Todd E. Shatkin presents on the use of mini dental implants for various dental applications such as denture stabilization and replacement of missing teeth. He outlines the mini implant placement procedure which involves radiographic planning, surgical guide stent placement, implant insertion using a motor or manual driver, and prosthetic techniques. Mini implants provide an alternative to traditional dental implants that is less invasive, lower cost, and allows for immediate loading.
This document discusses dental implant abutments. It begins by defining an abutment as an intermediate component between the implant and restoration that is retained to the implant by a screw or locking taper. It then describes different types of abutments, including temporary abutments, those for screw or cement retention, straight or angled abutments, and stock vs custom abutments. The document discusses factors to consider for abutment selection such as interocclusal space, tissue height, and emergence profile. It also covers advantages and disadvantages of different abutment connections and materials.
The document discusses the history and development of mini dental implants (MDIs) from their origins in the 1970s to their current use, including that MDIs are small diameter titanium implants used to stabilize dentures or partial dentures for patients lacking sufficient bone quantity or quality for standard dental implants. It provides details on the structure, uses, benefits, and limitations of MDIs as well as the surgical procedure and prosthetic process for placing and restoring MDIs.
The all-on-6 dental implants procedure is used to replace the entire upper or lower set of teeth. This dental procedure is used to restructure a patient’s mouth, generally done when the patients have lost a significant number of teeth in one or both jaws.
The All-on-6 dental implant procedure creates a permanent prosthesis by using six dental implants. It acts as a support for a bridge or over-denture. Six implants are positioned in the lower or upper jawbone to anchor prosthetic teeth in place permanently.
All-on-6 dental implant offers several benefits such as quick recovery, pearl white smile, no need of removable dentures, patient can bite and chew food, just like natural teeth.
To book an appointment contact :
Dr.Rajat Sachdeva
MDS MS MBA
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalimplantindia.co.in
• www.dentalclinicindelhi.com
• www.dentalcoursesdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
• For Dentists : https://goo.gl/6t8DD5
This document provides an overview of immediate implant placement. It defines key terminology, discusses the advantages of immediate placement which include preserving bone and soft tissue and reducing treatment time. Guidelines for extractions that allow for immediate placement are described, such as atraumatic extractions and osteotomy preparation techniques. Factors such as implant selection, the use of grafts, and loading protocols are summarized. Potential disadvantages including lack of control of implant position and difficulty obtaining primary stability are also mentioned. The document concludes with a review of literature on case reports evaluating immediate placement.
Immediate implant placement following tooth extraction can help preserve alveolar bone and provide benefits like fewer treatment visits. However, it also carries risks like increased mucosal recession on the facial aspect due to normal bone resorption after extraction. For optimal esthetic outcomes with immediate implants, it is important to have adequate facial bone volume, perform bone grafting if needed, and consider the patient's gingival biotype and bone defect morphology. Careful case selection and experience with the technique are important to minimize esthetic complications.
This document discusses mini dental implants (MDI) for stabilizing dentures. It provides details on MDI components, surgical techniques, and prosthetic procedures. Key points include that MDIs are small titanium implants placed with minimal surgery to support dentures. Success rates of over 95% at 4 years are reported. Potential risks like nerve injury are reduced compared to standard implants due to the minimally invasive technique. MDIs provide an option for stabilizing dentures that may benefit patients who cannot tolerate standard implant surgery or cost.
This document discusses immediate implant placement following tooth extraction. Some key advantages include improved patient acceptance, potentially the best esthetic result, and shortest time from edentulous to functioning implant. Considerations for immediate placement include ensuring adequate bone at the extraction site and protecting the implant from excessive forces until osseointegration is complete. Proper extraction technique and preparation of the implant site are important factors in achieving initial stability and successful osseointegration.
This document discusses dental implant abutments. It begins by defining an abutment as an intermediate component between the implant and restoration that is retained to the implant by a screw or locking taper. It then describes different types of abutments, including temporary abutments, those for screw or cement retention, straight or angled abutments, and stock vs custom abutments. The document discusses factors to consider for abutment selection such as interocclusal space, tissue height, and emergence profile. It also covers advantages and disadvantages of different abutment connections and materials.
The document discusses the history and development of mini dental implants (MDIs) from their origins in the 1970s to their current use, including that MDIs are small diameter titanium implants used to stabilize dentures or partial dentures for patients lacking sufficient bone quantity or quality for standard dental implants. It provides details on the structure, uses, benefits, and limitations of MDIs as well as the surgical procedure and prosthetic process for placing and restoring MDIs.
The all-on-6 dental implants procedure is used to replace the entire upper or lower set of teeth. This dental procedure is used to restructure a patient’s mouth, generally done when the patients have lost a significant number of teeth in one or both jaws.
The All-on-6 dental implant procedure creates a permanent prosthesis by using six dental implants. It acts as a support for a bridge or over-denture. Six implants are positioned in the lower or upper jawbone to anchor prosthetic teeth in place permanently.
All-on-6 dental implant offers several benefits such as quick recovery, pearl white smile, no need of removable dentures, patient can bite and chew food, just like natural teeth.
To book an appointment contact :
Dr.Rajat Sachdeva
MDS MS MBA
Director & Mentor
Dr Sachdeva’s Dental Aesthetic And Implant Institute
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalimplantindia.co.in
• www.dentalclinicindelhi.com
• www.dentalcoursesdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
• For Dentists : https://goo.gl/6t8DD5
This document provides an overview of immediate implant placement. It defines key terminology, discusses the advantages of immediate placement which include preserving bone and soft tissue and reducing treatment time. Guidelines for extractions that allow for immediate placement are described, such as atraumatic extractions and osteotomy preparation techniques. Factors such as implant selection, the use of grafts, and loading protocols are summarized. Potential disadvantages including lack of control of implant position and difficulty obtaining primary stability are also mentioned. The document concludes with a review of literature on case reports evaluating immediate placement.
Immediate implant placement following tooth extraction can help preserve alveolar bone and provide benefits like fewer treatment visits. However, it also carries risks like increased mucosal recession on the facial aspect due to normal bone resorption after extraction. For optimal esthetic outcomes with immediate implants, it is important to have adequate facial bone volume, perform bone grafting if needed, and consider the patient's gingival biotype and bone defect morphology. Careful case selection and experience with the technique are important to minimize esthetic complications.
This document discusses mini dental implants (MDI) for stabilizing dentures. It provides details on MDI components, surgical techniques, and prosthetic procedures. Key points include that MDIs are small titanium implants placed with minimal surgery to support dentures. Success rates of over 95% at 4 years are reported. Potential risks like nerve injury are reduced compared to standard implants due to the minimally invasive technique. MDIs provide an option for stabilizing dentures that may benefit patients who cannot tolerate standard implant surgery or cost.
This document discusses immediate implant placement following tooth extraction. Some key advantages include improved patient acceptance, potentially the best esthetic result, and shortest time from edentulous to functioning implant. Considerations for immediate placement include ensuring adequate bone at the extraction site and protecting the implant from excessive forces until osseointegration is complete. Proper extraction technique and preparation of the implant site are important factors in achieving initial stability and successful osseointegration.
This document discusses different types of immediate dentures. It defines an immediate denture as any removable dental prosthesis fabricated for placement immediately following tooth extraction. There are two main types: conventional (classic) immediate dentures and interim/transitional immediate dentures. The conventional type is intended to serve as the long-term prosthesis after refitting, while the interim type is replaced by a second denture after healing. The document outlines the advantages, disadvantages, indications, and contraindications of each type. It also describes the diagnostic and treatment planning process, including clinical and laboratory procedures, for fabricating immediate dentures.
surgical guide fabrication for implant retained mandibular over denture / den...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.
There are several protocols for loading dental implants after surgery based on bone density and healing time requirements. Protocols include Brånemark's loading protocol, progressive loading, and immediate/early loading. The density of the bone where the implant is placed determines the appropriate loading protocol, as less dense bone requires more healing time before loading to allow for sufficient bone mineralization and strength. Progressive loading gradually increases stress on the implant over time to allow the bone to adapt, reducing risks of failure. It is particularly important for lower density bone which is weaker.
This document discusses immediate loading of dental implants. It defines immediate loading as loading an implant with a restoration within 2 weeks of placement. Immediate loading has benefits like eliminating a second surgery and allowing immediate function. However, it risks overloading the implant interface during bone healing. Factors that reduce this risk include increasing the implant surface area, decreasing occlusal forces, and using bone-friendly surfaces like hydroxyapatite. The document describes procedures for immediate loading in fully and partially edentulous patients, including using a provisional restoration made on the day of surgery or at a follow-up appointment. A soft diet is recommended during initial healing from immediate loading.
This document discusses computer guided treatment planning and implant placement. It describes how computer guided planning allows visualization of potential implant sites in 3D and more precise placement compared to free-hand drilling. Fully guided surgery uses surgical templates to control position, angle, depth and diameter of osteotomies, while semi-guided surgery controls initial position and angle only, allowing more flexibility. Fully guided is used for edentulous patients, while semi-guided is preferred for partially edentulous patients where soft tissue manipulation or bone grafting may be needed.
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
Classification of sagittal root position in relation to the anterior maxillar...droliv
This study aimed to classify the relationship between the sagittal root position of maxillary anterior teeth and their osseous housings using cone beam computed tomography scans. The scans of 100 patients were reviewed and the sagittal root positions were classified into 4 categories. The results showed that 81.1% were classified as having the root against the labial cortical plate, 6.5% in the middle of the housing, 0.7% against the palatal plate, and 11.7% engaging both plates. An understanding of sagittal root position provides useful information for treatment planning immediate implant placement and provisionalization.
Platform switching involves using a smaller diameter abutment on a larger diameter implant. This shifts the implant-abutment junction inward and away from the crestal bone. According to the document, platform switching reduces crestal bone loss in the following ways: 1) It shifts the inflammatory cell infiltrate inward, decreasing its effect on the crestal bone. 2) It maintains the biological width between the implant and bone. 3) It decreases stress levels in the peri-implant bone by shifting the stress concentration area away from the bone-implant interface. The document discusses the concept, history, advantages, and limitations of platform switching.
Precision attachments in prosthodontics/ orthodontics short term coursesIndian 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.
This document discusses various options for connecting dental restorations to abutments and implants, including the biologic and technical issues involved. It compares screw-retained, cement-retained, and screwless systems. It also discusses arguments in favor of cementation, potential problems like cement accumulation, and the limits of cement retention related to factors like abutment angulation and axial wall height. Finally, it covers custom abutments, platform switching, and the next generation of the UCLA abutment using shape memory alloys.
Complications failures and maintainence of dental implantRasleen87
The document discusses biological factors that can contribute to failures of osseointegrated oral implants and success criteria. It examines numerous potential problems including hemorrhage during drilling, implant mobility after placement, exposed implant threads, swelling after implant placement, postoperative pain, exposed cover screws, abscesses, sensitive or mobile implants, difficulties securing abutments, loosening prosthetic screws, bone loss around implants, phonetic problems, bleeding and mucositis. It provides potential causes and solutions for each problem.
This document discusses partial denture rests and their role in supporting partial dentures. It describes the different types of rests used for anterior and posterior teeth. Anterior rests include crescent-shaped cingulum rests, circular concave rests, and incisal rests. Posterior rests are designed to direct forces along the tooth's long axis to preserve remaining structures. Continuous posterior rests can also stabilize periodontally compromised teeth. Proper rest design and tooth preparation are necessary to create positive, supportive engagement between the partial denture and abutment teeth.
This document defines and describes overdentures, including their indications, contraindications, advantages, and disadvantages. An overdenture is a removable dental prosthesis that covers and rests on one or more remaining natural teeth, tooth roots, and/or dental implants. Overdentures have advantages like improved esthetics, stability, and occlusion compared to complete dentures. However, overdentures also require proper hygiene and are more costly than complete dentures. The document also discusses different types of overdentures, including implant-supported overdentures and tooth-root supported overdentures, as well as various attachment systems used for retaining overdentures.
Socket preservation or alveolar ridge preservation (ARP) is a procedure to reduce bone loss after tooth extraction to preserve the dental alveolus (tooth socket) in the alveolar bone
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
Immediate dentures are prostheses fabricated and inserted immediately following tooth extraction. There are two main types: conventional (classic) immediate dentures which serve as long-term prostheses, and interim (transitional) immediate dentures which will be replaced later after healing. The clinical and laboratory procedure involves making impressions, modifying the stone cast for improved fit, optionally using a surgical template, and inserting the denture immediately after extractions with follow-up relines and adjustments as needed. Immediate dentures can help maintain appearance, function, and quality of life but require more appointments and technical skill compared to delayed dentures.
1. The document outlines Osstem SG's marketing plan for 2011, which includes launching new products and hosting several educational courses throughout the year to promote their dental implants.
2. Some of the new products highlighted include the SA surface implant designed for early bone healing, and the TS IV implant specialized for sinus augmentation procedures.
3. The marketing plan details a series of advanced and basic courses held in Singapore to teach dentists about Osstem's new technologies and products, including the use of piezo surgery.
Biomechanics of Othodontic Tooth Movement_ 1 Dr. Nabil Al-ZubairNabil Al-Zubair
1) The document discusses the biomechanics of orthodontic tooth movement, including the physiology of the periodontal ligament and bone turnover in response to applied forces.
2) Tooth movement depends on applying light, continuous forces to the periodontal ligament over time to stimulate bone resorption on the pressure side and deposition on the tension side.
3) Different orthodontic appliances can apply different types of forces (tipping, translation, rotation, intrusion, extrusion) to produce the desired tooth movements. Fixed appliances allow for more complex movements while removable appliances are limited to tipping but are more patient-friendly.
This document discusses immediate loading of dental implants. It defines various types of implant loading protocols, including immediate occlusal loading (within 48 hours), early loading (2 days to 3 months), conventional loading (3-6 months), and delayed loading (longer than conventional). Immediate loading provides advantages like improved aesthetics and function, but risks include failure if primary stability is inadequate. Factors that influence success include adequate bone quality and quantity, implant design/surface, number of implants used, and controlled occlusal forces. Careful patient selection and following guidelines for factors like implant spacing can allow for successful immediate loading.
- Immediate loading of dental implants began in the 1960s and involves placing a provisional or definitive restoration on implants on the same day as surgery or within 2 weeks.
- Studies have shown immediate loading can achieve high success rates in the anterior mandible with 4 or more implants supporting a fixed bridge or 2 or more implants supporting an overdenture.
- Immediate loading may stimulate bone formation and increase bone-implant contact compared to conventional loading after 3-6 months of healing. However, risks are higher with immediate loading and patient factors like bruxism or smoking can affect outcomes.
This document discusses various surgical procedures related to dental implants. It covers topics like implant site preparation, one-stage versus two-stage implant placement procedures, flap design and management, localized bone augmentation techniques, and complications that can occur. The key points are:
1. Implant site preparation should be done under sterile conditions using drills of increasing diameter to the final size while avoiding overheating of bone.
2. Implants can be placed using one-stage (nonsubmerged) or two-stage (submerged) protocols, with two-stage often preferred for complex cases or when bone grafting is needed.
3. Localized bone augmentation uses particulate grafts, block grafts,
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.
This document discusses different types of immediate dentures. It defines an immediate denture as any removable dental prosthesis fabricated for placement immediately following tooth extraction. There are two main types: conventional (classic) immediate dentures and interim/transitional immediate dentures. The conventional type is intended to serve as the long-term prosthesis after refitting, while the interim type is replaced by a second denture after healing. The document outlines the advantages, disadvantages, indications, and contraindications of each type. It also describes the diagnostic and treatment planning process, including clinical and laboratory procedures, for fabricating immediate dentures.
surgical guide fabrication for implant retained mandibular over denture / den...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.
There are several protocols for loading dental implants after surgery based on bone density and healing time requirements. Protocols include Brånemark's loading protocol, progressive loading, and immediate/early loading. The density of the bone where the implant is placed determines the appropriate loading protocol, as less dense bone requires more healing time before loading to allow for sufficient bone mineralization and strength. Progressive loading gradually increases stress on the implant over time to allow the bone to adapt, reducing risks of failure. It is particularly important for lower density bone which is weaker.
This document discusses immediate loading of dental implants. It defines immediate loading as loading an implant with a restoration within 2 weeks of placement. Immediate loading has benefits like eliminating a second surgery and allowing immediate function. However, it risks overloading the implant interface during bone healing. Factors that reduce this risk include increasing the implant surface area, decreasing occlusal forces, and using bone-friendly surfaces like hydroxyapatite. The document describes procedures for immediate loading in fully and partially edentulous patients, including using a provisional restoration made on the day of surgery or at a follow-up appointment. A soft diet is recommended during initial healing from immediate loading.
This document discusses computer guided treatment planning and implant placement. It describes how computer guided planning allows visualization of potential implant sites in 3D and more precise placement compared to free-hand drilling. Fully guided surgery uses surgical templates to control position, angle, depth and diameter of osteotomies, while semi-guided surgery controls initial position and angle only, allowing more flexibility. Fully guided is used for edentulous patients, while semi-guided is preferred for partially edentulous patients where soft tissue manipulation or bone grafting may be needed.
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
Classification of sagittal root position in relation to the anterior maxillar...droliv
This study aimed to classify the relationship between the sagittal root position of maxillary anterior teeth and their osseous housings using cone beam computed tomography scans. The scans of 100 patients were reviewed and the sagittal root positions were classified into 4 categories. The results showed that 81.1% were classified as having the root against the labial cortical plate, 6.5% in the middle of the housing, 0.7% against the palatal plate, and 11.7% engaging both plates. An understanding of sagittal root position provides useful information for treatment planning immediate implant placement and provisionalization.
Platform switching involves using a smaller diameter abutment on a larger diameter implant. This shifts the implant-abutment junction inward and away from the crestal bone. According to the document, platform switching reduces crestal bone loss in the following ways: 1) It shifts the inflammatory cell infiltrate inward, decreasing its effect on the crestal bone. 2) It maintains the biological width between the implant and bone. 3) It decreases stress levels in the peri-implant bone by shifting the stress concentration area away from the bone-implant interface. The document discusses the concept, history, advantages, and limitations of platform switching.
Precision attachments in prosthodontics/ orthodontics short term coursesIndian 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.
This document discusses various options for connecting dental restorations to abutments and implants, including the biologic and technical issues involved. It compares screw-retained, cement-retained, and screwless systems. It also discusses arguments in favor of cementation, potential problems like cement accumulation, and the limits of cement retention related to factors like abutment angulation and axial wall height. Finally, it covers custom abutments, platform switching, and the next generation of the UCLA abutment using shape memory alloys.
Complications failures and maintainence of dental implantRasleen87
The document discusses biological factors that can contribute to failures of osseointegrated oral implants and success criteria. It examines numerous potential problems including hemorrhage during drilling, implant mobility after placement, exposed implant threads, swelling after implant placement, postoperative pain, exposed cover screws, abscesses, sensitive or mobile implants, difficulties securing abutments, loosening prosthetic screws, bone loss around implants, phonetic problems, bleeding and mucositis. It provides potential causes and solutions for each problem.
This document discusses partial denture rests and their role in supporting partial dentures. It describes the different types of rests used for anterior and posterior teeth. Anterior rests include crescent-shaped cingulum rests, circular concave rests, and incisal rests. Posterior rests are designed to direct forces along the tooth's long axis to preserve remaining structures. Continuous posterior rests can also stabilize periodontally compromised teeth. Proper rest design and tooth preparation are necessary to create positive, supportive engagement between the partial denture and abutment teeth.
This document defines and describes overdentures, including their indications, contraindications, advantages, and disadvantages. An overdenture is a removable dental prosthesis that covers and rests on one or more remaining natural teeth, tooth roots, and/or dental implants. Overdentures have advantages like improved esthetics, stability, and occlusion compared to complete dentures. However, overdentures also require proper hygiene and are more costly than complete dentures. The document also discusses different types of overdentures, including implant-supported overdentures and tooth-root supported overdentures, as well as various attachment systems used for retaining overdentures.
Socket preservation or alveolar ridge preservation (ARP) is a procedure to reduce bone loss after tooth extraction to preserve the dental alveolus (tooth socket) in the alveolar bone
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
Immediate dentures are prostheses fabricated and inserted immediately following tooth extraction. There are two main types: conventional (classic) immediate dentures which serve as long-term prostheses, and interim (transitional) immediate dentures which will be replaced later after healing. The clinical and laboratory procedure involves making impressions, modifying the stone cast for improved fit, optionally using a surgical template, and inserting the denture immediately after extractions with follow-up relines and adjustments as needed. Immediate dentures can help maintain appearance, function, and quality of life but require more appointments and technical skill compared to delayed dentures.
1. The document outlines Osstem SG's marketing plan for 2011, which includes launching new products and hosting several educational courses throughout the year to promote their dental implants.
2. Some of the new products highlighted include the SA surface implant designed for early bone healing, and the TS IV implant specialized for sinus augmentation procedures.
3. The marketing plan details a series of advanced and basic courses held in Singapore to teach dentists about Osstem's new technologies and products, including the use of piezo surgery.
Biomechanics of Othodontic Tooth Movement_ 1 Dr. Nabil Al-ZubairNabil Al-Zubair
1) The document discusses the biomechanics of orthodontic tooth movement, including the physiology of the periodontal ligament and bone turnover in response to applied forces.
2) Tooth movement depends on applying light, continuous forces to the periodontal ligament over time to stimulate bone resorption on the pressure side and deposition on the tension side.
3) Different orthodontic appliances can apply different types of forces (tipping, translation, rotation, intrusion, extrusion) to produce the desired tooth movements. Fixed appliances allow for more complex movements while removable appliances are limited to tipping but are more patient-friendly.
This document discusses immediate loading of dental implants. It defines various types of implant loading protocols, including immediate occlusal loading (within 48 hours), early loading (2 days to 3 months), conventional loading (3-6 months), and delayed loading (longer than conventional). Immediate loading provides advantages like improved aesthetics and function, but risks include failure if primary stability is inadequate. Factors that influence success include adequate bone quality and quantity, implant design/surface, number of implants used, and controlled occlusal forces. Careful patient selection and following guidelines for factors like implant spacing can allow for successful immediate loading.
- Immediate loading of dental implants began in the 1960s and involves placing a provisional or definitive restoration on implants on the same day as surgery or within 2 weeks.
- Studies have shown immediate loading can achieve high success rates in the anterior mandible with 4 or more implants supporting a fixed bridge or 2 or more implants supporting an overdenture.
- Immediate loading may stimulate bone formation and increase bone-implant contact compared to conventional loading after 3-6 months of healing. However, risks are higher with immediate loading and patient factors like bruxism or smoking can affect outcomes.
This document discusses various surgical procedures related to dental implants. It covers topics like implant site preparation, one-stage versus two-stage implant placement procedures, flap design and management, localized bone augmentation techniques, and complications that can occur. The key points are:
1. Implant site preparation should be done under sterile conditions using drills of increasing diameter to the final size while avoiding overheating of bone.
2. Implants can be placed using one-stage (nonsubmerged) or two-stage (submerged) protocols, with two-stage often preferred for complex cases or when bone grafting is needed.
3. Localized bone augmentation uses particulate grafts, block grafts,
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.
Failures of endosseous dental implants/ laser dentistry coursesIndian 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.
Temporary anchorage devices in orthodonticsParag Deshmukh
The document discusses temporary anchorage devices (TADs) used in orthodontics, specifically mini-implants. It provides background on how TADs have improved orthodontic anchorage compared to traditional methods. The introduction describes how TADs solve limitations of extraoral anchorage devices and provide reliable anchorage. It then covers implant terminology, history, parts, types, indications, bone physiology, and clinical applications of TADs as absolute anchorage for various tooth movements.
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.
Clear Aligners in Orthodontics
nvisalign is an orthodontic
technique that uses a series of
computer-generated custom
plastic aligners to guide the teeth
gradually into proper alignment.
• Although the use of clear aligner
treatment is not new, it is a
growing part of the orthodontic
market, and, as a result, many
new products have become
available.
- The document discusses the history and development of orthodontic mini-implants from their origins in the 1940s using vitallium screws in dogs to their current widespread use. It describes how mini-implants have replaced other anchorage devices due to their small size and versatility.
- It defines mini-implants as temporary anchorage devices (TADs) that are temporarily fixed to bone to enhance orthodontic anchorage. It discusses their parts including the head, core, and threads. Mini-implants come in various diameters and thread lengths depending on the insertion site.
- The document covers mini-implant design features, insertion techniques including drill-free versus predrilling methods, factors
Dental implants can successfully replace missing teeth. There are several types of implants that can be used depending on a patient's jawbone health and needs. The implant procedure may involve one or two stages, and temporary or permanent teeth can be attached. Regular cleaning and checkups are important for implant care. Implant treatment options should be discussed during a consultation to determine the best approach.
Clear aligners are a revolutionary orthodontic treatment method that uses custom-made, removable, clear plastic aligners to gradually move teeth into the desired position. The treatment utilizes CAD/CAM technology to digitally plan and guide tooth movements through sequential aligner trays worn for two weeks each. Clear aligners are a viable treatment option for less complex malocclusions and offer advantages like aesthetics, comfort, and reduced treatment time compared to traditional braces. However, clear aligners also have limitations in the types of tooth movements that can be accurately achieved. Careful patient selection and use of ancillary devices may be needed to optimize clinical outcomes.
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 document discusses guidelines for restorative dentists regarding dental implants. It defines a dental implant as an alloplastic material surgically placed into the jawbone to support a prosthetic restoration. The history and types of implants are described, including common biomaterials like titanium. Key aspects like osseointegration and the bone-implant interface formation are explained. Modern implant systems and their components are outlined, along with the treatment planning process involving surgical and restorative phases.
The document provides guidelines for restorative dentists on dental implants. It defines a dental implant, discusses the history and components of modern implants. It describes the process of osseointegration and important considerations for treatment planning such as evaluating teeth, bone quality and quantity, radiographs and surgical/aesthetic factors. The treatment planning phase involves problem identification, treatment options and sequencing.
Basic Surgical Techniques for Endosseous Implant Placement discusses the history and process of dental implants. It describes how Branemark discovered that titanium bonds directly to living bone, called osseointegration. The document outlines the 4 steps of a typical surgical procedure: 1) initial surgery, 2) osseointegration period, 3) abutment connection, and 4) final prosthetic restoration. It also discusses factors that influence osseointegration like biocompatible materials and atraumatic surgery.
Implant Introduce New Era in Orthodontic Treatment discusses the use of temporary anchorage devices (TADs) like mini-screw implants in orthodontic treatment. It provides background on dental implants and defines TADs. The document discusses the parts, materials, insertion technique, applications, advantages and limitations of TADs. It describes appropriate sites for TAD placement and risks. The document concludes that TADs have become increasingly popular due to their easy use, versatile designs and ability to allow immediate loading, facilitating treatment for difficult cases.
This document provides information on dental implants including:
1. It defines a dental implant as an artificial titanium fixture surgically placed into the jawbone to replace a missing tooth and root.
2. Implant dentistry/implantology is concerned with replacing missing teeth and supporting structures with prostheses anchored to the jawbone.
3. Common implant designs include parallel or tapered, threaded screw-shaped implants which are the most commonly used type today.
Basic implantology (periodontology and implantology)KanchanMane4
This document discusses basic surgical techniques for placing dental implants. It begins by defining a dental implant as an artificial titanium fixture surgically placed in the jaw bone to substitute for a missing tooth. It then discusses the history of implants and Branemark's discovery of osseointegration. The document outlines the typical surgical procedure for implant placement and describes factors that influence osseointegration like biocompatible materials and trauma-free surgery. It also discusses soft tissue integration and the components of a dental implant.
Sinus lift with dental implants Placement.(with Clinical Photographs) Dr. ...All Good Things
Hi. This is Dr. Amit T. Suryawanshi. Oral & Maxillofacial surgeon from Pune, India. I am here on slideshare.com to share some of my own presentations presented at various levels in the field of OMFS. Hope this would somehow be helpful to you making your presentations. All the best & your replies are welcomed!
Implant supported maxillofacial prosthesis/cosmetic dentistry coursesIndian dental academy
This document discusses maxillofacial prosthodontics and the use of osseointegrated implants to support facial prostheses. It covers the history and development of maxillofacial osseointegration, differences from oral osseointegration, advantages over adhesives, criteria for success, and treatment planning considerations. Key aspects include improved retention and stability of prostheses supported by implants compared to adhesives, as well as increased longevity, comfort, and hygiene. Success rates are generally high but lower for irradiated patients. Careful patient selection and consideration of medical conditions is important.
Similar to AGD Shatkin FIRST Mini Dental Implant Training (20)
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
8 Surprising Reasons To Meditate 40 Minutes A Day That Can Change Your Life.pptxHolistified Wellness
We’re talking about Vedic Meditation, a form of meditation that has been around for at least 5,000 years. Back then, the people who lived in the Indus Valley, now known as India and Pakistan, practised meditation as a fundamental part of daily life. This knowledge that has given us yoga and Ayurveda, was known as Veda, hence the name Vedic. And though there are some written records, the practice has been passed down verbally from generation to generation.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
1. Presented by
Todd E. Shatkin, DDS*
*Private Practice-Buffalo, NY, Member of the IAMDI, AACD, ICOI, ACOI, AAID
1989 Graduate of University of the Pacific School of Dentistry
President Emeritus, International Academy of Mini Dental Implants
2. Todd E. Shatkin, D.D.S.
• Owner of Shatkin F.I.R.S.T.,
LLC., a Mini Dental Implant
Specialty Lab & Distributor of
Shatkin Intra-Lock Mini Dental
Implants.
• Director of Case Planning @
Shatkin F.I.R.S.T., LLC.
Developer of the
F.I.R.S.T.®TECHNIQUE
(Fabricated Implant Restoration
& Surgical Technique) (U.S.
Patent No 7,108,511).
2495 Kensington Avenue
Amherst, New York 14226
1-888-4-SHATKIN (1-888-474-
2854)
3. Today’s Discussion
• Using the MDL and MILO Mini Implants for Full Upper Denture
Stabilization
• Using the Mini Implant for Full Lower Denture Stabilization
• Using the Mini Implant for Partial Dentures
• Using the Mini Implant in Fixed applications for Individual
and Multiple Missing Teeth
• Using the Mini Implant for Full Arch Fixed Applications
4. Learning Objectives
After today you should be able to:
• Select appropriate candidates for Mini Implant placement
• Comprehend the technical application and use of the Mini
Implant System
• Appreciate the clinical efficacy of Mini Implants
• Understand the learning curve involved with Mini Implant
placement and the need for participation in a mini-
residency or seminar training program
5. Increase your income $200,000+ per year
and be more productive with your time!
• Implement the mini implant in your practice
• Market it to existing and new patients using our proven
marketing programs
• Use the mini implant for denture stabilization and
replacement of individual and multiple missing teeth using
Shatkin F.I.R.S.T LLC Surgical Stents and Crown and
bridgework in one or two short visits!
6. What is your current average
income per hour?
• Before placing mini implants, my
income was approximately $400/hour
• After placing mini implants, my income
is over $2,500/hour
(Started placing MDI’s in 2000)
10. Mini Dental Implants
Developed by: Michel Chercheve in 1966
• Not marketed until 2000
• Simple and cost effective system to stabilize
loose denture or replace missing teeth
• Continuous improvements in design and new
techniques
• FDA approved and marketed by ADA
• Gordon Christensen is a strong supporter of Mini
Implants
11. Innovations in the use of the Mini Implant
F.I.R.S.T. ®
(U.S. Patent No. 7,108,511 – Todd E. Shatkin, DDS)
FABRICATED IMPLANT RESTORATION and
SURGICAL TECHNIQUES
15. Mandibular Staple Plate
A transosseous implant which is inserted from the inferior
border through the superior border of the mandible
16. Endosseus Implants
Developed by Dr. Per-Ingvar Branemark
• Dozens of companies
• Many designs
• Rely on a 2-8 month healing
period
• Requires Osseo integration
• Usually 2 stage surgery
• Usually requires flap surgery
17. Mini Dental Implants
Developed by: Michel Chercheve 1966
-Simple and cost effective system to stabilize
loose dentures or replace missing teeth
-Continuous improvements in design and new
techniques
-FDA accepted for “Long Term Intra-bony
Applications”
18. What did people use to hold their
dentures in the past?
• Adhesive
• Powder
• Suction Cups
• Tissue Buttons (snaps)
• Sinus Penetration
• Prong Dentures
20. Patient Selection Criteria
Who is a candidate for mini
dental implants?
• Difficulty wearing lower denture
• Slipping, Poor Ridge, etc.
• Cannot tolerate a palate on upper
• Large torus palatinus/mandibularis
or exostosis
• Patient wants more confidence
21. Advantages of MDL and MILO Mini
Implants
• No 4-6 month waiting period
• MDL is FDA indicated for “Immediate Loading and
function for long term intra-bony applications’’
• Cost effective
• Non-invasive, non-surgical procedure
• Immediate results and short healing time
22. Advantages of MDL and MILO Mini
Implants
• Minimal post-operative discomfort
• Can be used on almost any type of ridge
• Can be performed by the patient’s general dentist
• High profit potential for your office
• Nominal investment by the practice
23. Mini Implant Applications
• Immediate stabilization of upper or
lower removable prosthesis
• Immediate support for single crowns
• Immediate support for multiple
crowns
• Immediate support for full
roundhouse bridges
24. Drive Lock MDL/ MILO System
• Three Diameters: 2.0 mm, 2.5 mm, 3.0 mm
• Available in 10, 11.5, 13, 15 & 18 mm (MILO 17 mm)
lengths for denture stabilization and crown and
bridge use
• Implant and abutment are a single unit
• O-ball design includes housing and O-ring
• MDL 30%-40% stronger than a competing 1.8 mm Mini
Dental Implant, independent studies have shown
25. MDL Features (cont.)
• Implants are surface treated
• Sterile packaging and efficient delivery
• Metal housing and O-Ring included
• Unique self-tapping thread design
• High-Strength Titanium Alloy material
31. Bone Quality
Patients with bone of very low density are poor candidates for MDL
The dentist should consider MILO for treatment
32. Bone Quantity
Width Rating: A, B, C
• A – Buccal to lingual > 5 mm
• B – Buccal to lingual = 3.5 – 5 mm
• C – Buccal to lingual < 3.5 mm (May require
tissue elevation or flap
33. POP QUIZ Question #1
An 80 year old man has moderately dense
mandibular bone. You plan to place 4 (18 mm) Mini
Implants. What type of bone does he have and how
deep should you drill the pilot hole?
34. POP QUIZ Question #1
An 80 year old man has moderately dense
mandibular bone. You plan to place 4 (18 mm) Mini
Implants. What type of bone does he have and how
deep should you drill the pilot hole?
Answer: Type 2 bone; pilot hole depth = 10 mm (~ 60%)
36. Bone Quality and Quantity
Vertical Bone Height Rating
• Mini Implants are 10 mm – 18 mm long
• Bone height of less than 8 mm = Poor candidate
for MDL
• Use longest implant possible
*Mandibular – 75% total height
*Maxillary – 90-100%
Why?
37.
38.
39. Are Mini Implants good for ANYONE?
Medically compromised patients?
• In short… YES!
*No incision (in most cases)
*Low morbidity
*Low infection
*Non-invasive
• What about patients taking steroids?
*Contraindicated for most implants, but can be done with MDL
(no heating of bone)
• Patients taking blood thinners
*No problem unless a flap is needed
*Consult with patient’s physician
40. Mini Implants and Patient Finances
• Procedure cost is less than ½ of a conventional
implant surgery
• Prosthesis cost is 25% the cost of conventional
bar/clip type restorations
• Fewer dental office visits
• Can be performed by the general dentist
41. Anatomically Compromised
Patients
• Many patients do not have adequate bone
support to accept the large size of
conventional implants
• Mini Implants can be used in almost any
ridge and on patients with severe alveolar
ridge recession
43. Required Instruments & Materials
• Surgical Guide Stent
• Implant Motor (Custom Pre-set)
• Pilot Drill Guide
• Pilot Drill
• Contra Angle Driver
• Mini Dental Implant
• Ratchet Wrench / Driver
44. Overview
Implant Placement Procedure
1. Radiographic Planning
2. Surgical Stent
3. Mark Denture and Transfer
4. Anesthesia
5. Create Pilot Hole
6. Implant Insertion
7. Complete Insertion
45.
46. 1. Radiographic Planning
Panoramic X-Ray or Cone Beam Scan
• Assists you in planning for placement
• Mark radiograph in region of canine and
1st bicuspid anterior to mental nerve canal
• Mark in region of lateral incisors anteriorly
50. 3. Mark Denture and Transfer
• Using the marks on radiograph as a guide, mark DRY
denture with skin marker
• Next DRY the patient’s arch and place denture in
mouth.
• You may darken transfer spots with marker for
APPROXIMATE placement of implants
51.
52. Chlorine Dioxide or Chlorhexidine
pre-rinse
• Pre-procedural antibacterial rinse
• Immediate post procedural healing
period
• Ongoing maintenance of Implants
and soft tissue
53.
54. Informed Consent
• Patients must always sign
informed consent
documentation
• Mini Implant consent forms
are available to you
59. 4. Anesthesia
• Infiltration: Anesthesia
• Infiltrate between the periosteum
and bone
-On mark
-Buccal to mark
-Lingual to mark
• Block anesthesia is usually not
needed
60. POP QUIZ Question #2
Why is block anesthesia usually not
needed during the MDL placement
procedure and is not recommended?
61. POP QUIZ Question #2
Why is block anesthesia usually not needed
during the MDL placement procedure and is
not recommended?
Answer:
Using Infiltration only affords the patient continued sensation
of the mental nerve. This allows patient feedback during the
procedure reducing the risk of nerve damage.
62. 5. Create Pilot hole
• After measuring depth,
drill pilot hole with a
tapping motion
• Drill depth according to
bone density evaluation
63. 6a. Implant Insertion - Motor
#1 Pick up implant
using either finger
driver or using contra
angle adapter
#2 Insert implant into
pilot opening through
gingiva to bone.
#3 Rotate clockwise with drill or
with hand using downward
pressure until firm, bony
resistance is felt.
67. 6b. Manual Finger Driver & Ratchet Wrench
• Continue insertion of
implant until firm
bony resistance is met
• Ratchet wrench is
recommended to
complete insertion
68. 6b. Manual Finger Driver & Ratchet Wrench
(cont.)
• If bone is extremely dense use of ratchet wrench is
needed
• SLOW incremental turns will allow full insertion
without snapping of implant
• Pressure should be applied downward on the ‘head’
of the ratchet during insertion
• If VERY HEAVY resistance is noticed, back implant out
and make pilot hole deeper
• DO NOT force ratchet or the implant may snap at
neck
69. 7. Complete Insertion
• Complete insertion of all
implants
• Insert implants completely so
that the top of the collar is at
the gum line
• The entire square and ball
should be supragingival
72. POP QUIZ Question #3
When placing transfer marks in a lower denture
for planning MDL positioning, at what teeth
positions should these marks be placed?
73. POP QUIZ Question #3
When placing transfer marks in a lower denture
for planning MDL positioning, at what teeth
positions should these marks be placed?
Answer: In the lateral incisor area and between the
Cuspid and First Bicuspid (bilaterally)
74. Denture Placement and Prosthetic
Technique
• Positioning should be close to
original plan
-Make holes in denture with
lab bur on pre-marked
locations
• Place housing abutments on
implant o-balls
• Try in denture for full seating
Shatkin F.I.R.S.T. Pre-Fabricated Denture with
trough to accept dental implant housings.
75. Denture Placement and Prosthetic
Technique (cont.)
• Fill trough with Shatkin
F.I.R.S.T. HARD reline
material.
• Place denture on O-ring
housings and have patient
bite to seat denture and
hold for setting of reline
material.
76. Denture Placement and Prosthetic
Technique (cont.)
• Remove denture and assess security of housing in denture.
• Add flowable resin (light cured), cold cured acrylic, or
cyanoacrylate if loose.
• Trim excess material and smooth tissue surface of denture
to avoid sore spots.
• Also shorten borders of denture. Why?
77. Postoperative Instructions
• Prescribe antibiotics
-Broad spectrum:
*Penicillin, Keflex, Etc.
• Ice chin 10 min on & 10 min off
• WEAR DENTURES FOR 24
HOURS! Why?
• See patient 24 hours later
• Dentist should be first person to
take new denture out.
78. What did you just accomplish in
an hour of chair time?
• You stabilized a loose uncomfortable denture
• You have given a patient confidence and comfort both
physically and emotionally
• You have provided “new technology” and
quality dental care at an affordable price
• You have earned $5,000.00 in practice revenue
• You will go home feeling great!
IMAGINE DOING THIS EVERY DAY!
79. 24 Hours Later
• Adjustments of denture:
-There will be some minor adjustments required
-Some patients may have denture sores developing
-Adjust spots as needed and check occlusion
• See patient post-operatively in 3 days and 1 week later
• Instruct patients to wear denture as much as possible
over the following week and call if there is a problem
80. POP QUIZ Question #4
Following Mini Implant placement for
denture stabilization, why must the
prosthesis be worn for the first 24 hours?
81. POP QUIZ Question #4
Following Mini Implant placement for
denture stabilization, why must the
prosthesis be worn for the first 24 hours?
Answer: To prevent soft tissue swelling and to
allow tissue adaptation around the implants.
82. Other Applications
• Stabilization of failing fixed bridges
-Salvage cases
• Retention of Partial Dentures
-Cu-sil dentures
-Wireless partials, etc.
83. Other Applications (cont.)
• Fixed Crown and Bridge
-Single tooth – replacing any missing tooth
-Distal abutment – Free end saddle
replacement of removable partial dentures
-One implant per root if possible
*2 for each molar (2.0 or 2.5)
*1 for each bicuspid/anterior tooth
• Pier abutments – Long span bridgework
• Roundhouse bridge with 10-12 MDL’s
84. Mini Implant Manufacturers & Labs:
Mini Implant Manufacturers:
Glidewell Dental, Newport Beach,
CA 800-854-7256
OCO-Biomedical, Albuquerque,
NM 800-228-0477
Park Dental Research, New York,
NY 212-736-3765
Shatkin F.I.R.S.T. Intra-Lock,
Amherst, NY, 888-474-2854
Sterngold Dental, Attleboro, MA
800-531-2685
Zest Dental, Carlsberg, CA
800-262-2310
Mini Dental Implant Labs:
Glidewell Dental, Newport Beach, CA
800-854-7256
Shatkin F.I.R.S.T., Amherst, NY 888-
474-2854
138. Use of Mini Implants in Maxillo-facial
Prosthetic Reconstruction
Following Head and Neck Cancer Surgery
Slides Courtesy of:
George C. Bohle III, DDS
Assistant Professor in the Department of
Otolaryngology
Head and Neck Surgery in the Division of Dental and
Oral Medicine at the John Hopkins Medical Institute
139. Patient #6 G.B.M.C.
Med. Hx.: 81 y/o male, SCCa of Right
Sinus
Plan: Surgical resection, obturator
prosthesis, immediate mini implant
placement
145. Using the Mini Implants for Crown and
Bridge
• Individual tooth replacement
• Multiple tooth replacement
• Extended length bridgework
• Roundhouse and full mouth reconstruction
197. Evidence Based Dentistry
• The greatest predictors of Mini Implant survival are:
-Anatomical location
-Prosthetic treatment modality
-Previous implant failure
• In addition, bone characteristics and denture status play a
role in survival
• There is a learning curve associated with MDL placement
• MDLs demonstrate a predictable survival rate
205. Survival Analysis
• The median time until implant loss is
approximately 5 months
• The survival curve is right-skewed:
-Most implants fail early (within the first 5
months)
-If an implant survives the “threshold” it has
most likely attained Osseo integration
207. Clinical Considerations
The beginner Mini Dental Implantologists may wish to be
selective with his or her candidates for the first several
months of Mini Implant use and avoid:
-Heavy smokers (>1ppd)
-Patients with poor bone characteristics (Type III
and/or class C)
-The posterior maxilla
208. Recommendations Based on 16+ years
Experience and Thousands of Mini Implants
• Have proper training and knowledge of MDL protocol
• Preoperative planning and case selection
• The clinician should perform all prophylaxis and restorative
dentistry prior to MDI procedure
• DO NOT DRILL ENTIRE LENGTH OF IMPLANT
• DO NOT PENETRATE OUTSIDE OF BONE
• ALWAYS use prophylactic antibiotics post-operatively
209. Recommendations Continued:
• ALWAYS use a proper sterile surgical technique intra-
operatively, including the use of a drape
• ALWAYS USE preoperative tissue cleansing scrub or (RINSE)
• Be sure that mandible has sufficient bone height and width
to avoid fracture
• Space the mini implants properly, avoiding angulation
toward adjacent teeth roots
210. Recommendations Continued:
• Instruct the patient to wear the denture all the
time for the first 24-48 hours
• See patient regularly during the initial healing
period to adjust sore spots and evaluate tissue
and implants
• See patient after initial healing period every 3
months during the first year and every 6 months
thereafter
211. Learning Objectives Review
• Can you select appropriate candidates for Mini Implant
placement?
• Do you comprehend the technical application and use of the
Mini Implant System?
• Can you appreciate the clinical efficacy of Mini Implants?
• Do you understand the learning curve involved with Mini
Implant placement?
Have we met these objectives?
212. POP QUIZ Question #9
How frequently should the patient be seen
during the first year of follow-up after MDL
placement?
213. POP QUIZ Question #9
How frequently should the patient be seen
during the first year of follow-up after MDL
placement?
Answer: Every 3 months
214. What Do I Need To Get Started?
ONE
Essentials Kit
-(12) MDL 2.0 & 2.5
-(2) Blossom One Piece 2.5
-(2) Milo 3.0
-Upper, Lower, C&B Patient Models
Deluxe surgical kit with all
Instrumentation
215. What Do I Need To Get Started? (cont.)
TWO
Aseptico Motor and Hand piece
Aseptico Powered Trolley
*Removable Head for Thorough Cleaning
Mont Blanc AHP-85-MB-X
Aseptico AEU-7000SF1-70V………………$4895
Powered Trolley ATC12V2…………………$695
216. ONE + TWO = SUCCESS
Our dentists’ who use our surgical
motor and instruments have better
success than by hand.
(I have never broken an implant using the
surgical motor)
220. POP QUIZ Question #10
When should the ratchet wrench be
used?
Answer: For the final few turns of an implant
when extremely dense bone is encountered.
221. How will MDLs change my practice
and my life?
• Emotional Satisfaction
• Patient Relationships and
Referrals
• Personal and Family time
• Financial Freedom
224. Using the MDL in your practice
A No-Brainer!
• Patient Satisfaction
• Doctor Satisfaction
• Staff Involvement
• Financially Accepted
• Financially Rewarding
• Minimal Up Front Costs for Office
225. POP QUIZ Bonus Question
How much additional yearly gross income
would your practice enjoy if you completed
two MDL cases (8 implants) per week?
226. POP QUIZ Bonus Question
How much additional yearly gross income
would your practice enjoy if you completed
two MDL cases (8 implants) per week?
Answer: $400,000