BHU Institutional Repository :: Browsing by Author "Durrani, Farhan"

Browsing by Author "Durrani, Farhan"

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An interdisciplinary approach for reconstruction of worn dentition
(Wolters Kluwer Medknow Publications, 2022) Durrani, Farhan; Nahid, Rakhshinda; Pandey, Samidha; Pandey, Aishwarya; Singh, Preeti
Complete tooth wear dentition is multifactorial and has challenges with diagnosis and etiology. Their rehabilitation often requires orthognathic surgery, orthodontics, periodontal surgery, and prosthodontic guidelines for occlusion with harmonious facial and dental esthetics. A patient needs a multidisciplinary approach with systematic analysis to formulate evidence-based approach to improve function and esthetics. Contemporary periodontal therapy also encompasses esthetic treatment where needs are frequently associated with changes in tooth size, shape, proportion, and balance that can adversely affect smile appearance. The article provides an evidence-based guideline for reconstruction of a worn dentition. The completed work includes crown lengthening, provisionalization, socket shield technique, oral implants, and gain in lost vertical dimension with occlusion correction and minimally invasive prosthetic restorations. � 2022 Wolters Kluwer Medknow Publications. All rights reserved.
Comparison between all-on-four and all-on-six treatment concepts on stress distribution for full-mouth rehabilitation using three-dimensional finite element analysis: A biomechanical study
(Wolters Kluwer Medknow Publications, 2023) Pandey, Aishwarya; Durrani, Farhan; Rai, Sanjay Kumar; Singh, Nishant Kumar; Singh, Preeti; Verma, Rati; Kumar, Jitendra
Purpose: The current study intended to provide a comparison of biomechanical behaviors of two different treatment concepts for full-mouth rehabilitation with dental implants placed according to the 'All-on-four' concept and 'All-on-six' concept with analysis of the stress patterns of the implant support system using three-dimensional finite element analysis (FEA). Materials and Methods: The edentulous mandible was treated with two different implant designs. 'All-on-Four' implant placement concept was used in Model 1 with two central axial implants and two distally tilted implants at 17� and in Model 2, 'All-on-Six' concept was applied with six vertically placed implants. Individual vertical and horizontal load of 100 N and oblique load of 141 N at 45� was applied to all implants. To evaluate and compare the results in terms of maximum principal stress, we used FEA. Results: All-on-six showed smaller maximum principal stress values on the cortical bone and implants. However, maximum principal stress values obtained on trabecular bone was smaller in the All-on-four design for vertical and horizontal loading conditions. Conclusions: The All-on-six approach showed more favorable biomechanical behavior. � 2023 Indian Society of Periodontology | Published by Wolters Kluwer - Medknow.
En Block Versus Separate Management of Cervical Nodes in Tongue and Floor of the Mouth Cancers- Is There a Difference? An Analysis of 85 Cases in a Tertiary Care Institute
(Springer, 2022) Neville, J.F.; Tilak, Mandar; Singh, Akhilesh Kumar; Sharma, Naresh Kumar; Kumar, Janani Anand; Mishra, Nitesh; Durrani, Farhan
To evaluate difference in local recurrence, regional (neck) recurrence as well as distant metastases between cases operated with en-block excision of primary cancer and neck nodes versus their separate removal, in squamous cell carcinomas of anterior 2/3 of tongue and floor of the mouth. A total 85 patients of cT1-T4a N0-N2b of carcinoma�anterior 2/3 of tongue and floor of mouth�were evaluated. Amongst these patients�39 cases of in-continuity en-block neck dissection and 46 cases of discontinuous neck dissection were evaluated for post-operative�complications�as well as oncological outcome for a follow up period of 3�years. Patient population was similar in both groups with tongue cancers being the commonest�site�and tobacco being the most common addiction. Primary site hematoma was seen more in the in-continuity en-block neck dissection group with a p-value of 0.0276, which was statistically significant. Post-operative oro-cutaneous fistula occurred more in in-continuity�enblock�neck dissection as compared to discontinuous neck dissection, but the difference was not statistically significant. Local recurrence rate was significantly more in cases of discontinuous neck dissection (19.565) as compared to in-continuity en-block neck dissection (5.12%) with a p-Value 0.0481. A statistically non-significant but higher loco-regional recurrence was observed in cases of discontinuous neck dissection as compared to cases of�in-continuity en-block neck dissection (10.56% vs 2.56). In the present study recurrence-free survival RFS 3�year in cases of en-block in-continuity neck dissection (84.06%) cases as compared to discontinuous neck dissection cases (63.04%) with p Value 0.025698. In-continuity�en-block in continuity neck dissection has lower loco-regional recurrence and may impact overall distant metastases. Though early postoperative complications are more in in-continuity�en-block in continuity neck dissection as compared to discontinuous neck dissection, most are managed conservatively. Further studies with a larger sample size are needed to evaluate its outcome in a comprehensive manner. � 2021, Association of Otolaryngologists of India.
Natural teeth and implant-retained prosthesis in treated periodontitis subjects
(Wolters Kluwer Medknow Publications, 2022) Durrani, Farhan; Pandey, Samidha; Nahid, Rakhshinda; Pandey, Aishwarya; Singh, Preeti
History of periodontal disease is a risk factor for the development of peri-implantitis. Implant treatment in susceptible patients should be followed by adequate periodontal treatment and stringent supportive programs. The assessment of the patient needs to be carefully evaluated before the procedure for implants. The risk associated with the sites to be treated requires evaluation with regular visits. The completion of treatment will still require committed follow-up visits with checks for pockets, bone loss, and plaque scores around implant-retained prosthesis as well as complete dentition. In our report, we describe in detail the reconstruction of lost dentition with implants in treated periodontitis subjects. The patients are still being followed with regular recall programs. � 2022 Wolters Kluwer Medknow Publications. All rights reserved.
One-piece implants: Careful approach for complex rehabilitation
(Wolters Kluwer Medknow Publications, 2021) Durrani, Farhan; Pandey, Rakhshinda Nahisamidha; Singh, Preeti; Pandey, Aishwarya
It is understood that one-piece implant design is a stronger concept as there is no connection between implant and abutment. The absence of a microgap can lead to minimal peri-implant bone loss. Furthermore, there is a reduction of mechanical complications such as screw loosening and abutment fractures. These implants can be immediately placed and can be put through instant function because of their high cortical stabilization. This immediate function protocol has advantages over two-stage surgical placement. Other benefits are fewer surgical appointments, reduced treatment time, and minimal trauma. It is suggested that one-piece implant can be an alternative to conventional implants for edentulous arches where there is a resorbed bone in width and height. Initially, one-piece implants were used as transitional or provisional implants. However, because of biological osseointegration, their removal often became difficult. Several manufacturers obtained approval for its use in defined situations. Proper treatment planning avoided comorbidity associated with augmentation procedures and acceptable esthetic result was achieved. � 2021 National Journal of Maxillofacial Surgery.
Palatal bone block: A predictable bone augmentation technique for restricted maxillary defect
(Wolters Kluwer Medknow Publications, 2023) Durrani, Farhan; Vishnu, J.P.; Taslim, Aabida; Imran, Fouzia; Kumari, Ekta; Pandey, Aishwarya
Bone grafting for implant dentistry depends on bone quality, quantity, and biological principles for good outcome. Autogenous bone as donor remains the gold standard among all the available materials. However, it carries unpredictable morbidity and need for different surgical sites. In our report, we describe a simplified approach in bone augmentation for restricted maxillary atrophic defect within the same surgical site as a harvesting site. The method can be an alternative for different intraoral surgical harvesting sites. The patient's left maxillary central incisor before treatment had a large bony defect which was reconstructed though single site approach of augmentation. The implant-supported restoration with healthy periodontium around even after 2 years of review looks promising. The approach can be an alternative for different intraoral surgical sites. � 2023 Wolters Kluwer Medknow Publications. All rights reserved.
Pink gingival restoration: An acceptable treatment for complex ridge defects
(Wolters Kluwer Medknow Publications, 2022) Durrani, Farhan; Pandey, Aishwarya; Singh, Preeti
Complex implant prosthetic reconstruction poses several challenges. The lost anatomy of periodontium due to trauma or long-standing missing teeth, especially in esthetic area, requires several surgical visits for recovery. The augmentation procedures are technique sensitive and unpredictable and need long commitment from the patient. They are time-consuming and expensive, and patients are often unwilling. The alternative for anatomically deficient partial edentulous sites could be prosthetic gingival restoration. They help in re-establishing natural contours, interproximal papilla, and further eliminating complex procedures. The other advantage is perfect horizontal and vertical transition between the prosthesis and adjacent tissues. This article describes two cases of completed gingival prosthetic prosthesis which corrected the missing architectures around lost teeth. It was well accepted by the patients and can be an alternative for unpredictable regenerative procedures. � 2022 Wolters Kluwer Medknow Publications. All rights reserved.
Tent screws: Predictable guided bone regeneration
(Wolters Kluwer Medknow Publications, 2023) Durrani, Farhan; Singh, Preeti; Pandey, Aishwarya; Tripathi, Kaushal Pati; Vishnu, J.P.; Imran, Fouzia; Taslim, Aabida
Bone regeneration of large maxillary and mandibular alveolar ridge defects is clinically challenging. Various techniques have been described for the reconstruction of these deficiencies before implant placement. The tent screw-pole technique is one of the effective methods available for clinicians to perform the predictable functional and esthetic reconstruction. The aim of this prospective report was to evaluate clinical and three-dimensional radiographic analyses of two patients treated with xenograft and particulate autogenous bone using tenting screws for regeneration of compromised partial edentulous ridges. � 2023 Wolters Kluwer Medknow Publications. All rights reserved.
Terminal dentition to functional esthetic full-mouth implant reconstruction: Evidence-based approach
(Wolters Kluwer Medknow Publications, 2021) Durrani, Farhan; Painuly, Himani; Shukla, Akanksha; Nahid, Rakhshinda; Pandey, Samidha
Implant-supported fixed dental prosthesis is a well-Accepted treatment option for edentulism. Loss of teeth due to extensive caries or severe periodontitis presents a challenge to the clinicians. Young age disability with either of these problems can further make full-mouth rehabilitation on implants a complex procedure. The outcome of implant surgery with periapical infections and periodontal inflammation is unpredictable and often delays the placement of dental implants. Here, we describe a case of full-mouth reconstruction with implant-supported prosthesis in a young individual who lost all her teeth due to extensive caries. The journey from terminal dentition to functional esthetic rehabilitation was uneventful. � 2021 Wolters Kluwer Medknow Publications. All rights reserved.

Browsing by Author "Durrani, Farhan"

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