407 results match your criteria hopeless prognosis

Hopeless tooth? Prognosis and comprehensive treatment. A case report.

J Med Life 2021 Mar-Apr;14(2):287-294

Department of Endodontics, University of Medicine and Pharmacy Carol Davila, Faculty of Dental Medicine, Bucharest, Romania.

A hopeless tooth from a periodontal point of view, with severe bone resorption, mobility and abnormal tooth migration, is often extracted. In advanced cases, function and esthetics are impaired, and an interdisciplinary treatment is requested. Retaining or not these teeth is based on clinician judgment. Read More

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Profile and Prognosis of Spontaneous Lobar Intracerebral Hemorrhage: Comparison of 6-month Survival with STICH II and the MISTIE III Lobar Hemorrhage Subset.

J Neurol Surg A Cent Eur Neurosurg 2021 May 24. Epub 2021 May 24.

Department of Neurosurgery, Heinrich-Heine-University, Düsseldorf, Germany.

Background:  Randomized trials on spontaneous lobar intracerebral hemorrhage (ICH) provided no convincing evidence of the superiority of surgical treatment. Since recruitment in the trials was under the premise of equipoise, a selection bias toward patients who did not need surgery or were in hopeless condition must be suspected. The aim of the actual analysis was to compare outcome and patient profile of an unselected hospital series with recent randomized trials and to develop a prognostic model. Read More

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Rehabilitation of an Esthetic Compromise in a Patient Previously Treated With Maxillary Anterior Implants.

Compend Contin Educ Dent 2021 Apr;42(4):158-162

Private Practice, Chalfont, Pennsylvania.

Over time, patients treated in developmental stages of implantology may need additional treatment,as teeth adjacent to implants may fail and require replacement themselves with new implants. Blending newer implant rehabilitations into a dentition with existing implant-supported restorations can be challenging. The use of implants with a subcrestal angle correction (SAC) enables predictable screw-retained anchorage of temporary and definitive restorations. Read More

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Hard tissue dimensional changes following implant removal due to peri-implantitis: A retrospective study.

Clin Implant Dent Relat Res 2021 May 4. Epub 2021 May 4.

Department of Periodontology, Universitat Internacional de Catalunya, Barcelona, Spain.

Background: The current evidence regarding the alterations experienced by the alveolar ridge (hard tissue changes) after implant removal due to peri-implantitis is limited.

Purpose: To assess the hard tissue dimensional changes following implant removal due to peri-implantitis.

Material And Methods: Clinical records were examined to identify patients with implants that had to be removed due to a hopeless prognosis secondary to peri-implantitis due to expendability of peri-implantitis implants for functional reasons. Read More

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Cemental tear: An overlooked finding associated with rapid periodontal destruction. A case series.

Aust Dent J 2021 Apr 17. Epub 2021 Apr 17.

Division of Endodontics, School of Dentistry, University of Minnesota, Minneapolis, MN, USA.

Cemental tear is defined as cementum fragment completely or partially detached from the root surface, and it has been associated with localized rapid periodontal breakdown. Although history of trauma and/or attrition may be risk factors, the etiopathology of cemental tear remains unknown. This case series aims to discuss the clinical, radiographic and histopathologic features of cemental tears to aid clinicians in making differential diagnosis. Read More

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Mid-Term outcomes and periodontal prognostic factors Of autotransplanted third molars: A Retrospective Cohort Study.

J Periodontol 2021 Mar 25. Epub 2021 Mar 25.

Department of Oral and Maxillofacial Surgery, School of Dentistry, Universitat Internacional de Catalunya, Barcelona, Spain.

Background: Tooth autotransplantation is a valid method for replacing non-restorable teeth. This study aimed to assess mid-term survival and success of autotransplanted third molars and the clinical periodontal parameters and factors predicting successful periodontal attachment apparatus regeneration.

Methods: In total, 36 patients who had undergone extraction and subsequent autotransplantation of 36 third molars using virtual planning and computer-aided rapid prototyping models by an oral surgeon and endodontist were eligible. Read More

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Posttraumatic Ocular Hypotony Through Epithelial Downgrowth.

Klin Monbl Augenheilkd 2021 Feb 4. Epub 2021 Feb 4.

Universitätsklinik und Poliklinik für Augenheilkunde, Universitätsklinikum Halle, Deutschland.

Background: Intraocular epithelial downgrowth is a rare but potentially devastating posttraumatic complication. If left untreated, this may result in corneal decompensation, secondary angle-closure glaucoma, retinal detachment and blindness.

Patient And Method: A 10-year-old patient with penetrating globe injury and delayed wound management elsewhere presented with corneal melting and decompensation, retinal detachment and ocular hypotony. Read More

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February 2021

Guided-welded approach planning using digital scanning technology for combined screw- and conometric-retained implant-supported maxillary prosthesis.

Int J Comput Dent 2020 ;23(4):325-333

Aim: The goal of this case series was to evaluate the clinical outcome at the 2-year follow-up of immediately loaded combined screw- and conometric-retained implant-supported full-arch restorations virtually planned using digital scanning technology.

Materials And Methods: This series included 12 patients presenting hopeless teeth in the maxilla treated with computer-guided flapless implant placement. A total of 72 implants were inserted. Read More

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January 2021

An impossible choice: MRONJ vs ORN? The difficulties of the decision-making process for head and neck cancer patients on long-term anti-angiogenic medication.

Br Dent J 2020 11 13;229(9):587-590. Epub 2020 Nov 13.

Consultant in Restorative Dentistry, St George's Hospital NHS Foundation Trust, London, UK.

With increasing medical complexity of patients, including the widespread use of bisphosphonates and the increased incidence in head and neck cancer diagnosis, there are ever more difficult decisions to be made within restorative dentistry. The most morbid dental complication to avoid with both the use of bisphosphonate and radiotherapy to the jaws is necrosis of the jaws, ideally by avoiding dental extractions, usually for the entirety of the patient's lifetime. If these patients undergo a dental assessment before commencing such medical treatments, there is a window of opportunity for both dental extractions of teeth with a poor/hopeless prognosis and for appropriate emphasis on prevention. Read More

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November 2020

Analyzing the predictability of the Kwok and Caton periodontal prognosis system: A retrospective study.

J Periodontol 2021 May 13;92(5):662-669. Epub 2020 Oct 13.

Department of Orofacial Sciences, School of Dentistry, University of California San Francisco, San Francisco, CA, USA.

Background: The aim of this study was to analyze the predictability of the Kwok and Caton periodontal prognosis system by investigating tooth survival within a 64-month period and to compare this to other well-established prognosis systems.

Methods: This retrospective study included the records of patients who had a minimum of two dental exams at least 12 months apart at a single University-affiliated Dental Center. Data including patients' age, sex, length of follow-up period, initial tooth prognosis, revised tooth prognosis, tooth type, and number of teeth lost at the latest exam were recorded. Read More

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Accuracy of dental calculus detection using digital radiography and image manipulation.

J Periodontol 2021 03 2;92(3):419-427. Epub 2020 Sep 2.

Department of Periodontics, UT Health San Antonio School of Dentistry, San Antonio, TX.

Background: The aim of this study was to determine if image enhancement improves a clinician's ability to identify the presence of calculus on digital radiographs.

Methods: Seventy-one hopeless teeth were collected from 34 patients. Teeth were stained with 1% methylene blue, the largest interproximal calculus deposit was scored, and photographs of each interproximal root surface were taken. Read More

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A Novel Method for Immediate Implant Placement in Defective Fresh Extraction Sites.

Int J Oral Maxillofac Implants 2020 Jul/Aug;35(4):799-807

Purpose: This study assessed a novel treatment protocol for immediate implant placement in defective fresh extraction sockets.

Materials And Methods: A single-arm clinical study was conducted including 12 fresh extraction sockets divided into two groups: those with intact and those with a deficient facial plate of bone. Hopeless teeth were atraumatically extracted, a vestibular access horizontal incision was made 3 to 4 mm apical to the mucogingival junction, a mucoperiosteal tunnel was created from the labial orifice of the socket, a slowly resorbing membrane shield was stabilized under the tunnel, implants were placed using a surgical guide, and a subepithelial connective tissue graft was harvested and secured over the membrane shield. Read More

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Convalescent Plasma: Therapeutic Hope or Hopeless Strategy in the SARS-CoV-2 Pandemic.

Transfus Med Rev 2020 07 23;34(3):145-150. Epub 2020 Apr 23.

Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA.

As the world faces the current SARS-CoV-2 pandemic, extensive efforts have been applied to identify effective therapeutic agents. Convalescent plasma collected from recovered patients has been a therapeutic modality employed for over a hundred years for various infectious pathogens. Specifically, it has been used in the treatment of many viral infections with varying degrees of clinical efficacy. Read More

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The Effect of Hopelessness and Perceived Group Compatibility on Treatment Outcome for Patients With Personality Dysfunction.

J Nerv Ment Dis 2020 09;208(9):677-682

Clinic for Psychosomatics and Psychotherapy, University of Cologne, Cologne, Germany.

Improvement in life satisfaction is hard to achieve for any patient with personality psychopathology, and possibly even moreso for those who feel hopeless at the start of treatment. The present research investigated the potential influence of hopelessness in the treatment of patients with personality dysfunction, using data from patients who completed an intensive group therapy program designed to reduce symptom distress and support optimal psychosocial functioning (N = 80). In the present study, we sought to examine whether hopelessness would moderate (i. Read More

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September 2020

Assessing the utility of the Healthy Start Screen to predict an elevated Edinburgh Postnatal Depression Scale score.

J Perinat Med 2020 Jun;48(5):483-487

Department of Pharmaceutical Outcomes and Policy, University of Florida College of Pharmacy, Gainesville, FL, USA.

Objective To examine the utility of the Healthy Start Screen (HSS), which is an assessment of health, environment, and behavioral risk factors offered to all pregnant women in the state of Florida, in identifying women at risk for developing postpartum depression (PPD). Methods The sample for this Institutional Review Board (IRB)-approved, retrospective study consisted of patients who presented to a women's clinic for a new prenatal visit. Those patients who completed both the HSS at their prenatal visit and the Edinburgh Postnatal Depression Scale (EPDS) at their postpartum visit were included. Read More

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Next-Generation Coronary Stents: Thin Is In; Subacute Thrombosis Is Where It Is At; Restenosis Is Not Hopeless.

Steven R Bailey

JACC Cardiovasc Interv 2020 04;13(7):831-832

Division of Cardiology, Department of Medicine, LSU Health Shreveport, Shreveport Louisiana. Electronic address:

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Periodontal regeneration versus extraction and dental implant or prosthetic replacement of teeth severely compromised by attachment loss to the apex: A randomized controlled clinical trial reporting 10-year outcomes, survival analysis and mean cumulative cost of recurrence.

J Clin Periodontol 2020 06 19;47(6):768-776. Epub 2020 Apr 19.

European Research Group on Periodontology (ERGOPERIO), Genova, Italy.

Background: Periodontal regeneration can change tooth prognosis and represents an alternative to extraction in teeth compromised by severe intra-bony defects. The aim of this study was to compare periodontal regeneration (PR) with tooth extraction and replacement (TER) in a population with attachment loss to or beyond the apex of the root in terms of professional, patient-reported and economic outcomes.

Methods: This was a 10-year randomized controlled clinical trial. Read More

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Clinical Outcomes of Maxillary Anterior Postextraction Socket Implants with Immediate Provisional Restorations Using a Novel Macro-Hybrid Implant Design: An 18- to 24-Month Single-Cohort Prospective Study.

Int J Periodontics Restorative Dent 2020 May/Jun;40(3):355-363

Extraction and immediate implant placement/restoration in the esthetic zone is clinically challenging; benefits include fewer surgical appointments and maintenance of peri-implant soft tissues throughout the treatment period, and limitations include gingival recession and bone dehiscence during surgery. Macro-hybrid implants (large-diameter apical/narrow-diameter occlusal) were placed in 19 patients immediately following the extraction of hopeless maxillary anterior teeth. Immediate restorations were fabricated without occlusal contacts. Read More

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Piezoelectric implant surgery and immediate loading in the aesthetic zone.

Minerva Stomatol 2019 Oct;68(5):217-225

Division of Prosthetic Dentistry, Department of Surgical Sciences (DISC), University of Genoa, Genoa, Italy.

Background: Replacement of missing teeth in the anterior aesthetic zone has challenged clinicians with fixed, removable or implant prosthodontics. Problems have been encountered could void aesthetic and functional results. The aim of this study was to present a clinical case report in which clinician challenged a very strong aesthetic case with an innovative surgical and prosthetic approach. Read More

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October 2019

Long-Term Prognosis of Severely Compromised Teeth Following Combined Periodontal and Orthodontic Treatment: A Retrospective Study.

Int J Periodontics Restorative Dent 2020 Jan/Feb;40(1):95-102

This retrospective study evaluated the long-term response of periodontal tissues and survival rate of teeth with advanced attachment loss and pathologic migration in 21 periodontitis patients treated with combined periodontal and orthodontic treatment. All anterior migrated teeth were in function at the end of 10 to 15 years of maintenance. Residual probing depths and clinical attachment levels improved after treatment and remained stable through the follow-up. Read More

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December 2019

Immediate Ridge Augmentation Using Autogenous Tooth Root as a Block Graft in a Periodontally Hopeless Extraction Site: A Pilot Study.

J Oral Implantol 2020 Feb;46(1):41-49

Department of Periodontics, Bapuji Dental College & Hospital, Karnataka, India.

The aim of the our study was to assess the efficacy of autogenous tooth root as a block bone graft in reconstructing the vertical and horizontal dimensions at periodontally hopeless extraction sites both clinically and radiographically. A total of 13 patients having a tooth with periodontally hopeless prognosis and indicated for extraction were included in the study. Following atraumatic extraction, the tooth was processed to create a decoronated cementum-free dentin block which was used to augment the extraction socket. Read More

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February 2020

[Comparison of clinical effects of a modified socket shield technique and the conventional immediate implant placement].

Hua Xi Kou Qiang Yi Xue Za Zhi 2019 Oct;37(5):490-495

Dept. of Implant Dentistry, Stomatological Hospital of Chongqing Medical University, Chongqing Key Laboratory of Oral Diseases and Biomedical Sciences, Chongqing Municipal Key Laboratory of Oral Biomedical Engineering of Higher Education, Chongqing 401147, China.

Objective: To compare the clinical effects of a modified socket shield technique (SST) and the conventional immediate implant placement in the esthetic zone.

Methods: Twenty-four patients with one hopeless upper incisor were consecutively enrolled in this study. All patients were scheduled for immediate implant placement. Read More

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October 2019

Cardiac patients' beliefs about their illness and treatment: A sequential exploratory mixed methods design.

Med J Islam Repub Iran 2019 18;33:98. Epub 2019 Sep 18.

Nursing Care Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

Cardiac patients' beliefs about illness and treatment can disturb their treatment process, treatment regimen adherence, and daily activities. Exploring these beliefs by the use of appropriate, valid, and accurate scales can be helpful in false beliefs reforming by nurses and finally, result in life quality promotion. Therefore, this study is conducted to design and psychometry a questionnaire probing about cardiac patients' beliefs about illness and treatment. Read More

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September 2019

Treatment of an Advanced Gingival Recession Involving the Apex of the Tooth: Periodontal Plastic, Endodontic Surgical Approach With a Laterally Stretched Flap and a Connective Tissue Graft.

Clin Adv Periodontics 2019 06 23;9(2):70-76. Epub 2019 Jan 23.

Department of Periodontics, University of Buenos Aires, Buenos Aires, Argentina.

Introduction: This case report presents the successful multidisciplinary treatment of a maxillary lateral incisor with a deep and narrow recession involving the root apex associated with pulpal necrosis. The tooth initially considered with a hopeless prognosis, was treated with a combined periodontal plastic, regenerative, and endodontic surgical procedure.

Case Presentation: A recently reported technique, the laterally stretched (LAST) flap with a connective tissue graft (CTG) technique for root coverage, was combined with enamel matrix derivative (EMD) for periodontal regeneration of the periapical lesion, that complemented an apicoectomy with retrograde sealing. Read More

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Intentional replantation of periodontally involved hopeless teeth: a case series study.

Clin Oral Investig 2020 May 13;24(5):1769-1777. Epub 2019 Aug 13.

Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, College of Stomatology, Xi'an Jiaotong University, Xi'an, People's Republic of China.

Objectives: To explore the clinical effect, the healing modes, and the potential influence factors of intentional replantation for periodontally hopeless teeth in combination with regeneration techniques.

Materials And Methods: Intentional replantation was operated on forty-eight periodontally hopeless teeth from forty-eight patients. The clinical indexes and the X-ray films were recorded during the follow-up period of 18 months. Read More

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A randomized controlled trial to compare aesthetic outcomes of immediately placed implants with and without immediate provisionalization.

J Clin Periodontol 2019 10 25;46(10):1061-1069. Epub 2019 Aug 25.

Department of Periodontics and Oral Medicine, University of Michigan School of Dentistry, Ann Arbor, Michigan, USA.

Introduction: There are mixed results regarding the aesthetic advantage of immediate provisionalization of dental implants. Therefore, this study aimed to compare facial mucosal level of single immediately placed implants with and without immediate provisionalization.

Methods: Single implants were immediately placed to replace a hopeless maxillary anterior or premolar tooth in 40 subjects. Read More

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October 2019

Success in periodontology: An evolutive concept.

J Clin Periodontol 2019 08 28;46(8):840-845. Epub 2019 Jun 28.

Department of Periodontics and Oral Medicine, The University of Michigan - School of Dentistry, Ann Arbor, Michigan.

Aim: The purpose of this editorial was to discuss a definition of success after periodontal therapy based on the retention of natural dentition.

Materials And Methods: Based on topic and relevance, references were collected and then divided into four categories: (a) the influence of available therapeutic techniques on the definition of hopeless teeth, (b) the long-term rate of tooth loss during supportive periodontal therapy, (c) the duration of time that the treatment outcomes may be considered stable and (d) patients' perception and satisfaction of periodontal therapy.

Results: Periodontal therapy can change the prognosis of hopeless teeth, making them maintainable in the long term. Read More

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Accuracy of Computer-Guided Flapless Implant Surgery in Fully Edentulous Arches and in Edentulous Arches With Fresh Extraction Sockets.

Implant Dent 2019 Jun;28(3):256-264

Private Practice, Udine, Italy.

Purpose: The aim of this study was to evaluate the accuracy of computer-guided flapless implant (CGFI) surgery in edentulous jaws with fresh extraction sockets and compare it to CGFI in fully edentulous jaws.

Materials And Methods: Ten patients with a completely edentulous arch (group A) and ten patients presenting natural teeth with a hopeless prognosis in the upper or lower jaw (group B) were consecutively treated with CGFI. A multipiece radiographic guide was fabricated for group B patients. Read More

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Pelvic exenteration as ultimate ratio for gynecologic cancers: single-center analyses of 37 cases.

Arch Gynecol Obstet 2019 07 22;300(1):161-168. Epub 2019 Apr 22.

Department of Obstetrics and Gynecology, University of Ulm, Prittwitzstr. 43, 89075, Ulm, Germany.

Background: Pelvic exenterations are a last resort procedure for advanced gynecologic malignancies with elevated risks in terms of patients' morbidity.

Methods: This single-center analysis reports surgical details, outcome and survival of all patients treated with exenteration for non-ovarian gynecologic malignancies at our university hospital during a 13-year time period. We collected data regarding patients and tumor characteristics, surgical procedures, peri- and postoperative management, transfusions, complications, and analyzed the impact on survival outcomes. Read More

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