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1. Prevalence of Decay and Tooth Condition Changes Adjacent to Restored Dental Implants: A Retrospective Radiographic Study.

Author

Kutkut, Ahmad, White, Ryan, Awad, Mohammad, Brown, James, Sharab, Lina, Hawk, Gregory S., and Miller, Craig S.

Subjects
ROOT canal treatment, DENTAL implants, ELECTRONIC health records, X-rays, DENTAL caries
Abstract

This study examined the association between a dental implant and changes in adjacent teeth over time. Electronic health records of 1818 patients who received a dental implant were retrospectively evaluated over 14 years (2005–2019) in a university setting. The status of the adjacent tooth and vertical and horizontal distance from the implant platform to adjacent teeth were determined using digital intraoral radiographs taken at baseline and the last follow-up visit (1–14 years, median 4 years). In total, 1085 dental implants were evaluated. There were 234 instances of a change in the adjacent tooth. Decay was observed in 83 (7.6%) of adjacent teeth; the mean time to development was 4 years (range 1–14 years). Approximately 9% of adjacent teeth received direct restorations, 4.8% received indirect restorations, 1% received endodontic root canal treatment, and 5.6% were extracted. The mean horizontal distance between the implant platform and the adjacent teeth was 3.56 mm; the mean vertical distance from the contact point to the alveolar crest on the tooth side was 6.2 mm at the first time of the reported decay on X ray. These distances did not significantly influence the occurrence of caries. The prevalence of interproximal contact loss was higher on the mesial of the implant crown at 63% compared with 20% on the distal side. This large retrospective analysis identified that teeth adjacent to a dental implant were at risk of decay and changes in their condition. In addition, the implant-to-tooth distance and inadequate emergence profile may contribute as caries risk factors in addition to hygiene and a high sugar level diet. These findings appear essential for clinicians when making treatment decisions and discussing outcomes with patients. [ABSTRACT FROM AUTHOR]

Published
2024
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14. Interdisciplinary management of an adult orthodontic patient: a case report and literature review.

Author

Sharab, Lina, Kutkut, Ahmad, and Van Sickels, Joseph

Subjects
DENTAL implants, ORTHODONTICS, CONTINUING education units, COSMETIC dentistry, PATIENT satisfaction, MALOCCLUSION, TREATMENT effectiveness, HEALTH care teams
Abstract

The purposes of this case report are to describe the course of treatment for a 29-year-old woman with a chief complaint of spaces in her dentition and to review relevant clinical topics in the literature. The primary etiology of the spacing in this case was a congenitally missing maxillary right lateral incisor and a peg-shaped maxillary left lateral incisor. The clinical diagnosis included skeletal and dental discrepancies in all 3 planes of space; a skeletal and dental open bite; a high and asymmetric smile line with a skeletal occlusal cant; a Class II dental occlusion; a Class III skeletal tendency; and insufficient space for standard-size restoration of the maxillary lateral incisors. A history of poor oral hygiene, multiple restorations, and tooth wear were added challenges. The patient initially requested minimal esthetic procedures. However, during the course of treatment, she changed her treatment goals to achieve optimal esthetics. The case required a multidisciplinary planning approach. This report highlights treatment options, outcomes, and avoidable mistakes for this type of complex case involving high esthetic demands. Additionally, key factors are identified to achieve successful treatment and patient satisfaction. [ABSTRACT FROM AUTHOR]

Published
2023

15. COMPARISON OF IMPLANT-RETAINED OVERDENTURE AND CONVENTIONAL COMPLETE DENTURE IN THE EDENTULOUS MANDIBLE

Author

Kutkut, Ahmad

Subjects
FOS: Basic medicine
Abstract

Patient satisfaction and quality of life are integral parts of assessing the quality of oral health care. Current aging population trends suggest a growing need to understand the effects of edentulism on oral health and quality of life. As the proportion of aged Americans expands, there will be an increased need to understand treatment options and patient communication strategies. In addition, as new treatment options and innovative technologies emerge, it will be essential to understand patients' concerns and identify best practices associated with denture treatments' individual fit and function. Advanced denture treatments can now be fabricated using CAD/CAM digital denture techniques. However, for many Americans still using conventional complete dentures (CD) or Implant Retained-Overdentures (IOD), it remains essential to consider improving their oral health outcomes and quality of life metrics. Dental schools often feel pressured to adopt and teach the most advanced practices. However, they must continue to focus on the needs of edentulous patients and develop communication training and treatment options for an expanding population of CD and IOD patients. New technological innovations will not displace the need for dental school clinics to prepare student clinicians to identify patient concerns and carefully communicate treatment options. Due to inexperienced student dentists who provide dental care to patients in dental school settings, patient grievances are generally considered a problem. Patients become unhappy and dissatisfied due to several factors such as less caregiving efficiency, discontinuity of care due to the school's curriculum and summer break, and various institutional policies, i.e., competencies. Patient feedback and satisfaction have proven to be valuable resources for monitoring and improving patient safety. Effective management of patient concerns can assist individual patients and provide insight for dental schools and professional prosthodontic practices that aspire to deliver the highest quality of care possible. Until the new CAD/CAM methods are made more available in public practice and reduced in cost, many edentulous patients will choose between CD and IOD based on the recommendations of their dental provider. In some instances, a CD may be required because of anatomic, functional, or economic reasons. However, implant-retained overdentures are increasingly understood as a preferential alternative treatment option for those with remaining natural teeth and financial ability. While these are the two leading treatment options for edentulism, there is a lack of comparative studies in the literature comparing CD and IOD outcomes. Therefore, there is a need for studies that examine patient satisfaction and quality of life outcomes, particularly as they are associated with student dentists and considered in association with demographic factors. This study assesses patient satisfaction and quality of life among CD wearers and those with IODs. The data collected enable the examination of many essential factors related to oral health and quality of life. Together, these variable considerations allow a deeper understanding of the interpersonal skills and fabrication techniques that should be emphasized in a clinical dental school environment. The research question that guided the comparative analysis was, "Is patient satisfaction and quality of life affected by the type of prostheses and provider?" A validated questionnaire was mailed to 520 individuals randomly selected from records of patients who had received treatment for edentulous mandible at a student prosthodontic clinic at the University of Kentucky College of Dentistry from 2014 to 2016 with at least one year of follow-up time. A validated questionnaire for edentulous patients based on the Oral Health Impact Profile (OHIP-19) was used. In addition, information on patients' oral health-related quality of life, including questions related to the edentulous patients' satisfaction with their dentures, was collected. The response rate was 33% (N = 171). Survey results were analyzed using two-sample t-tests and chi-square tests to evaluate differences between and within groups. The study's findings confirm previous findings which suggest that IODs may have a greater impact on oral health-related quality of life. Data show that 76% of the IOD group reported improvement in experience when using the implants to retain the mandibular denture. However, there were no statistically significant differences in the OHIP scores between overall CD and IOD patient groups. Males with IOD had lower physical pain, limitations, and disability scores than males with CD. However, females with IOD reported more significant concerns associated with a social disability and handicap domains. Comparing users who had experiences with both treatment options, this study discerned important characteristics that contribute to increased patient satisfaction with IOD and identified significance in outcomes by gender. These findings serve to guide prosthodontic practitioners' patient care practices and identify a continuing need to discuss CD and IOD treatment protocols within dental school curricula., �� 2021 Ahmad Kutkut

Published
2021
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19. Comparison of Dehydrated Human Amnion-Chorion and Type 1 Bovine Collagen Membranes in Alveolar Ridge Preservation: A Clinical and Histological Study.

Author

Faraj, Samer A., Kutkut, Ahmad, Taylor, Robert C., Villasante-Tezanos, Alejandro, Huja, Sarandeep S., Dawson, Dolphus R., Almehmadi, Nehal, and Al-Sabbagh, Mohanad

Subjects
ALVEOLAR process, COLLAGEN, BONE growth, BOS, HUMAN beings
Abstract

Alveolar ridge preservation maintains ridge dimensions and bone quality for implant placement. The aim of this randomized controlled clinical study is to compare the use of a human amnion-chorion membrane to a collagen membrane in an exposed-barrier ridge preservation technique. Furthermore, this study will determine if intentional membrane exposure compromises ridge dimensions and bone vitality. Forty-three patients requiring extraction and delayed implant placement were randomly assigned into either the experimental or control group. Twenty-one participants received human amnion-chorion membrane (test) during ridge preservation while 22 participants received the collagen membrane (control). In both groups, demineralized freeze-dried bone allografts were used to graft the socket and primary closure was not achieved. The patients underwent implant placement after an average healing period of 19.5 weeks, and 2.7 × 8-mm core bone specimens were obtained for histomorphometric analyses. The clinical ridge dimensions were measured after extraction and at the time of delayed implant placement. No significant difference was observed in the mean vital bone formation between the experimental (51.72 ± 8.46%) and control (49.96 ± 8.31%; P >.05) groups. The bone height and width did not differ, as determined by clinical measurements (P >.05). Using either a human amnion-chorion membrane or type 1 bovine collagen as the open barrier did not change healing, compromise ridge dimensions, or affect bone vitality between the 2 groups. [ABSTRACT FROM AUTHOR]

Published
2021
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27. Impact Factors in Scientific Journals: Keeping a Balance for the JOI Readers

Author

Rutkowski, James L., primary, Winkler, Sheldon, additional, Buhite, Robert J., additional, Andreana, Sebastiano, additional, Barber, H. Dexter, additional, Caplanis, Nicholas, additional, Flanagan, Dennis, additional, Kern, John, additional, Lozada, Jaime, additional, Misch, Craig M., additional, Morris, Harold F., additional, Radio, Nicholas, additional, Ference, James, additional, Dohan Ehrenfest, David M., additional, Bayati, Omar, additional, Bartee, Barry, additional, Gowey, Kim, additional, Guaccio, Richard, additional, Jackson, Brian, additional, Kutkut, Ahmad, additional, Narkhede, Pankaj, additional, Nase, John, additional, and Dohan Ehrenfest, Lidia M., additional

Published
2012
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33. A Simplified Technique to Measure Plaque on the Intaglio Surfaces of Complete Dentures.

Author

Almas, Khalid, Salameh, Ziad, Kutkut, Ahmad, and Al Doubali, Ahmad

Abstract

Objective: The main aim of this study was to develop a simplified quantitative denture plaque index that could help dentists to motivate denture patients to maintain optimal oral hygiene. The secondary aim was to assess specific areas of dentures more prone to accumulate plaque and subjects' oral hygiene habits related to their dentures. Methods: One hundred subjects who wore maxillary and/or mandibular complete dentures for at least one year were included in the study as a powered sample. Fifteen females and 85 males, age range 45-75 years, were recruited. The study was carried out at King Saud University (KSU), College of Dentistry. A plaque disclosing solution was used to assess the plaque covered areas of denture. A quantitative percentage (10 x 10%) score index was developed by assessing plaque scores from digital images of intaglio surfaces of the dentures. The weighted kappa method was used to assess inter-examiner agreement in the main study. Results: The new denture plaque index was identified as ASKD-DPI (Almas, Salameh, Kutkut, and Doubali-Denture Plaque Index). It ranged from 0 - 100%, and reflected the percentage of the intaglio surfaces of maxillary and mandibular complete dentures that contained plaque. It also classified quantitative percentages: 30 subjects ranged from 0 - 30% (low DPI), 50 subjects ranged from 31 - 70% (moderate DPI), and 20 subjects ranged from 71 - 100% (high DPI) denture plaque score. Conclusions: A simplified denture plaque index (ASKD-DPI) technique was developed and tested in this study. ASKD-DPI may be used for evaluating denture plaque scores, monitoring denture hygiene, and measuring compliance of patients regarding plaque control for complete dentures. [ABSTRACT FROM AUTHOR]

Published
2015

34. Full Mouth Implant-supported Rehabilitation of a Patient with Ectodermal Dysplasia: Clinical Report and Literature Review.

Author

Kutkut, Ahmad, Abu-Eid, Rasha, Sharab, Lina, Abadi, Behruz, and Van Sickels, Joseph

Abstract

Objective: The purpose of this case report is to present the clinical course of full mouth rehabilitation in an 18-year-old female patient with ectodermal dysplasia who was treated with implant-supported fixed partial dentures for the mandible and the maxilla. Case report: Fourteen dental implants (8 in the maxilla and 6 in the mandible) were placed simultaneously after full mouth extraction and alveoloplasty surgery. After 6 months of healing, prosthetic rehabilitation was started for screw-retained fixed partial dentures. The patient was followed for one year and a peri-implant maintenance regime established for six-month recalls. The patient was satisfied with the prosthesis both esthetically and functionally. Furthermore, the patient reported significant improvements in oral function and psychosocial activities. Conclusion: The use of dental implants to support full mouth prosthetic rehabilitation for adolescents with ectodermal dysplasia may provide a considerable improvement in function and esthetic compared to conventional removable prosthetic options. This has the potential to enhance the quality of life for these patients. [ABSTRACT FROM AUTHOR]

Published
2015

35. Clinical and radiographic evaluation of single-tooth dental implants placed in grafted extraction sites: a one-year report.

Author

Kutkut, Ahmad, Andreana, Sebastiano, Monaco Jr, Edward, and Monaco, Edward Jr

Abstract

Objective: The aim of this report was to clinically and radiographically evaluate changes to the hard and soft tissues around implants placed in extraction sockets grafted with medical grade calcium sulfate hemihydrate (MGCSH) mixed with platelet-rich plasma (PRP) and a collagen resorbable plug after one year of function. Methods: This evaluation was part of a previous study conducted to evaluate extraction socket grafts. Fourteen subjects out of 16 were evaluated. After tooth extraction, eight subjects received MGCSH mixed with PRP in the extraction sockets (test group), and six subjects received collagen resorbable plug dressing material (control group). After three months of bone healing, dental implants were placed. Three months after implant installation, provisional restorations were placed and implants were loaded in function for one month followed by definitive restorations. Follow-up examinations and intraoral digital radiographs were made at baseline and one year after definitive restorations to evaluate the marginal bone level in each subject. Results: At the one-year follow-up, the survival and success rate was 100% for all implants. There was no statistically significant difference in the amount of vertical bone loss between groups after 1 year (p > 0.05). For the test group, there was a mean mesial bone loss of -0.8 +/- 0.6mm and a mean distal bone loss of -0.5 +/- 0.4mm. For the control group, there was a mean mesial bone loss of -1.1 +/- 0.7mm and a mean distal bone loss of -0.6 +/- 0.6mm. Conclusions: At the one-year follow-up, the implant placement in grafted sockets was not affected by the type of the graft material. Implants placed in sockets grafted with MGCSH mixed with PRP showed less marginal bone loss after one year in comparison to those with collagen resorbable grafts. [ABSTRACT FROM AUTHOR]

Published
2013

36. Alveolar ridge preservation using resorbable bioactive ceramic composite: a histological study.

Author

Al-Sabbagh, Mohanad, Burt, John, Barakat, Ahmed, Kutkut, Ahmad, and El-Ghannam, Ahmed

Abstract

Purpose: The purpose of this study was to histologically evaluate newly generated vital bone using porous granules of bioactive and resorbable silica-calcium phosphate nanocomposite (SCPC) in extraction sockets. Material and Methods: Six patients with a non-restorable maxillary central incisor requiring extraction followed by implant placement participated in the study. Extraction sockets were grafted with granules of SCPC. After 6 months, a bone core sample was retrieved from the center of the healed socket for histologic analysis, and dental implants were placed. Alveolar bone width was clinically assessed immediately after tooth extraction and 6 months after bone grafting, at the time of implant placement. Alveolar bone height was radiographically assessed immediately after tooth extraction and 6 months after extraction. Results: Histomorphometric analyses of sockets grafted with SCPC for 6 months revealed 46.8% +/- 14% new vital bone and 2.5% +/- 1.5% graft material remnants. In these sockets, the mean bone height resorption over the 6-month period of healing was 1.6 mm +/- 1.5 mm. The mean bone width resorption of 2 mm +/- 0.7 mm was found at the bone crest. Conclusion: The results of this study suggest that SCPC graft material reduces the amount of change in alveolar ridge dimensions after tooth extraction and facilitates the regeneration of new vital bone. [ABSTRACT FROM AUTHOR]

Published
2013

37. One-year Re-entry Results of Guided Bone Regeneration around Immediately Placed Implants with Immediate or Conventional Loading: A Case Series.

Author

Shibly, Othman, Kutkut, Ahmad, and Albandar, Jasim M.

Subjects
GUIDED bone regeneration, ARTIFICIAL implants, PERIODONTAL disease, EXTRACTION techniques, COLLAGEN, HOMOGRAFTS
Abstract

Objective: The aim of this one-year, re-entry case series was to evaluate clinically the amount of bone regeneration following the placement of immediate implants in fresh extraction sockets where bone al lograft has been used to treat horizontal gaps and buccal-bone dehiscence defects in periodontally compromised patients. Methods: Sixteen patients consented to participate, each having one immediate implant with ≥ 3 mm buccal dehiscence bone defects and ≥ 2 mm horizontal defects between the implant and socket wall. Peri-implant defects were treated using a demineralized freeze-dried bone allograft and a bioresorbable collagen membrane. Measurements of the vertical and horizontal bone defects were performed at 4 sites: buccally, mesially, distally and lingually, and were done at baseline and at 1-year follow-up. Results: The mean reduction in vertical defects between baseline and re-entry for all sites was 2.42 mm (p = 0.0005). Compared to lingual sites, the buccal sites showed the greatest resolution in vertical defects dimension (6.37 mm), followed by proximal sites (0.78 mm). The overall mean reduction in horizontal defects was 1.59 mm (p< 0.0001). Compared to lingual sites, the buccal sites showed the greatest resolution in horizontal gap dimension (3.2 mm), followed by proximal sites (0.8 mm). Age, defect location in the mouth and implant length did not show significant effects on the reduction in defect dimension during the first year. Conclusions: A partially missing buccal plate was not a critical factor for implant success and bone regeneration of immediate implants in patients with a history of periodontal disease regardless of the time of implant loading (immediate/conventional). [ABSTRACT FROM AUTHOR]

Published
2012

38. Volatile sulphur compounds in exhaled air of dental students smoking the waterpipe: a nested case control study.

Author

Al-Humaidi SF, Dar-Odeh NS, Alnazzawi A, Kutkut A, Hudieb M, and Abu-Hammad O

Subjects
Adolescent, Adult, Case-Control Studies, Habits, Humans, Male, Oral Hygiene, Saudi Arabia, Smoking Water Pipes, Students, Dental, Volatilization, Breath Tests, Halitosis etiology, Sulfur Compounds analysis, Tobacco, Waterpipe, Water Pipe Smoking adverse effects
Abstract

Background: This study aims at investigating a potential adverse effect that waterpipe tobacco smoking may cause by comparing levels of volatile sulphur compounds in exhaled air of male dental students who smoke the waterpipe with those who do not smoke., Methods: Dental students were categorized into waterpipe smokers and non-smokers. Volatile sulphur compounds were measured using a halimeter following the completion of questionnaire on smoking and oral hygiene habits and self-perceived halitosis. Statistics were carried out using ANOVA and relevant post hoc tests, associations were investigated using cross tabulation with the χ2 test., Results: Results showed significantly higher levels of volatile sulphur compounds in: waterpipe smokers who smoke at least once a month when compared with non-smokers regardless their oral hygiene habits; subjects who do not brush their teeth; and subjects who self-perceive halitosis. There were no significant differences in these levels for similar groups on the basis of: use of floss, or use of mouth wash., Conclusions: It seems that waterpipe tobacco smoking results in increased volatile sulphur compounds levels in exhaled air. Oral hygiene practices like the use of tooth brush, dental floss, and mouth wash also seem to result in lower levels.

Published
2017
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39. Esthetic consideration for alveolar socket preservation prior to implant placement: description of a technique and 80-case series report.

Author

Kutkut A, Andreana S, and Monaco E

Subjects
Absorbable Implants, Alveolar Process pathology, Bone Regeneration physiology, Bone Substitutes therapeutic use, Bone Transplantation methods, Dental Implantation, Endosseous methods, Follow-Up Studies, Guided Tissue Regeneration, Periodontal methods, Humans, Membranes, Artificial, Minimally Invasive Surgical Procedures methods, Osteogenesis physiology, Tooth Extraction methods, Treatment Outcome, Alveolar Ridge Augmentation methods, Dental Implants, Esthetics, Dental, Tooth Socket surgery
Abstract

An esthetic restoration supported by dental implant rehabilitation is a major challenge to restorative dentists. The ultimate goal of a dental implant is to restore missing or extracted teeth by placing implants in anatomically, esthetically, and long-term functional restorations. Alveolar ridge preservation and site enhancement following tooth extraction has a major impact on the hard and soft tissue volume. Extraction socket preservation is technique sensitive, not 100% successful, and at times unpredictable. Current techniques may delay surgical implant placement for a few months, and the quality of new bone regeneration is questionable. The aim of this report was to describe a minimally traumatic extraction socket preservation technique using different types of bone graft as a preserver prior to implant placement applied for 80 consecutive cases.

Published
2012

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