Maxilla/ dental implant courses

MAXILLAMAXILLA
INDIAN DENTAL ACADEMYINDIAN DENTAL ACADEMY
Leader in continuing Dental EducationLeader in continuing Dental Education
www.indiandentalacademy.comwww.indiandentalacademy.com

““MAXILLA”MAXILLA”
EMBRYOLOGYEMBRYOLOGY
OSTEOLOGYOSTEOLOGY
MUSCLE ATTACHMENTMUSCLE ATTACHMENT
ARTERIAL SUPPLYARTERIAL SUPPLY
VENOUS DRAINAGEVENOUS DRAINAGE
NERVE SUPPLYNERVE SUPPLY
SURGICAL ANATOMYSURGICAL ANATOMY

EMBRYOLOGYEMBRYOLOGY
 FORE GUT > ARCHFORE GUT > ARCH
 BOUNDED VENTRALLY BY PERICARDIUMBOUNDED VENTRALLY BY PERICARDIUM
 DORSALLY BY BRAINDORSALLY BY BRAIN
 SKULL FROM MESENCHYME AROUND DEVELOPINGSKULL FROM MESENCHYME AROUND DEVELOPING
BRAIN , FROM FIRST ARCHBRAIN , FROM FIRST ARCH

IN 5IN 5thth
– 6– 6thth
WEEK OF INTRA UTERINEWEEK OF INTRA UTERINE
LIFE 1LIFE 1stst
ARCHARCH
“MANDIBULAR ARCH” WILL DEVELOPE“MANDIBULAR ARCH” WILL DEVELOPE
TWO MAIN REGIONSTWO MAIN REGIONS
VENTRAL>MAND PROMINENCEVENTRAL>MAND PROMINENCE
DORSAL >MAX PROMINENCEDORSAL >MAX PROMINENCE

ORIGINS OF FACIAL BONESORIGINS OF FACIAL BONES
MEMBERANOUSMEMBERANOUS>FRONTAL,PARIETAL>FRONTAL,PARIETAL
MAXILLA,ZYGOMATIC,PALATINE,NASAMAXILLA,ZYGOMATIC,PALATINE,NASA
L,L,
LACRIMAL,VOMERLACRIMAL,VOMER
CARTILAGENOUSCARTILAGENOUS>ETHMOID,INFERIOR>ETHMOID,INFERIOR
NASAL CONCHA,SEPTAL AND ALARNASAL CONCHA,SEPTAL AND ALAR
CARTILAGESCARTILAGES
MIXEDMIXED>SPHENOID{LATERAL PART OF>SPHENOID{LATERAL PART OF
GREATER WING AND PTERYGOIDGREATER WING AND PTERYGOIDwww.indiandentalacademy.comwww.indiandentalacademy.com

OSTEOLOGYOSTEOLOGY
PAIRED CORTICAL BONEPAIRED CORTICAL BONE
FORMS UPPER JAW,BUCCALFORMS UPPER JAW,BUCCAL
ROOF,FLOOR AND LATERAL WALLOFROOF,FLOOR AND LATERAL WALLOF
NASAL CAVITYNASAL CAVITY
FORMS THE ORBITAL FLOORFORMS THE ORBITAL FLOORwww.indiandentalacademy.comwww.indiandentalacademy.com

PARTS OF MAXILLAPARTS OF MAXILLA
BODY>>>>>>4 SURFACESBODY>>>>>>4 SURFACES
ANTERIOR,INFRATEMPORAL,ANTERIOR,INFRATEMPORAL,
ORBITAL,NASALORBITAL,NASAL
PROCESS>>>4 PROCESSESPROCESS>>>4 PROCESSES
ZYGOMATIC,FRONTALZYGOMATIC,FRONTAL
ALVEOLAR,PALATINEALVEOLAR,PALATINE

SURGICAL ANATOMYSURGICAL ANATOMY
WEAK BONY STRUCTURE>> #WEAK BONY STRUCTURE>> #
STRONG AREAS>>PALATE,ALVEOLARSTRONG AREAS>>PALATE,ALVEOLAR
PROCESS,LATERAL RIM OFPROCESS,LATERAL RIM OF
PYRIFORM APERTURE VIA CANINEPYRIFORM APERTURE VIA CANINE
FOSSA TILL MEDIAL ORBITAL RIMFOSSA TILL MEDIAL ORBITAL RIM
ZYGOMATIC BUTTRESZYGOMATIC BUTTRES

 ORBITAL RIMSORBITAL RIMS
 PTERYGOID PLATESPTERYGOID PLATES
 STRENGTH>>>INTER CONNECTED LAMINASTRENGTH>>>INTER CONNECTED LAMINA
CROSS BRACED TYPE>>TRANSMITTINGCROSS BRACED TYPE>>TRANSMITTING
OCCLUSAL FORCESOCCLUSAL FORCES
 THICK MUCOSAL CLOTHING OVER THETHICK MUCOSAL CLOTHING OVER THE
BONES>>>>OPEN TO NASAL AND ORALBONES>>>>OPEN TO NASAL AND ORAL
CAVITY>>PRONE TO INFECTIONCAVITY>>PRONE TO INFECTION
 MEDIAN PALATINE SUTURE>>># CAUSINGMEDIAN PALATINE SUTURE>>># CAUSING
SPLIT BW MAXILLAE,RAPID MAX EPANSIONSPLIT BW MAXILLAE,RAPID MAX EPANSION
WITH IN GROWTH PERIODWITH IN GROWTH PERIOD

FRACTURESFRACTURES
LEFORT ILEFORT I
LEFORT IILEFORT II
LEFORT IIILEFORT III
APPROACHES>>>>MID FACEAPPROACHES>>>>MID FACE
DEGLOVING &BICORONALDEGLOVING &BICORONAL

OSTEOTOMIESOSTEOTOMIES
LEFORT I,II,IIILEFORT I,II,III
SHU CARDTSHU CARDT
SEGMENTAL PUSH BACKSEGMENTAL PUSH BACK
PERKOBELL >>>MIDLINE PALATALPERKOBELL >>>MIDLINE PALATAL
CONVERSE>>>>VERTICAL INCISIONSCONVERSE>>>>VERTICAL INCISIONS

MAXILLECTOMYMAXILLECTOMY
PROCEDURESPROCEDURES
 WEBER FERGUSON INCISIONWEBER FERGUSON INCISION
 MIDFACE DEGLOVINGMIDFACE DEGLOVING
 LYNCHLYNCH
 DIEFFENBACH>>SUB CILIARY & W-FDIEFFENBACH>>SUB CILIARY & W-F
INCISIONINCISION
 SHAH>>SUPER & SUB CILIARYSHAH>>SUPER & SUB CILIARY
 BARBOSA>>LATERAL EYE BROW INCISIONBARBOSA>>LATERAL EYE BROW INCISION
& SHAH& SHAH
 CROCHET>>PRE AURICULAR & RETROCROCHET>>PRE AURICULAR & RETRO
MANDIMANDI
 CONWAY>>CROCHET &SUBMANDIBULARCONWAY>>CROCHET &SUBMANDIBULAR
INCISIONINCISION www.indiandentalacademy.comwww.indiandentalacademy.com

MAXIARY SINUSMAXIARY SINUS

PYRAMIDAL CAVITYPYRAMIDAL CAVITY
BOUNDED BYBOUNDED BY
FACIAL,ORBITAL,ALVEOLAR ANDFACIAL,ORBITAL,ALVEOLAR AND
INFRA TEMPORAL ASPECTSINFRA TEMPORAL ASPECTS
APEX IS LATERAL AND EXTENTS IN TOAPEX IS LATERAL AND EXTENTS IN TO
ZYGOMATIC PROCESSZYGOMATIC PROCESS
BASE IS MEDIAL AND FORMS LATERALBASE IS MEDIAL AND FORMS LATERAL
WALL OF NASAL CAVITY DISPLAYINGWALL OF NASAL CAVITY DISPLAYING
MAX HIATUSMAX HIATUS

OPENING OF SINUS IN TOOPENING OF SINUS IN TO
LATERAL WALL OF NASAL CAVITYLATERAL WALL OF NASAL CAVITY

CONNECTIONS OF MAXILLARYCONNECTIONS OF MAXILLARY
SINUSSINUS

SURGICAL ANATOMYSURGICAL ANATOMY
 SINUSITISSINUSITIS
 CARSINOMA OF MAX SINUS >>>THINCARSINOMA OF MAX SINUS >>>THIN
WALL>>PERFORATIONS TO ALLWALL>>PERFORATIONS TO ALL
BOUNDARIESBOUNDARIES
 # OF SINUS WALLS# OF SINUS WALLS
 COMPLICATIONS DURING ORBITAL FLOOR #COMPLICATIONS DURING ORBITAL FLOOR #
 ORO ANTRAL FISTULAS/COMMUNICATIONSORO ANTRAL FISTULAS/COMMUNICATIONS
 CALD WELL LUC OPERATIONSCALD WELL LUC OPERATIONS
 OSTIUM OPENING POSITION >>DRAINAGEOSTIUM OPENING POSITION >>DRAINAGE
 NASAL ANTROSTOMYNASAL ANTROSTOMY
 OSTEOMYELITISOSTEOMYELITIS

ARCHITECTURE OF NASALARCHITECTURE OF NASAL
CARTILAGESCARTILAGES

NASAL SEPTUM AND ITSNASAL SEPTUM AND ITS
ATTACHMENTSATTACHMENTS

APPLIED ANATOMYAPPLIED ANATOMY
SEBACEOUS AND SWEAT GLANDSEBACEOUS AND SWEAT GLAND
OVER THICK OVER LYING SKINOVER THICK OVER LYING SKIN
FRAGILE ARCHITECTURE >#FRAGILE ARCHITECTURE >#
LITTLE S AREA>COMMON SITE OFLITTLE S AREA>COMMON SITE OF
BLEEDINGBLEEDING
ATTACHMENT OF SEPTUM TO PAPERATTACHMENT OF SEPTUM TO PAPER
THIN VOMERINE BONE>>#THIN VOMERINE BONE>>#
DANGER AREA OF FACE>>TIP OFDANGER AREA OF FACE>>TIP OF
NOSE &UPPER LIPNOSE &UPPER LIP

MUSCLES OF FACEMUSCLES OF FACE

MUSCLE ATTACHMENTMUSCLE ATTACHMENT

POTENTIAL SPACES OFPOTENTIAL SPACES OF
INFECTION INFLUENCED BY THEINFECTION INFLUENCED BY THE
MUSCLE ATTACHMENTSMUSCLE ATTACHMENTS
DENTO ALVEOLAR ABSCESSDENTO ALVEOLAR ABSCESS
VESTIBULAR ABSCESSVESTIBULAR ABSCESS
PALATAL ABSCESSPALATAL ABSCESS
CANINE SPACE INFECTIONCANINE SPACE INFECTION
BUCCAL SPACE INFECTIONBUCCAL SPACE INFECTION
INFRA ORBITAL SPACE INFECTIONINFRA ORBITAL SPACE INFECTION
INFRA TEMPORAL SPACE INFECTIONINFRA TEMPORAL SPACE INFECTION

ARTERIAL SUPPLYARTERIAL SUPPLY

VENOUS DRAINAGEVENOUS DRAINAGE

NERVE SUPPLYNERVE SUPPLY

OSSIFICATIONOSSIFICATION
 SHEET OF MESENCHYME SUPERFICIAL TOSHEET OF MESENCHYME SUPERFICIAL TO
NASAL CAPSULENASAL CAPSULE
 THREE CENTERS>>>I,II,IIITHREE CENTERS>>>I,II,III
 I>>ABOVE CANINE FOSSA[6I>>ABOVE CANINE FOSSA[6thth
WEEK OF INTRAWEEK OF INTRA
UTERINE LIFE “MAIN MAXILLARY MASS”]UTERINE LIFE “MAIN MAXILLARY MASS”]
 II&III>>>’OS INCISIVUM’>>PREMAXILLARYII&III>>>’OS INCISIVUM’>>PREMAXILLARY
REGIONREGION
 PRINCIPAL ONE >>ABOVE INCISOR TOOTHPRINCIPAL ONE >>ABOVE INCISOR TOOTH
GERMGERM
 ABSENCE OF PRE MAXILLA IN 3ABSENCE OF PRE MAXILLA IN 3rdrd
INTRAINTRA
UTERINE MONTHUTERINE MONTH

AGE CHANGESAGE CHANGES
 AT BIRTH>>>TRANSVERSE &SAGITTALAT BIRTH>>>TRANSVERSE &SAGITTAL
DIMENSIONS MORE THAN VERTICALDIMENSIONS MORE THAN VERTICAL
 PROM>>FRONTAL PROCESS[ALVEOLUS NEARPROM>>FRONTAL PROCESS[ALVEOLUS NEAR
THE ORBITTHE ORBIT
 MAX SINUS AS FURROW IN LATERALNASAL WALLMAX SINUS AS FURROW IN LATERALNASAL WALL
 IN ADULTS>>MORE VERTICAL DIMENSIONIN ADULTS>>MORE VERTICAL DIMENSION
,ENLARGEMENT OF ALVEOLAR PROCESS AND,ENLARGEMENT OF ALVEOLAR PROCESS AND
SINUSSINUS
 IN OLD AGE>>> LOSS OF TEETH>ALVEOLARIN OLD AGE>>> LOSS OF TEETH>ALVEOLAR
RESORPTION>BONE REVERT TOWARDSRESORPTION>BONE REVERT TOWARDS
INFANTILE SHAPE>REDUCTION IN THICKNESS OFINFANTILE SHAPE>REDUCTION IN THICKNESS OF
BONEBONE

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