Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
mucogingival surgery or plastic surgery of muco-gingival tissue is a surgical procedure targeted to correct and eliminate anatomic, developmental and traumatic alterations of gingiva.
When treating a patient with a removable partial denture, the natural and artificial teeth, both functionally and esthetically, must co-exist in a harmonious relationship.
Occlusal harmony between a removable partial denture and the remaining natural teeth is a major factor in preservation of the surrounding structures.
In removable partial dentures, because of the attachment of the denture to abutment teeth, occlusal stresses can be transmitted directly to the abutment teeth and other supporting structures, which results in sustained stresses that may be more damaging than those transient stresses found in complete dentures.
Biologic width - Importance in Periodontal and Restorative DentistryDr.Shraddha Kode
Biologic width plays a vital role for preservation of the periodontal health. This concept involves the dimensions of the epithelial and connective tissue attachment between the base of the sulcus and the alveolar crest which if involved can lead to gingival inflammation and gingival recession.
This presentation deals with radiographic imaging of three important phases of implant placement; PHASE 1: PRE-PROSTHETIC IMPLANT IMAGING
PHASE 2: SURGICAL AND INTERVENTIONAL IMPLANT IMAGING
PHASE 3: POST-PROSTHETIC IMPLANT IMAGING
implantology biologic and clinical aspects / academy of fixed orthodonticsIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
8.implantology biologic and clinical aspectscertified fixed orthodontic cours...Indian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
mucogingival surgery or plastic surgery of muco-gingival tissue is a surgical procedure targeted to correct and eliminate anatomic, developmental and traumatic alterations of gingiva.
When treating a patient with a removable partial denture, the natural and artificial teeth, both functionally and esthetically, must co-exist in a harmonious relationship.
Occlusal harmony between a removable partial denture and the remaining natural teeth is a major factor in preservation of the surrounding structures.
In removable partial dentures, because of the attachment of the denture to abutment teeth, occlusal stresses can be transmitted directly to the abutment teeth and other supporting structures, which results in sustained stresses that may be more damaging than those transient stresses found in complete dentures.
Biologic width - Importance in Periodontal and Restorative DentistryDr.Shraddha Kode
Biologic width plays a vital role for preservation of the periodontal health. This concept involves the dimensions of the epithelial and connective tissue attachment between the base of the sulcus and the alveolar crest which if involved can lead to gingival inflammation and gingival recession.
This presentation deals with radiographic imaging of three important phases of implant placement; PHASE 1: PRE-PROSTHETIC IMPLANT IMAGING
PHASE 2: SURGICAL AND INTERVENTIONAL IMPLANT IMAGING
PHASE 3: POST-PROSTHETIC IMPLANT IMAGING
implantology biologic and clinical aspects / academy of fixed orthodonticsIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
8.implantology biologic and clinical aspectscertified fixed orthodontic cours...Indian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Opportunity for Dentists (BDS/MDS )to relocate to United kingdom -Register as a DENTAL HYGIENIST/ DENTAL THERAPIST without Board exams and after approval you can register in GDC as a DH/DT and start working as a DH/DT Immediately and get paid.
You can complete the whole process in 3-4 months.Salary range for DH/DT is around 2500-3500 Pounds per month.
Eligibility / requirements-
1. An International English Language Testing System (IELTS) certificate
at the appropriate level.(Within 2 yrs of application date )
2: A recent primary dental qualification that has been taught and examined in English..(Within 2 yrs of application date )
3: A recent pass in a language test for registration with a regulatory authority in a country where the first language is English.
If you are interested Please contact us for more details.
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals
who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry,
Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
I –Aligners are made with FDA approved transparent thermoplastic materials using 3D scanning, 3D Printing and finally Trays with Pressure vacuum formers.
Dear Doctor,
Indian Dental Academy Now offers comprehensive online Orthodontics course.
Course includes:
1.whiteboard lecture presentations
2.Case Discussions
3.with hundreds of pictures.
4.Demo on Models
5.Demo on Patients
6. subtitles in your own language
12 months unlimited access and support @350 USD only.
For Demo please visit :www.idalectures.com/preview/
For more details visit: www.idalectures.com
Please contact us for any clarifications:
idalectures@gmail.com
indiandentalacademy@gmail.com
Thanks & Regards
Indian Dental Academy
--
Indian Dental Academy
Leader in continuing dental education
www.indiandentalacademy.com
skype:indiandentalacademy
+919248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Diagnosis and treatment planning in completely endntulous arches/dental coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Properties of Denture base materials /rotary endodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Use of modified tooth forms in complete denture occlusion / dental implant...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdf
implantology biologic and clinical aspects / dental implant courses by Indian dental academy
1.
2.
3. Dental implants are becoming an
increasingly important part of everyday
dental practice. Over the last ten years,
implants have evolved from an elective
procedure to a routine treatment. Large
clinical trials have documented the high
success rates of dental implants.
4. At the same time, implants have become
simpler to place and restore, allowing for
implant treatment to be easily incorporated
into the daily life of general practices.
Implants are becoming standard of care in
many clinical situations.
8. OSSEOINTEGRATION
VARIOUS SYSTEMS
HOW TO SELECT AN IMPLANT SYSTEM
GATHERING INFORMATION
PROSPECTIVE SYSTEM
Original Branemark Protocol
Surgical considerations
Protocol for implant placement
CHOICE OF AN IMPLANT
LENGTH
DIAMETER
POSITION
9. STAGES IN IMPLANT PLACEMENT
STAGE I SURGERY
STAGE II SURGERY
CONCLUSION
REFERENCES
10.
11.
12. Any object or material, such as an alloplastic
substance or other tissue, which is partially
or completely inserted or grafted into the
body for therapeutic, diagnostic, prosthetic,
or experimental purposes
GPT 8
13.
14. A prosthetic device made of alloplastic
material(s) implanted into the oral tissues
beneath the mucosal or/and/ periosteal layer,
and on/or within the bone to provide retention
and support for an fixed or removable dental
prosthesis.
A substance that is placed into or /and upon the
jaw bone to support a fixed or removable dental
prosthesis.
GPT 8
15.
16.
17. Implant
No Cementum and PDL
Blood supply is mainly from
periosteum
TOOTH
Has cementum and PDL
Blood supply is periodontium
and periosteum
18. Unlike teeth, implants lack
healing capacities.
Implants do not have
periodontal ligament.
The barrier to the oral cavity is
rather different around implants,
principally because of a missing
connective tissue.
Natural tooth Vs implantsNatural tooth Vs implants
28. “CONCEPT OF OSSEOINTEGRATION”
Dr. Per-Ingvar Branemark
Orthopaedic surgeon
Professor University of Goteburg, Sweden.
Threaded implant design made up of pure titanium.
29. Basic research 1952 to 1965 → 13-15 year extensive research
1965 → First clinical evidence of implant insertion
“Edentulous human patient for resorbed edentulous ridge”
30. Classification of Implants :
1) Sub - periosteal implant
2) Transosteal implant
3) Endosseous implant
4) Endodontic or Diodontic implant
5) Intramucosal implant
31. Classification :
Based on placement within the tissues
Sub - Periosteal Implants
Transosteal Implants
Endosteal Implants
32. Sub Periosteal Implant :
an implant that is placed beneath the
periosteum of the bone.
It receives it’s primary bone support by
resting on it.
This implant does not osseointegrate.
33.
34. Transosteal Implants : an dental implant that penetrates both
cortical plates and passes through the entire thickness of the
alveolar bone.
35.
36. Endosseous Implant : an implant that
is present within the bone , extends into
basal bone for support.
Types : Screw form
Cylinder form (Hollow,Solid)
Blade form
37.
38. Endosseous implant
1) Blade form or Plate form
2) Root form implants
Screw ( V-thread, Buttress
thread, Power or square
thread)
Cylinder ( Hollow or Solid ) Endosseous, root
form, screw type,
power thread
Endosseous, root form,
tapered, hollow,
cylindrical,
39. Depending on the materials used :
a) Metallic Implants :
Titanium
Titanium alloy
Cobalt chromium molybdenum
b) Non - Metallic Implants
Ceramics
Carbon
Depending on their reaction with bone (Meffert)
a) Bioactive HA coated, CaP coated
b) Bio-inert implants Metals
40.
41.
42.
43. INDICATIONS :
1)Edentulous patient 2) Partially edentulous patient
Conventional complete denture , removable partial denture or
fixed partial denture is not totally satisfactory.
45. Applications of Osseointegration concept in Maxillofacial prosthesis
Lost his ear after
oncosurgery for
malignant
melanoma
Implants ,
percutaneous
abutments &
dental bar for
retention of the
prosthesis
Appearance after
silicone rubber
prosthesis. TISSUE
INTEGRATED
PROSTHESIS
Maxillofacial prostheses
46. Scope of osseointegrated implants
1) Prosthetic rehabilitation of missing teeth
Complete edentulous maxilla and mandible rehabilitation.
Removable prosthesisFixed prosthesis
53. Contraindications:
Uncontrolled systemic conditions/ crippling disease.
Diabetes mellitus
Hypertension
Steriod therapy
Smoking
pregnancy
High dose irradiation
Occlusal trauma
psychiatric patients
Lack of muscular co-ordination to manage oral hygiene procedures
54. Smoking and osseointegration :
• History of smoking affect the healing response in osseointegration.
• Lower success rates with oral implants
• Mechanism behind
Vasoconstriction
Reduced bone density
Impaired cellular function
• Mean failure rates in smoker is about twice than in non smoker.
56. I ) Metals
• Stainless Steel
• Cobalt Chromium Molybdenum
Alloys
• Titanium and Its Alloys
• Gold
• Tantalum
Biomaterials Used In Implantology:
II ) Ceramics
• Hydroxyapatite Coated
• Bioglases
• Aluminum Oxide
III ) Polymers And
Composites
IV ) Carbons
57.
58. PROSTHETIC
SCREW
CROWN
PROSTHETIC
ABUTMENT
FIXTURE OR
IMPLANT
Generic terminology of
implants
Root form implants are a
category of Endosseous
implants that are designed
to use a vertical column of
bone, similar to the root of
a natural tooth
• Cylinder root form
implants (tapered) depend
on a coating to provide
microscopic retention &/ or
bonding to the bone
• Screw root form are
threaded into a bone site &
have macroscopic retentive
element for bone fixation
59. Components of Implants :
IMPLANT BODY
Implant body has 3 parts :
1) Apex region
2) Body
3) Crest module (Smooth area)
Hex
(external)
Crest
module
Body of
the
implant
Apex
region
Implant collar
61. Functions of hex:
1) Hex basically acts as a retentive mechanism between
implant body and abutment.
2) It also serves as an effective antirotation element.
Hex area is the weakest area in the entire implant body abutment
connection
Screw loosenings, fracture of implant components have been
noted with traditional external hex than the internal hex
62. Cover screw
At the time of insertion of implant
body or stage I surgery, a first stage
cover is placed into the top of the
implant to prevent bone , soft tissue
or debris from invading the
abutment connection area during
healing. If it is screwed into place
its termed COVER SCREW.
Cover screw
Healing screw
First stage cover
63. Permucosal
extension
A trans epithelial portion known as PERMUCOSAL
EXTENSION is attached as it extends the implant
above the soft tissue & result in the development of
permucosal seal around the implant
Permucosal extension
Healing abutment
64. Abutment : The abutment is the portion of the implant that supports and / or retains
a prosthesis or implant superstructure.
3 main types depending on how the prosthesis or superstructure is retained to the
abutment
1) Abutment for screw retention : uses screw to retain the prosthesis
2) Abutment for cement retention : uses dental cement to retain the prosthesis
3) Abutment for attachment : uses an attachment device to retain a removable
prosthesis
Abutments can also be
Straight
Angled
65. “The apparent direct attachment or connection of osseous tissue to
an inert, alloplastic material without intervening connective tissue”.
- GPT 8
Structurally oriented definition :
“Direct structural and functional connection between the ordered,
living bone and the surface of a load carrying implants”.
- Branemark and associates (1977)
66. Histologically :
Direct anchorage of an implant by the formation of bone directly
on the surface of an implant without any intervening layer of
fibrous tissue.
- Albrektson and Johnson (2001)
67. Clinically :
Ankylosis of the implant bone interface.
-Schroeder and colleagues 1976
“functional ankylosis”
“It is a process where by clinically asymptomatic rigid fixation
of alloplastic material is achieved and maintained in bone during
functional loading”
- Zarb and T Albrektson 1991
70. “ Fibrous integration as tissue to implant contact with
interposition of healthy dense collagenous tissue between the
implant and bone”.
“Direct bone to implant interface without any intervening
layer of fibrous tissue”.
FIBROINTEGRATION
Vs
Concept of Bony
Anchorage
Branemark (1969)
Concept of soft tissue
anchorage
Linkow (1970), James (1975),
Weiss (1986).
OSSEOINTEGRATION
73. ITI Foundation (International Team for Oral Implantology)
Big Names Best Systems
• Deportter Endopore Highest Studies
• Carl Misch Maestro Highest Research
• Willi Schulte Friadent Highest Follow-up
Latest
in Hardware and Software
Latest Innovations
• Branemark System & ITI System
74. IJP 2004 Quality of dental implants :As of October 2003
80 companies ; 220 implant brands.
Code A or Grade A:
Extensive clinical documentation i.e. more than 4 prospective and /or
retrospective trails. Osseotite,3i implant innovations
Astra tech , Friadent, Endopore
Straumann, ITI, Nobel Biocare
Zimmer
Code B or Grade B: With limited clinical documentation i.e.
less than 4 trails, but of good methodological quality.
Biohorizons, Maestro, IMTEC,
Bicon, Sargon
75. Code C or Grade C : less than 4 retrospective or
prospective clinical trails, but they are of poor
methodological quality.
Code D or Grade D : No studies.
80 systems/companies : 10 Grade A
10 Grade B
60 Grade C & D
76.
77.
78.
79.
80.
81.
82.
83. Selecting an Implant system
Gathering information
Investigating a prospective system
84. Branemark’s Original Protocol :
Tooth Extraction 6months Stage I Surgery
or Implant Placement
4-6 Months Osseointegration
Period
Stage II Surgery or
Prosthesis Placement
85. Drawbacks of Branemark’s Original Protocol
• Long drawn out affair
• Extremely expensive
• Selection Criteria was very strict, so benefit could be passed on
to very few
Osseointegration Was Accepted As a Clinically Achievable,Osseointegration Was Accepted As a Clinically Achievable,
Reproducible Phenomenon.Reproducible Phenomenon.
Nobody Questioned the Concept of Osseointegration, but theNobody Questioned the Concept of Osseointegration, but the
Protocol to Achieve the Same Was Questioned…….Protocol to Achieve the Same Was Questioned…….
Implantology Moved Ahead With These Path breaking StudiesImplantology Moved Ahead With These Path breaking Studies
86. Challenges to the Branemark, Albrektsson protocol
Osseointegration
histological level
Immobility
Clinically
Branemark
Protocol
Immediate
Loading
“Clean”
Atmosphere
Clinicians could violate the original protocol, but still achieve
Osseointegration
87. Two types of design options
1) Submerged
2) Nonsubmerged protocol
Submerged Protocol :
A closed healing environment underneath the mucoperiosteal
cover is an absolute prerequisite for osseointegration.
Non- submerged Protocol :
Trans gingival implants penetrating the mucosa from the time of
placement
Transgingival regions of all these are highly polished.
88. Changing your clinical setup into an implantlogyChanging your clinical setup into an implantlogy
unitunit
89.
90.
91.
92. Protocol for implant placement
Meticulous initial evaluation of a potential implant
patient is critical to successful treatment.
Diagnosis includes :
Systemic
Dental evaluation.
Diagnosis :
93. Preimplant medical evaluation is similar to
any periodontal or oral surgery procedures.
The most common systemic conditions and
implications for dental implants therapy are:
Smoking
Diabetes
Osteoporosis
Age
Head and neck radiotherapy
Immunocompromised patients
Psychological conditions.
Systemic Evaluation
94. Dental Evaluation
As in any other procedure, a thorough oral
diagnosis must precede the dental evaluation.
General Considerations:
Traditional radiographic surveys such as
panoramic and full mouth series are often needed.
Periodontal charting and caries detection are part
of the early evaluation.
95. The treatment plan should address control
of diseases prior to considering implant
placement.
Home oral hygiene must be exquisite, and
no implant treatment should be considered
without full patient cooperation.
96. Arch shapes and sizes
Maximum intercuspation, centric relation, occlusal
interferences
Anterior guidance
General wear facets and other signs of
Parafunctional habits
Interarch relationships
Adjacent teeth
Esthetic evaluation
Diagnostic casts and diagnostic wax-up
Dental examination particularly relevant to
implant therapy
97. Clinical Evaluation
The clinical examination includes
evaluation of tissue health, attached
gingiva, and ridges.
Ridge mapping
A clinical procedure in which soft tissue
is measured at several locations of an
edentulous ridge. Measurements can be
reported on a drawing or a model to
estimate the width of underlying bone
architecture.
98. Radiographic Diagnosis
Radiographic measurements are usually
initiated with traditional two-dimensional
methods such as periapical or panoramic
films. However, these methods do not allow
for buccolingual visualization or evaluation
of bone density, and further techniques may
be necessary.
99. A radiographic method used
to obtain cross sectional images
in which the radiographic
sources and film rotate around
the plane of interest.
Cross-sectional images of
any portion of the maxilla and
mandible can be obtained using
linear tomography.
Linear tomography
100. (CT scanning) a software assisted
radiographic technique that produces an
exact cross- sectional view of the mandible
or maxilla.
The most advanced radiographic
methodology for dental implant diagnosis is
computed tomography.
Computed tomography
101. CT images are inherently three
dimensional digital images.
Typically of 512 x 512 pixels with a
thickness described by the slice
spacing of the imaging technique.
The individual element of the CT
image is called a Voxel, which has a
value referred to in Hounsfield
units, that describes the density of
the CT image at that point.
102. CT Number or Hounsfield Units
- 1000 for Air
+ 1000 for Dense bone
+ 3000 for Enamel
0 for Water
103. A CT-Scanner showing dough shaped gantry , computerized couch,
microprocessor and TV monitor
105. Only the X-ray tube rotates, more than 1000 detectors are fixed
X-ray tube
Patient
Fixed detectors
106. Standard Imaging Planes Used in CT -Scanning.
Axial scan would be perpendicular to the long axis of the body.
Coronal section would be parallel to the long axis of the body.
110. IMPLANT LENGTH:
Implant length is selected according to bone availability.
Measurement from the crest to a vital structure will give
an approximation of bone height.
For mandibular posterior areas, it is recommended to
maintain the osteotomy at least 2 mm from the nerve.
CHOICE OF IMPLANT LENGTH, DIAMETER, AND
POSITION
111. IMPLANT DIAMETER:
Estimate the buccolingual ridge dimension prior to
selecting a diameter, remembering that at least 1
mm of bone buccal and 1 mm of bone lingual of the
implant must remain.
For example, a 6 mm wide ridge is necessary to
place a 4 mm implant.
112. IMPLANT POSITION:
For posterior teeth, implant angulation should
allow the implant's long axis to emerge from the
center of the occlusal surface.
For anterior teeth, the angulation should allow the
long axis to emerge through cinguli.
Implant placement should not be compromised by
lack of bone width. Bone grafting prior to
placement is preferable to poor placement.
113. The implant should not touch adjacent roots.
Multiple implants should ideally be placed at
least 3 mm apart.
Multiple adjacent implants should be parallel
whenever possible.
114.
115. Perforation made in the stent
Palatal view of surgical template
on diagnostic cast with
perforation over the planned
implant sites
Clinical view of the surgical
template in place
116. Three upper incisors are missing
Removable plastic template in place
to serve as a surgical template
Stent was coined after an English
dentist Charles R. Stent
Also known as
• Collumellar stent
• Periodontal stent
• Skin graft stent
An appliance which is used to
apply pressure to the soft tissues
to facilitate healing and prevent
cicatrisation and collapse.
Surgical stent :A surgical stent
is a prosthetic appliance, which
helps to orient & position the
implants
117.
118.
119.
120.
121.
122.
123.
124. Steps involved in implant placementSteps involved in implant placement
FIRST STAGE SURGERYFIRST STAGE SURGERY
1
2
3 4
142. 1.Osseointegration in clinical dentistry – Branemark, Zarb,
Albrektsson
2.Osseointegration and occlusal rehabilitation – Sumiya
Hobo
3.Contemporary Implant Dentistry – Carl E.Misch
4.Endosseous implants for Maxillofacial reconstruction –
Block and Kent
5.Implants in Dentistry –Block and Kent
6.Dental and Maxillofacial Implantology – John. A.
Hobkrik, Roger Watson
143. 7.Endosseous Implant : Scientific and Clinical
Aspects – George Watzak
8.Optimal Implant Positioning and Soft Tissue
management – Patrik Pallaci
9.Osseointegration in craniofacial reconstruction-
T. Albrektssson.
10.Osseointegration in dentistry : an
introduction : Philip Worthington, Brein. R.
Lang, W.E. Lavelle.
144. Schroeder et al.,(1981).The reactions of bone, connective tissue, and
epithelium to endosteal implants with titanium-sprayed surfaces.
Journal of Maxillofacial Surgery 9,15-25.
Adell et al.,(1981). A 15 year study of osseointegrated implants in
the treatment of edentulous jaw. International journal of Oral
Surgery 6,387-399.
Zarb & Symington (1983).Osseointegrated dental implants:
preliminary report on a replication study. Journal of prosthetic
dentistry 50,271-279.
Albrektsson et al.,(1986).The long-term efficacy of currently used
dental implants: a review and proposed criteria for success.
International journal of Oral and Maxillofacial Implants 1,11-25.
145. Johansson & Albrektsson. (1987) Integration of screw implants in the
rabbit. A 1- year follow-up of removal of titanium implants.
International journal of 0ral and Maxillofacial Implants 2,69-75.
Zarb & Albrektsson.(1991).Osseointegration –A-requiem for the
periodontal ligament ? Editorial. International Journal of
Periodontology and Restorative Dentistry 11,88-91.
Albrektsson & Sennerby.(1991) State of the art in Oral implants.
Journal of clinical periodontology 18,474-481.
Wennerberg & Albrektsson.(1993) Design and Surface
Characteristics of 13 commercially available oral implant systems.
International Journal of Oral and Maxillofacial Implants 8,622-23