Short versus longer implants with osteotome sinus floor elevation for moderately atrophic posterior maxillae: A 1-year randomized clinical trial.

PURPOSE: To compare the clinical, radiographic outcomes and patient satisfaction of short-6-mm implants and longer implants combined with osteotome sinus floor elevation (OSFE). MATERIALS AND METHODS: Two hundred and twenty-five patients with 225 implants were included and randomly assigned into three groups (each group: 75 implants) using randomizing table method: group 6 mm (6 mm implants alone), group 8 mm + O (8 mm implants + OSFE) and group 10 mm + O (10 mm implants + OSFE). Outcomes measures were as follows: implant survival, complication, resonance frequency analysis measurement, surgical time, bleeding on probing (BOP), pocket probing depth (PPD), modified plaque index (mPI), marginal bone loss (MBL) and patient satisfaction. RESULTS: The dropout rate was 3.6% at 1 year. Implant survival rates were 96%, 100% and 100% in group 6 mm, group 8 mm + O and group 10 mm + O, respectively. In group 6 mm, the survival rates of implants with diameter of 4.1 mm were 90% (27/30), while the survival rates of implants with diameter of 4.8 mm were 100% (42/42). The surgical time (min) in group 6 mm was significantly shorter than those in group 8 mm + O and group 10 mm + O (13.6 ± 2.2, 19.4 ± 3.7 and 18.3 ± 4.3, respectively, p = 0.03). No significant differences in ISQ values, BOP, PPD, mPI and MBL were found among three groups. Significant higher value of intra-operative discomfort was found in group 6 mm (p = 0.02). CONCLUSION: All treatment options provided acceptable clinical and radiographic results up to 1 year after loading. The current 1-year results must be confirmed by longer follow-ups of at least 5 years.

Nasal prosthesis rehabilitation using CAD-CAM technology after total rhinectomy: a pilot study.

PURPOSE: This study describes a nose prosthetic rehabilitation using computer-aided design and manufacturing (CAD-CAM) technology after facial disfigurement because of a total rhinectomy. METHODS: A patient with a total rhinectomy was scheduled for a nasal prosthesis. Based on the 3-D model of the patient's face reconstructed with the CT data, a four-piece mould for the nasal prosthesis was prototyped using a CAD-CAM procedure. Conventional silicone was processed with this physical mould to fabricate the definitive nasal prosthesis. RESULTS: A silicone nasal prosthesis was manufactured. The size, shape, and cosmetic look of the prosthesis were satisfactory and matched the nasal defect area well. CONCLUSIONS: The protocol presented herein illustrates favorable clinical treatment outcomes in the prosthetic rehabilitation after a total rhinectomy by means of CAD-CAM technology.

[Digital diagnosis and treatment system for facial prostheses].

Conventional diagnosis and treatment for facial prostheses have setbacks and limitations, including complicated procedure, inefficiency, low accuracy and poor esthetics, which could not meet the demand for high quality of the prostheses of the patients. With the technology of the computer aided design and computer aided manufacture (CAD/CAM), the new era for diagnosis and treatment for facial prostheses has been started since the 1990's. The digital diagnosis and treatment system for facial prostheses has been formed during these ten years, which including the digital data acquisition of the facial defect, CAD for facial prostheses, rapid fabrication of the prostheses. This new system will be the development direction and mainstream technology in the future.

[A preliminary study on maxillofacial prosthesis using structured light three-dimensional scanning and rapid prototyping technique].

OBJECTIVE: To evaluate application of three-dimensional reconstruction of the facial soft tissue by use of light three-dimensional scanning system and rapid prototyping and to lay a foundation for developing the computer aided design (CAD) and computer aided manufacture (CAM) system of the maxillofacial defect rehabilitation. METHODS: The left and right facial profiles of a volunteer were scanned with the light three-dimensional scanning system that was a self-developed one. The complete point and cloud data were obtained by transforming the image data with the Surfcaq software. Then three-dimensional reconstruction was done via transforming the point and cloud data to Geomagic studio 7.0. The final three-dimensional reconstruction was achieved by way of putting the point and cloud data together with apex nasi, external point of the orbit, mention as the mark points. The image was imported into Magics RP to triangulate and created in the thickness of 2 mm. The three-dimensional resin model was fabricated by fused deposition modeling (FDM). RESULTS: The three-dimensional image of the facial soft tissue of the volunteer was achieved. The three-dimensional resin model of the facial soft tissue of the volunteer was also obtained. CONCLUSIONS: Light three-dimensional scanning system was feasible for three-dimensional reconstruction.

[A preliminary study on facial profile reconstruction using structured light three-dimensional scanning technique].

OBJECTIVE: To evaluate the feasibility of facial profile reconstruction by use of structured light three-dimensional scanning technique. METHODS: Based on Gray-code and phase-shifting method, the self-developed three-dimensional optical measurement system was used to acquire the primitive point data of a volunteer's face and cast of the face. All the datum records were processed and analysed with Imageware and Geomagic software to reconstruct a three-dimensional face model. RESULTS: Compared with the conventional impression method, the structured light three-dimensional scanning technique reconstructed facial profile with smaller deformation. CONCLUSIONS: Based on Gray-code and phase-shifting method, the self-developed optical measurement system captured three-dimensional facial profile accurately. It would be helpful to the three-dimensional reconstruction of the facial profile defect.

[The role of the mouthguard in preventing sports-related oral-facial and dental traumas.].

Sports play a significant role in all nations worldwide. More and more people involve in sports so that the incidence of the oral-facial and dental traumas with accidents ascends. The treatment cost is considerable, and the sporters' lives will be influenced by these traumas. This paper examines the status and the reasons of the oral-facial and dental traumas. It reviews not only the principle and the types of the mouthguard but also the evidence of the mouthguard in preventing sports-related traumas. Prevention is thought to be the key element in minimizing traumas that occur in sports, the using of mouthguard is considered essential.