The primary patency rate for the total patient population was 93.1%. The primary patency rates at 12 months for the TASC A, B, C and D lesions were 94.0%, 96.5%, 91.3% and 90.2% respectively. No statistical significant difference was shown when comparing these groups. Our findings confirm that endovascular therapy, and more specifically primary stenting, is the preferred treatment for patients with TASC A, B, C and D aortoiliac lesions. We notice similar endovascular results compared to surgery, however without the invasive character of surgery.

Removable cast partial dentures.

In planning treatment for partially edentulous patients, the dentist is often confronted with conditions that preclude fixed prosthodontics. In these instances the cast removable partial denture is often the alternative of choice. In planning and producing a removable partial denture that will be most satisfactory, a systematic evaluation at the very beginning of treatment can prevent many problems that often occur when planning is limited.

Replacement of lost or broken denture teeth with composites.

The replacement of lost or broken denture teeth can be accomplished with a quick, easy, and long-lasting result. The technique provides good esthetics and function, and the dentist can accomplish a replacement without a large inventory of stock teeth and without costly or time-consuming processing. The resultant repair withstands stress and wear comparable to that of acrylic resin denture teeth and is resistant to discoloration.

In-office permanent denture base correction technique.

A repair compound made by mixing pink denture base acrylic resin polymer and methyl-2-cyanoacrylate makes it possible to accomplish many denture corrections permanently as in-office procedures. The resulting repairs display color stability and strength that make them virtually indistinguishable from the original denture base. All necessary materials are readily available, and time consuming laboratory processing for repairs can be avoided. This procedure is easily adapted to correct errors such as a complete denture not in centric relation due to incorrect mounting or faulty records, improper vertical dimension of occlusion, alteration of anterior tooth arrangement required to change esthetics, and a broken denture base.