Short Answer
Ignoring a cavity can lead to severe pain, infections, tooth loss, and even systemic health issues. Early treatment by a dentist, like Dr. Andreas Tjandra at Doctor Dentist Clinic in West Jakarta, can prevent complications and save your smile.
Long Answer
A cavity is more than just a small hole in your tooth—it’s a warning sign of decay that, if left untreated, can spiral into ...
Short Answer
Ignoring a cavity can lead to severe dental problems, including tooth loss, infections, and even systemic health issues. Untreated cavities worsen over time, causing pain, sensitivity, and damage to surrounding teeth. Early treatment prevents complications and preserves oral health.
Long Answer
A cavity is a small hole in your tooth caused by decay, often due to poo...
Short Answer:Yes, dental X-rays are generally safe when performed with modern equipment and proper precautions. The radiation exposure is minimal, and the benefits of early detection of dental issues far outweigh the risks.
Long Answer:Dental X-rays, also known as radiographs, are a crucial diagnostic tool in dentistry. They help dentists detect hidden dental problems like cavities, bone infectio...
Short Answer
You should visit the dentist every 6 months for a routine check-up and cleaning. However, if you have specific dental concerns—such as gum disease, frequent cavities, or other oral health issues—your dentist may recommend more frequent visits.
Long Answer
Maintaining good oral hygiene goes beyond brushing and flossing daily. Regular dental visits are crucial for preventing prob...
Cavities, also known as dental caries, are one of the most common dental issues worldwide. They occur when bacteria in your mouth produce acids that erode tooth enamel, leading to decay. Recognizing the early signs of a cavity can help you seek timely treatment and prevent further damage. In this post, we willll explore the key indicators of a cavity, so you can take action before it worsens.
1. ...
Introduction: A Smile Worth Millions
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Imagine waking up one morning, looking in the mirror, and flashing a perfect smile—confident, natural, and effortless. No more hiding your teeth when you laugh. No more struggling with dentures that slip or bridges that feel unnatural. No more avoiding your favorite foods because chewing is painful.
For millions of people worldwide, this isn’t just a ...
Abstract
Dental implants have revolutionized restorative dentistry by providing a durable, functional, and aesthetic solution for tooth loss. This paper reviews the evolution of dental implants, from the discovery of osseointegration to modern digital workflows. Key topics include implant materials (titanium vs. zirconia), surgical innovations (guided surgery, immediate loading), success rates, a...
Introduction
The surgical placement of dental implants has become a cornerstone in restorative dentistry, offering patients a durable and functional alternative to traditional prosthetics. Dental implants serve as prosthetic roots that anchor crowns, bridges, or dentures, mimicking the natural tooth structure effectively. The success of dental implants hinges on meticulous surgical techniques, pr...
Abstract
Tooth loss represents a significant health concern that leads to profound functional and aesthetic challenges. One of the most critical consequences of tooth loss is the subsequent resorption of the underlying jawbone, a process accelerated by traditional dental solutions such as dentures and bridges. In contrast, dental implants have proven effective in preserving bone structure by stim...
Abstract
Osseointegration represents the biological cornerstone of contemporary dental implant therapy and is fundamental to achieving predictable long-term clinical success. First described by Brånemark, osseointegration is defined as a direct structural and functional connection between living bone and the surface of a load-bearing implant, without the interposition of fibrous tissue [1,2]. Th...
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Table of Content
Introduction
General introduction to the importance of neutrophils in immune responses.
Importance of neutrophils in the context of implantology.
Overview of general implantology and dental implantology.
Neutrophils: Basic Functions and Mechanisms
Overview of neutrophils in the immune system.
Role in inflammation, immune s...
Introduction
Per-Ingvar Brånemark (born 1929 in Gothenburg, Sweden) is one of the most prominent figures in the field of implant dentistry. He is widely regarded as the pioneer of modern dental implants and is best known for his groundbreaking discovery of osseointegration—the process by which a titanium implant fuses with the bone—revolutionizing the way dental professionals treat patients ...
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Introduction
The advancement of dental technology has introduced several options for replacing missing teeth, with dental implants and dental bridges being two of the most commonly used solutions. Both methods offer significant functional and aesthetic benefits, but they differ notably in how they affect the adjacent teeth. One of the major advantages of dental implants over dental bridges is...
Abstract
Subperiosteal implants have played a significant role in the field of dental implantology, particularly for patients with insufficient bone mass to support traditional endosteal implants. These implants, placed beneath the gum line but above the jawbone, offer an alternative for patients who are not candidates for endosteal implants due to severe bone loss. Although once a common solutio...
Abstract
Subperiosteal implants have played a significant role in the field of dental implantology, particularly for patients with insufficient bone mass to support traditional endosteal implants. These implants, placed beneath the gum line but above the jawbone, offer an alternative for patients who are not candidates for endosteal implants due to severe bone loss. Although once a common solutio...
Introduction
Dental implants have revolutionized modern dentistry by providing a reliable and long-lasting solution for replacing missing teeth. A critical component of this restorative process is the placement of a crown, which serves as the final prosthetic restoration that enhances both the function and aesthetics of the implant. The crown, attached to an abutment placed on the implant fixture...
Abstract
Dental implants have become the gold standard for replacing missing teeth, providing a long-lasting solution for tooth restoration. This paper explores the procedure of dental implant placement, with a focus on the steps involved, technologies used in diagnosis and planning, anesthesia options, and post-operative considerations. Emphasis is placed on the importance of accurate imaging te...
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Tooth loss can have profound effects on an individual’s self-esteem, oral health, and overall quality of life. Whether due to aging, trauma, or disease, missing teeth often require prompt and effective solutions. Over the years, numerous methods have been developed to restore lost teeth, but one solution continues to stand out in terms of longevity, function, and aesthetics: dental implants....
Advancements in dental implantology demand precision tools that are capable of accommodating the varying anatomical features of patients’ jaws. A key challenge in this field is ensuring that the drill used for implant placement accurately detects differences in bone quality while maintaining efficiency and safety. In response to this need, a novel drill system was proposed and tested to evaluate...
[ ... ] Dental implants have revolutionized the field of restorative dentistry by providing a stable and durable solution for tooth loss. A critical aspect of the dental implant procedure is the preparation of the bone, which involves drilling a hole into the jawbone where the implant will be placed. This process requires precision and care to ensure the success of the implant while avoiding damag...
After explaining the study's specifics, all patients provided written and informed consent. A medical questionnaire was used to collect a detailed history of the subjects, and a clinical oral examination was undertaken. Routine laboratory examinations were performed and documented for all individuals.
Maxillary and mandibular full dentures were made for all patients 6 to 8 weeks prior to implant ...
The purpose of this study was to see if a static magnetic field formed by employing safer magnets can help to promote osseointegration faster when the bone is injured during implant insertion. Because magnets are routinely employed in prosthetic dentistry for retention purposes, it is critical that we understand the tissue reaction to magnetic fields. The goal of this study was to compare the stab...
Introduction
Osseointegrated titanium dental implants are effectively utilized to repair both totally and partly edentulous individuals. One of the primary aims of implant dentistry and a prerequisite for clinical success is strong implant stability. Implant stability affects the healing and osseointegration processes. Patients' desire for a shorter treatment duration has led physicians to try lo...
Breakage of porcelain veneer
In clinical dentistry, metal-ceramic restorations are the most prevalent kind. Patients' increasing aesthetic demands over time have prompted physicians to concentrate on all-ceramic restorations. Zirconia restorations show promise, and the material is even being utilized for direct veneering for screw-retained prostheses or for the fabrication of implant abutments fo...
Failure of cement
Another effect of biomechanical stress is cement failure, which usually affects the prosthetic attachment and can be addressed with a recementation technique. Decementation has become far less common as a result of advances in material science, especially with regard to luting agents. To prevent such occurrences, however, meticulous treatment planning and adheren...
Fracture of Screw / Implant
Biomechanical overloading and peri-implant vertical bone loss are the two main causes of implant breakage.When the vertical bone loss is significant enough to coincide with the screw's apical limit, the risk of implant breakage increases many times. Implant fractures can also result from defects in the implant's production and design. One risk factor for dental implant...
Complicationgs Relating to Dental Implants
Numerous mechanical, biological, or technical issues can arise with implant-supported single crowns and multiple implant-supported bridges [Table 1]. One of the major variables that negatively contributes to implant dentistry failures is poor patient selection.
Table 1. Difficulties relating to dental implants
Complications
M...
Fig. 10. Patient 1—post-operative evaluation of placement accuracy of the implants in the mandible. Green is the planned position; blue is the actual position
Fig. 10. Patient 1—post-operative evaluation of placement accuracy of the implants in the mandible. Green is the planned position; blue is the actual position
Fig. 9. Patient 1—prosthodontic end result 5 months after implant placement
Fig. 9. Patient 1—prosthodontic end result 5 months after implant placement
Fig. 8. Patient 2—intra-oral situation during orthodontic treatment at the age of 14. A temporary crown with bracket is fixed on the dental implant. Eight months after start of orthodontic treatment, the 34 is already close to the planned end position
Fig. 8. Patient 2—intra-oral situation during orthodontic treatment at the age of 14. A temporary crown with bracket is fixed on the dental...
Fig. 7. Patient 2—post-operative orthopantomogram (OPT) at age of 13. Situation 10 months after implant placement. Three months after starting the orthodontic treatment, the 34 is already erected
Fig. 7. Patient 2—post-operative orthopantomogram (OPT) at age of 13. Situation 10 months after implant placement. Three months after starting the orthodontic treatment, the 34 is already erect...
Fig. 6. Patient 1—post-operative orthopantomogram (OPT) at age of 18
Fig. 6. Patient 1—post-operative orthopantomogram (OPT) at age of 18
Fig. 5. he maxilla (left) and mandible (right) with drilling template and metal drilling inserts (Nobel biocare). b Drilling template for the mandible of patient 1. c Implant placement of patient 1. Dental implant placement in the mandible using the virtual developed tooth-supported templates and metal drilling inserts
Fig. 5. a Drilling templates of patient 1. Printed model of the maxilla (l...
Fig. 4. t goal. b Patient 2—virtual set-up of the ultimate implant position. One short dental implant was planned in region 35, based on the location of the mandibular nerve (orange), the impacted 34 (pink) and the bone quality and volume. c Patient 2—virtual set-up of the ultimate prosthetic treatment goal
Fig. 4. a Patient 1—virtual set-up of the ultimate treatment goal. b Patient 2â€...
Fig. 3. e CBCT and intra-oral scan at age of 18. b Patient 2—detailed 3D model of the combined data from the CBCT and intra-oral scan at age of 12
Fig. 3. a Patient 1—detailed 3D model of the combined data from the CBCT and intra-oral scan at age of 18. b Patient 2—detailed 3D model of the combined data from the CBCT and intra-oral scan at age of 12
Fig. 2. uation before start of orthodontic and implant treatment. Eleven permanent teeth (including 2 third molars) were congenitally missing and the 34 is impacted. To erect the 34, orthodontic treatment was desired. Due to the lack of stable anchorages in the third quadrant, it was decided to place one implant at tooth region 35 for orthodontic anchorage and future prosthetics. Due to very lim...
Fig. 1. osed deciduous teeth 55, 54, 65, 74, 75, 84, and 85 and start of orthodontic treatment. Eleven permanent teeth (including 4 third molars) were congenitally missing. b Patient 1—post-orthodontic situation at age of 16. The top of the mandibular processus alveolaris is small (upper). The interdental space at location of the second premolars in the maxilla is 7 and 14 mm at location of t...
Patient
Location implant (tooth nr)
Shoulder
Tip
Axis
X
Y
Z
ED (mm)
...
Filius, M.A.P., Kraeima, J., Vissink, A. et al. Three-dimensional computer-guided implant placement in oligodontia.
Int J Implant Dent 3, 30 (2017). https://doi.org/10.1186/s40729-017-0090-6
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Received: 27 March 2017
Accepted: 22 June 2017
Published: 08 July 2017
DOI: https://doi.org/10.1186/s40729-017-0090-6
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...
This is not applicable as this research was an evaluation of routine dental care.
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Author Marieke Filius, Joep Kraeima, Arjan Vissink, Krista Janssen, Gerry Raghoebar and Anita Visser state that there are no conflicts of interest.
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Correspondence to
Anita Visser.
Department of Oral and Maxillofacial Surgery, University of Groningen and University Medical Center Groningen, PO Box 30.001, 9700 RB, Groningen, The Netherlands
Marieke A. P. Filius, Joep Kraeima, Arjan Vissink, Gerry M. Raghoebar & Anita Visser
Department of Orthodontics, University of Groningen and University Medical Center Groningen, PO Box 30.001, 9700 RB, Groningen, The Netherlands
K...
The authors like to sincerely thank all co-workers from the Department of Orthodontics, University Center Groningen, The Netherlands, for the potent collaboration during the treatment process.
We also kindly thank native English speaker Jadzia Siemienski for critically reading our manuscript and making suggestions to improve the English.
This research did not receive any specific grant from fund...
Schalk-van der Weide Y, Beemer FA, Faber JA, Bosman F. Symptomatology of patients with oligodontia. J Oral Rehabil. 1994;21:247–61.
Filius MA, Cune MS, Raghoebar GM, Vissink A, Visser A. Prosthetic treatment outcome in patients with severe hypodontia: a systematic review. J Oral Rehabil. 2016;43:373–87.
Shen P, Zhao J, Fan L, et al. Accuracy evaluation of computer-designed surgical guide tem...
(Cone beam) computer tomography
Two-dimensional
Three-dimensional
Euclidian distances
Orthopantomogram
This technical advanced article introduces a fully digitalized workflow for implant planning in complex oligodontia cases. The application of computer-designed surgical templates enables predictable implant placement in oligodontia, where bone quantity and limited interdental spaces can be challenging for implant placement. The stepwise approach described in this technical advanced article provide...
This technical advanced article illustrated the benefit of a full three-dimensional virtual workflow to guide implant placement in oligodontia cases as well as that implants can be reliably placed at the planned positions with the technique proposed.
The described full three-dimensional virtual workflow has several advantages. First, the surgeon is pre-operatively better informed about the requir...
The surgical guides fitted well and facilitated implant placement. All implants were placed in the native bone. No dehiscences of the implant surface occurred.
Post-operative orthopantomograms (OPT) of patients 1 and 2 are shown in Figs. 6 and 7. In patient 1, six implants were placed (NobelParallel Conical Connection implants, Nobel Biocare Holding AG, Zürich-Flughafen, Switzerland; Length 8.5...
After raising a mucoperiostal flap, the dental implants were placed using the virtual developed tooth-supported drilling templates using metal inserts (Fig. 5c). It was checked whether no dehiscences of the implant surface were present.
A CBCT (ICat, Image Sciences International, Hatfield, UK; 576 slices, voxel size 0.3 mm, FOV: 11 × 16 cm) was made of two oligodontia patients (for patient details, see Figs. 1 and 2) for implant planning. Detailed patient information was obtained with regard to the nerve position and bone quality and quantity. In addition, a digital intra-oral scan was made to get a detailed 3D image of t...
Oligodontia is the congenital absence of six or more permanent teeth, excluding third molars [1]. The need for oral rehabilitation in patients with oligodontia is high as they often suffer from functional and aesthetic problems due to a high number of missing teeth. Implant-based prosthodontics seem to be favourable to improve oral function and aesthetics in oligodontia [2].
Implant treatment in ...
The aim of computer-designed surgical templates is to attain higher precision and accuracy of implant placement, particularly for compromised cases.
The purpose of this study is to show the benefit of a full three-dimensional virtual workflow to guide implant placement in oligodontia cases where treatment is challenging due compromised bone quantity and limited interdental spaces.
A full, digita...
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Figure 10. Patient 1—post-operative evaluation of placement accuracy of the implants in the mandible. Green is the planned position; blue is the actual position
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Figure 9. Patient 1—prosthodontic end result 5 months after implant placement
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Figure 8. Patient 2—intra-oral situation during orthodontic treatment at the age of 14. A temporary crown with bracket is fixed on the dental implant. Eight months after start of orthodontic treatment, the 34 is already close to the planned end position
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Figure 7. Patient 2—post-operative orthopantomogram (OPT) at age of 13. Situation 10 months after implant placement. Three months after starting the orthodontic treatment, the 34 is already erected
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Figure 6. Patient 1—post-operative orthopantomogram (OPT) at age of 18
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Figure 5. a Drilling templates of patient 1. Printed model of the maxilla (left) and mandible (right) with drilling template and metal drilling inserts (Nobel biocare). b Drilling template for the mandible of patient 1. c Implant placement of patient 1. Dental implant placement in the mandible using the virtual developed tooth-supported templates and metal drilling inserts
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Figure 4. a Patient 1—virtual set-up of the ultimate treatment goal. b Patient 2—virtual set-up of the ultimate implant position. One short dental implant was planned in region 35, based on the location of the mandibular nerve (orange), the impacted 34 (pink) and the bone quality and volume. c Patient 2—virtual set-up of the ultimate prosthetic treatment goal
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Figure 3. a Patient 1—detailed 3D model of the combined data from the CBCT and intra-oral scan at age of 18. b Patient 2—detailed 3D model of the combined data from the CBCT and intra-oral scan at age of 12
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Figure 2 a Patient 2—pre-implant orthopantomogram (OPG) at the age of 12. Situation before start of orthodontic and implant treatment. Eleven permanent teeth (including 2 third molars) were congenitally missing and the 34 is impacted. To erect the 34, orthodontic treatment was desired. Due to the lack of stable anchorages in the third quadrant, it was decided to place one implant at tooth...
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Figure 1. a Patient 1—orthopantomogram (OPT) at age of 13. Situation before extraction of the ankylosed deciduous teeth 55, 54, 65, 74, 75, 84, and 85 and start of orthodontic treatment. Eleven permanent teeth (including 4 third molars) were congenitally missing. b Patient 1—post-orthodontic situation at age of 16. The top of the mandibular processus alveolaris is small (upper). T...
Results
Clinical and radiographic assessments
The surgical guides fitted well and facilitated implant placement. All implants were placed in the native bone. No dehiscences of the implant surface occurred.
Post-operative orthopantomograms (OPT) of patients 1 and 2 are shown in Figs. 6 and 7. In patient 1, six implants were placed (NobelParallel Conical Connection implants, Nobel Biocare Ho...
Patient and methods
Implant planning and placement
Pre-implant procedure and 3D planning
A CBCT (ICat, Image Sciences International, Hatfield, UK; 576 slices, voxel size 0.3 mm, FOV: 11 × 16 cm) was made of two oligodontia patients (for patient details, see Figs. 1 and 2) for implant planning. Detailed patient information was obtained with regard to the nerve position and bone quality an...
Introduction
Oligodontia is the congenital absence of six or more permanent teeth, excluding third molars [1]. The need for oral rehabilitation in patients with oligodontia is high as they often suffer from functional and aesthetic problems due to a high number of missing teeth. Implant-based prosthodontics seem to be favourable to improve oral function and aesthetics in oligodontia [2].
Impla...
Three-dimensional computer-guided implant placement in oligodontia
Abstract
Background
The aim of computer-designed surgical templates is to attain higher precision and accuracy of implant placement, particularly for compromised cases.
Purpose
The purpose of this study is to show the benefit of a full three-dimensional virtual workflow to guide implant placement in oligodontia cases where t...
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author (y)
material used for fabrication of the template
radiographic marker used
imaging system used
conversion process
indication/ advantages
Engelman et al9
auto polymerizing acrylic resin
metal bearings
panoramic radiography
remove lingual surface, leaving only facial surface of the teeth in the proposed implant site
inexpensive, easy, improved visibility, external irr...
Conclusion
Although the completely limiting design is considered a far superior design concept, most clinicians still adopt the partially limiting design due to its cost-effectiveness and credibility in the field. In addition, it has been observed that most clinicians use surgical guide templates that are based on cross-sectional imaging to facilitate accurate planning and guidance during the sur...
CAD/CAM-based Surgical Guide
CAD/CAM technology uses data from computerized tomography scan (CT)33 to plan implant rehabilitation. The CT images are converted into data that are recognized by a CT imaging and planning software. This software then transfers this presurgical plan to the surgery site using stereolithographic drill guides.34Â CAD/CAM-based surgical guides offer many advantages. For e...
Completely Limiting Design
Completely limiting design restricts all of the instruments used for the osteotomy in a buccolingual and mesiodistal plane. Moreover, the addition of drill stops limits the depth of the preparation, and thus, the positioning of the prosthetic table of the implant. As the surgical guides become more restrictive, less of the decision-making and subsequent surgical executi...
In such designs, the first drill used for the osteotomy is directed using the surgical guide, and the remainder of the osteotomy and implant placement is then finished freehand by the surgeon.6Â Techniques based on this design concept involve fabrication of a radiographic template, which is then converted into a surgical guide template following radiographic evaluation. Various authors have propos...
Nonlimiting Design
Nonlimiting designs only provide an indication to the surgeon as to where the proposed prosthesis is in relation to the selected implant site.6Â This design indicates the ideal location of the implants without any emphasis on the angulation of the drill, thus allowing too much flexibility in the final positioning of the implant.
Blustein et al7Â Â and Engelman et al8 described...
Various techniques have been proposed for the fabrication of surgical guide templates in implant dentistry. The objective of this paper is to review the associated literature and recent advancements in this field, based on design concept. An electronic and hand search of the literature revealed 3 categories, namely, nonlimiting, partially limiting, and completely limiting design. Most clinicians s...