[Clinical evaluation of denture made of pure titanium].

OBJECTIVE: To evaluate the clinical effect of pure titanium used for complete denture and removable partial denture. METHODS: Sixty edentulous patients were selected. Thirty patients in the test group for pure titanium denture and the other 30 in control for Co-Cr Alloy denture. RESULTS: No significant differences in clinical effect between dental casting pure titanium and casting Co-Cr alloy used for complete denture or removable partial denture. CONCLUSION: Due to the properties and biocompatibility, pure titanium can be used for denture base and frameworks of removable partial denture.

Subepithelial Connective Tissue Grafts to Improve Tissue Biotype Control in Peri-implant Disease: A Case Series.

Three patients diagnosed with peri-implant disease after osseointegration exhibited soft tissue oedema and fistulae. Treatment options for controlling the fistulae were investigated. Free subepithelial connective tissue grafts (SCTGs) and microinvasive surgery were used to improve the soft tissue biotype of the patients with fistulae. After SCTG surgery, the fistulae disappeared. The clinical outcomes were stable and aesthetic outcomes were satisfactory after 3-5 years of follow-up. Based on this study, utilising SCTG to improve the tissue biotype may be an effective clinical approach for controlling fistulae occurring during peri-implant disease.

Occurrence of Maxillary Central Diastema between Tooth-supported and Implant-supported Prostheses: a 5-year Clinical Follow-up.

A 27-year-old patient with a history of maxillary anterior tooth trauma presented with a maxillary central diastema between tooth- and implant-supported prostheses that had been in use for 5 years. The all-ceramic crowns were placed in 2012 after rigorous occlusal adjustment. Evaluations were carried out at 0, 2, 3, 4 and 5 years post restoration. The central diastema between the natural teeth and the implant-supported prosthesis on teeth 11 and 12 was first observed 2 years after implantation. After 5 years, the distance was found to have increased, with anterior occlusion and esthetic changes having taken place. The following possible causes were discussed: occlusal problems, anterior traumatic effects, the possible impact of guided bone regeneration (GBR) on the adjacent natural teeth and natural movement. More predictive information should be given to patients with implant-supported prostheses and natural teeth so that they are fully informed of the impact of any necessary clinical compromise and are aware of the modifications that may occur to their natural dentition.