The GORE® VIABIL® Short Wire Biliary Endoprosthesis is currently the only fully covered metal stent with anti-migration technology proven to minimize the risk of reintervention.
Bone replacement grafts are widely used to promote
bone formation and periodontal regeneration.
Xenografts are grafts shared between different species.
Currently, there are two available sources of xenografts
used as bone replacement grafts in periodontics: bovine
bone and natural coral.
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 provides an overview of allografts, specifically freeze-dried bone allografts (FDBA) and demineralized freeze-dried bone allografts (DFDBA). It discusses the history, procurement, preparation, and applications of FDBA and DFDBA in periodontal regenerative procedures like intra-bony defects, extraction sockets, sinus lifts, implants, and guided tissue regeneration. Studies have found that FDBA and DFDBA can promote new bone formation and regeneration when used alone or in combination with other materials and procedures.
1) A 10-year prospective study evaluated 121 oxidized titanium implants in 46 patients. 2) After 10 years, the survival rate was 99.2% with only 1 implant failing. 3) Marginal bone loss averaged 0.7 mm over 10 years, with 11.3% of implants showing over 2 mm of bone loss and 4.7% over 3 mm of bone loss. 4) Implants with over 3 mm bone loss showed bleeding and pus on probing, indicating peri-implantitis.
Advanced Bone grafting procedures in dental implant surgeryDr Omfs
This document summarizes an oral presentation on advanced surgical procedures in implant dentistry. It discusses various grafting techniques like alveolar socket preservation, onlay grafting, interpositional grafting, sandwich osteotomy, alveolar ridge split osteotomy, distraction osteogenesis, and sinus lift surgery. It also covers principles of grafting, types of grafts including autogenous, allogenic and xenogenic grafts. Soft tissue management techniques like palatal connective tissue grafting are presented. Complications of grafting procedures and post-operative care are also summarized.
Oral surgery: a bone atrophy in area 45-46 treated using a SmartBone block. A successfull block technique with an innovative xenograft (histology analysis and 3 year follow-up).
This document discusses biomaterials used in guided bone regeneration (GBR) and guided tissue regeneration (GTR), including various types of bone grafts, membranes, and fixation devices. It provides details on autografts, allografts, xenografts, and alloplasts - outlining their sources, mechanisms of action, advantages, and disadvantages. Second and third generation resorbable barrier membranes are also mentioned.
1) Autogenous cancellous bone graft is the gold standard but has drawbacks like donor site morbidity.
2) Allografts have risks of immune response and disease transmission but are more available. Demineralized bone matrix and ceramics are also options.
3) Composites of osteoconductive scaffolds with osteogenic cells or growth factors can enhance new bone formation compared to scaffolds alone. Bone marrow aspirate and synthetic carriers of BMPs show promise in composite grafts.
Bone replacement grafts are widely used to promote
bone formation and periodontal regeneration.
Xenografts are grafts shared between different species.
Currently, there are two available sources of xenografts
used as bone replacement grafts in periodontics: bovine
bone and natural coral.
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 provides an overview of allografts, specifically freeze-dried bone allografts (FDBA) and demineralized freeze-dried bone allografts (DFDBA). It discusses the history, procurement, preparation, and applications of FDBA and DFDBA in periodontal regenerative procedures like intra-bony defects, extraction sockets, sinus lifts, implants, and guided tissue regeneration. Studies have found that FDBA and DFDBA can promote new bone formation and regeneration when used alone or in combination with other materials and procedures.
1) A 10-year prospective study evaluated 121 oxidized titanium implants in 46 patients. 2) After 10 years, the survival rate was 99.2% with only 1 implant failing. 3) Marginal bone loss averaged 0.7 mm over 10 years, with 11.3% of implants showing over 2 mm of bone loss and 4.7% over 3 mm of bone loss. 4) Implants with over 3 mm bone loss showed bleeding and pus on probing, indicating peri-implantitis.
Advanced Bone grafting procedures in dental implant surgeryDr Omfs
This document summarizes an oral presentation on advanced surgical procedures in implant dentistry. It discusses various grafting techniques like alveolar socket preservation, onlay grafting, interpositional grafting, sandwich osteotomy, alveolar ridge split osteotomy, distraction osteogenesis, and sinus lift surgery. It also covers principles of grafting, types of grafts including autogenous, allogenic and xenogenic grafts. Soft tissue management techniques like palatal connective tissue grafting are presented. Complications of grafting procedures and post-operative care are also summarized.
Oral surgery: a bone atrophy in area 45-46 treated using a SmartBone block. A successfull block technique with an innovative xenograft (histology analysis and 3 year follow-up).
This document discusses biomaterials used in guided bone regeneration (GBR) and guided tissue regeneration (GTR), including various types of bone grafts, membranes, and fixation devices. It provides details on autografts, allografts, xenografts, and alloplasts - outlining their sources, mechanisms of action, advantages, and disadvantages. Second and third generation resorbable barrier membranes are also mentioned.
1) Autogenous cancellous bone graft is the gold standard but has drawbacks like donor site morbidity.
2) Allografts have risks of immune response and disease transmission but are more available. Demineralized bone matrix and ceramics are also options.
3) Composites of osteoconductive scaffolds with osteogenic cells or growth factors can enhance new bone formation compared to scaffolds alone. Bone marrow aspirate and synthetic carriers of BMPs show promise in composite grafts.
The document discusses the process of designing and fabricating a cement-retained implant-supported restoration using the cross pin system. It involves taking impressions, designing abutments, waxing up a diagnostic model, casting and polishing abutments, confirming path of insertion, fabricating copings, and citing references on cross pinning and abutment design for cement-retained restorations. Provisional restorations were constructed by Reza Shahmiri.
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.
H ridge augmentation with a collagen membrane and combination of particulated...threea3a
This prospective case series evaluated the use of a resorbable natural collagen membrane with a mixture of autogenous bone and anorganic bovine bone-derived mineral (ABBM) for lateral ridge augmentation to treat knife-edge ridges. 31 knife-edge ridge sites in 25 patients were treated. On average, 5.68 mm of lateral ridge augmentation was achieved after 8.9 months of healing. Histology showed ABBM was well incorporated into new bone formation. 76 implants were placed with no failures during an average follow-up of 20.88 months, demonstrating the technique can successfully augment knife-edge ridges for later implant placement.
This document discusses bone graft materials and techniques. It begins by defining a bone graft as material used to achieve 100% living bone tissue formation when placed in a compatible area. It then discusses various graft materials including particulate and block grafts, as well as growth enhancers. The document goes on to discuss factors that determine graft selection, the fate of grafts over time, and techniques for creating an ideal environment for graft incorporation.
This document describes a new drill device called the NeoBiotech Auto Chip Maker (ACM) that can easily collect autogenous bone in substantial amounts from the posterior mandible. The drill is attached to a handpiece and used to collect bone from a donor site, such as the ramus, at 70 RPM without irrigation. The collected bone is trapped in the drill by a plastic stopper. It is then placed in an implant defect area and covered with a membrane for guided bone regeneration. At a follow-up surgery 3-4 months later, significant new bone formation was observed around the implant and previously deficient site. The collected bone has a coagulated and spongy consistency and the advantages of autogenous bone grafting while
Bone grafts in periodontal therapy
Presenter:
Dr. Rebicca Ranjit
Lecturer
Dept. of Periodontology & Oral Implantology
Historical Review:
In orthopaedics, bone grafts have been used for years.
Beuke and Silver, 1936 used boiled cow bone powder to successfully repair intrabony defects in humans.
Melcher, 1962 used anorganic bone (bovine bone) which were followed for 3 years.
bone graft /certified fixed orthodontic courses by Indian dental academy 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.
This document discusses bone grafting techniques used in dentistry. It defines a graft as viable tissue transplanted from a donor site to a host tissue. Bone grafts are classified based on their source and mode of action. Autografts from the patient are considered the gold standard as they are osteogenic, osteoinductive, and osteoconductive. Key steps in the bone grafting procedure are incision, flap design, root debridement, defect debridement, graft material preparation and placement, and suturing. Evaluation methods include clinical measurements, radiographs, surgical re-entry, and histology. Autografts provide the best outcomes but alloplastic grafts and other options are also discussed.
1) Periodontal bone grafting has been controversial but some studies show better outcomes with grafting materials compared to open flap debridement alone for severe bone defects.
2) This review aims to clarify the role of bone grafting in the current era of regeneration. It discusses bone graft definitions, objectives, types including autografts and allografts, and surgical procedures.
3) While periodontal regeneration is the goal, current bone grafting techniques can unpredictably result in either regeneration or repair. Improved methods related to root preparation, wound healing guidance, and use of growth factors may increase predictability of regeneration.
This document provides an overview of bone graft materials and procedures, as well as first stage surgery. It discusses the history of bone grafting, defines common types of grafts like autografts, allografts, xenografts, and alloplasts. Characteristics of ideal graft materials are outlined. The document also examines graft choice considerations, various graft forms, and the biological properties and mechanisms of different materials. First stage surgery is briefly mentioned at the end.
Implants & prosthetics / /certified fixed orthodontic courses by Indian denta...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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
Biotec dental implants are manufactured at our own state-of-the-art, in-house production facilities in Germany and comply with the highest standards. Our full Product Catalogue contains implants, prosthetics, CAD/CAM abutments as well as kits & tools. Download: http://biotec-implant.com
Prosthetic guide
www.neobiotechus.com
www.neobiotech.com
Download is available.
Click the content, you can see directly the content that you want to see.
Terminologies
Introduction
Implant treatment options at the extraction site
Timing for immediate implants
Indications of immediate implants
Contraindications of immediate implants
Advantages of immediate implants
Disadvantages of immediate implants
Rule of 5 triangles
Deciding factors for immediate implant treatment modality in extraction socket
Armamentarium required for atraumatic extraction
Jumping distance or critical space
Immediate implantation in the extraction socket of anterior maxilla
Immediate implantation in the extraction socket of anterior mandible
Immediate implantation in the extraction socket of multi-rooted posterior teeth
Clinical guidelines for esthetic outcomes when using immediate implant protocol.
Hard tissue changes after immediate implant placement
Soft tissue changes after immediate implant placement
Criteria and guidelines for immediate implant placement site
Risk and complication in immediate implant placement
Loading options for the immediately inserted implant
Survival and success rate of immediate implants
Recent advances: socket shield
Review of Literature
Conclusion
References
This document discusses three cranioplasty solutions from Biomet: HTR-PEKK, HTR-PMMA, and CranioCurve. HTR-PEKK is a laser sintered implant made of PEKK polymer that can be delivered in 8 days. HTR-PMMA is made of PMMA beads and PHEMA coating and allows for possible bone ingrowth. CranioCurve is a pre-contoured titanium mesh that is contourable and comes in multiple sizes and shapes.
Prosthetic platforms in implant dentistryBryan Luis
This document summarizes and compares different types of prosthetic platforms used in implant dentistry, including external hexagon, internal hexagon, and Morse cone connections. It discusses the biomechanical concepts, clinical uses, advantages, and disadvantages of each type of connection. While each connection can provide high success rates when indications are followed, the internal hexagon and Morse cone connections may provide better stress distribution and reduce complications like screw loosening compared to the external hexagon connection. Overall, the best connection depends on the clinical situation and long-term success requires consideration of both surgical and prosthetic factors in treatment planning.
- The document discusses bone harvesting techniques for various donor sites including the chin, mandibular ramus, maxillary tuberosity, and intraoral vs extraoral sites. Key details are provided on indications, anatomy, harvesting procedure, complications, and principles of autogenous bone graft healing for each donor site. Autogenous grafts are considered the gold standard due to their osteogenic, osteoinductive and osteconductive properties.
This document summarizes the results of several randomized controlled trials (RCTs) testing various dental implant procedures and materials. It finds that: 1) Short implants are more effective than bone grafts for atrophic mandibles. 2) Bone substitutes like Bio-Oss may be sufficient for sinus lifts with <5mm bone. 3) Vertical bone augmentation is possible but complications are common and effectiveness is unclear. 4) The need for and best technique for bone grafts in extraction sockets and around implants is unclear.
Short Implants and their role in prosthetic replacement of missing toothSivaRaman Sms
This is an seminar on short implants related to implant dentistry .
This gives the insight on what has happened since the evolution of short implants and its role in implantology .Their role as replacement of missing tooth in the atrophied maxillary and mandibular posterior regions
The document discusses the process of designing and fabricating a cement-retained implant-supported restoration using the cross pin system. It involves taking impressions, designing abutments, waxing up a diagnostic model, casting and polishing abutments, confirming path of insertion, fabricating copings, and citing references on cross pinning and abutment design for cement-retained restorations. Provisional restorations were constructed by Reza Shahmiri.
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.
H ridge augmentation with a collagen membrane and combination of particulated...threea3a
This prospective case series evaluated the use of a resorbable natural collagen membrane with a mixture of autogenous bone and anorganic bovine bone-derived mineral (ABBM) for lateral ridge augmentation to treat knife-edge ridges. 31 knife-edge ridge sites in 25 patients were treated. On average, 5.68 mm of lateral ridge augmentation was achieved after 8.9 months of healing. Histology showed ABBM was well incorporated into new bone formation. 76 implants were placed with no failures during an average follow-up of 20.88 months, demonstrating the technique can successfully augment knife-edge ridges for later implant placement.
This document discusses bone graft materials and techniques. It begins by defining a bone graft as material used to achieve 100% living bone tissue formation when placed in a compatible area. It then discusses various graft materials including particulate and block grafts, as well as growth enhancers. The document goes on to discuss factors that determine graft selection, the fate of grafts over time, and techniques for creating an ideal environment for graft incorporation.
This document describes a new drill device called the NeoBiotech Auto Chip Maker (ACM) that can easily collect autogenous bone in substantial amounts from the posterior mandible. The drill is attached to a handpiece and used to collect bone from a donor site, such as the ramus, at 70 RPM without irrigation. The collected bone is trapped in the drill by a plastic stopper. It is then placed in an implant defect area and covered with a membrane for guided bone regeneration. At a follow-up surgery 3-4 months later, significant new bone formation was observed around the implant and previously deficient site. The collected bone has a coagulated and spongy consistency and the advantages of autogenous bone grafting while
Bone grafts in periodontal therapy
Presenter:
Dr. Rebicca Ranjit
Lecturer
Dept. of Periodontology & Oral Implantology
Historical Review:
In orthopaedics, bone grafts have been used for years.
Beuke and Silver, 1936 used boiled cow bone powder to successfully repair intrabony defects in humans.
Melcher, 1962 used anorganic bone (bovine bone) which were followed for 3 years.
bone graft /certified fixed orthodontic courses by Indian dental academy 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.
This document discusses bone grafting techniques used in dentistry. It defines a graft as viable tissue transplanted from a donor site to a host tissue. Bone grafts are classified based on their source and mode of action. Autografts from the patient are considered the gold standard as they are osteogenic, osteoinductive, and osteoconductive. Key steps in the bone grafting procedure are incision, flap design, root debridement, defect debridement, graft material preparation and placement, and suturing. Evaluation methods include clinical measurements, radiographs, surgical re-entry, and histology. Autografts provide the best outcomes but alloplastic grafts and other options are also discussed.
1) Periodontal bone grafting has been controversial but some studies show better outcomes with grafting materials compared to open flap debridement alone for severe bone defects.
2) This review aims to clarify the role of bone grafting in the current era of regeneration. It discusses bone graft definitions, objectives, types including autografts and allografts, and surgical procedures.
3) While periodontal regeneration is the goal, current bone grafting techniques can unpredictably result in either regeneration or repair. Improved methods related to root preparation, wound healing guidance, and use of growth factors may increase predictability of regeneration.
This document provides an overview of bone graft materials and procedures, as well as first stage surgery. It discusses the history of bone grafting, defines common types of grafts like autografts, allografts, xenografts, and alloplasts. Characteristics of ideal graft materials are outlined. The document also examines graft choice considerations, various graft forms, and the biological properties and mechanisms of different materials. First stage surgery is briefly mentioned at the end.
Implants & prosthetics / /certified fixed orthodontic courses by Indian denta...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.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
Biotec dental implants are manufactured at our own state-of-the-art, in-house production facilities in Germany and comply with the highest standards. Our full Product Catalogue contains implants, prosthetics, CAD/CAM abutments as well as kits & tools. Download: http://biotec-implant.com
Prosthetic guide
www.neobiotechus.com
www.neobiotech.com
Download is available.
Click the content, you can see directly the content that you want to see.
Terminologies
Introduction
Implant treatment options at the extraction site
Timing for immediate implants
Indications of immediate implants
Contraindications of immediate implants
Advantages of immediate implants
Disadvantages of immediate implants
Rule of 5 triangles
Deciding factors for immediate implant treatment modality in extraction socket
Armamentarium required for atraumatic extraction
Jumping distance or critical space
Immediate implantation in the extraction socket of anterior maxilla
Immediate implantation in the extraction socket of anterior mandible
Immediate implantation in the extraction socket of multi-rooted posterior teeth
Clinical guidelines for esthetic outcomes when using immediate implant protocol.
Hard tissue changes after immediate implant placement
Soft tissue changes after immediate implant placement
Criteria and guidelines for immediate implant placement site
Risk and complication in immediate implant placement
Loading options for the immediately inserted implant
Survival and success rate of immediate implants
Recent advances: socket shield
Review of Literature
Conclusion
References
This document discusses three cranioplasty solutions from Biomet: HTR-PEKK, HTR-PMMA, and CranioCurve. HTR-PEKK is a laser sintered implant made of PEKK polymer that can be delivered in 8 days. HTR-PMMA is made of PMMA beads and PHEMA coating and allows for possible bone ingrowth. CranioCurve is a pre-contoured titanium mesh that is contourable and comes in multiple sizes and shapes.
Prosthetic platforms in implant dentistryBryan Luis
This document summarizes and compares different types of prosthetic platforms used in implant dentistry, including external hexagon, internal hexagon, and Morse cone connections. It discusses the biomechanical concepts, clinical uses, advantages, and disadvantages of each type of connection. While each connection can provide high success rates when indications are followed, the internal hexagon and Morse cone connections may provide better stress distribution and reduce complications like screw loosening compared to the external hexagon connection. Overall, the best connection depends on the clinical situation and long-term success requires consideration of both surgical and prosthetic factors in treatment planning.
- The document discusses bone harvesting techniques for various donor sites including the chin, mandibular ramus, maxillary tuberosity, and intraoral vs extraoral sites. Key details are provided on indications, anatomy, harvesting procedure, complications, and principles of autogenous bone graft healing for each donor site. Autogenous grafts are considered the gold standard due to their osteogenic, osteoinductive and osteconductive properties.
This document summarizes the results of several randomized controlled trials (RCTs) testing various dental implant procedures and materials. It finds that: 1) Short implants are more effective than bone grafts for atrophic mandibles. 2) Bone substitutes like Bio-Oss may be sufficient for sinus lifts with <5mm bone. 3) Vertical bone augmentation is possible but complications are common and effectiveness is unclear. 4) The need for and best technique for bone grafts in extraction sockets and around implants is unclear.
Short Implants and their role in prosthetic replacement of missing toothSivaRaman Sms
This is an seminar on short implants related to implant dentistry .
This gives the insight on what has happened since the evolution of short implants and its role in implantology .Their role as replacement of missing tooth in the atrophied maxillary and mandibular posterior regions
Implant supported over dentures / lingual orthodontics courses in indiaIndian 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.
This document provides guidelines for intraoperative cystoscopy during laparoscopic hysterectomy. It finds that urinary tract injuries occur in 2-21 per 1000 laparoscopic hysterectomy cases, and many injuries are not detected without cystoscopy. Studies show cystoscopy detects nearly all injuries, while without it only 25-50% are found. The guidelines recommend cystoscopy for total laparoscopic hysterectomies due to the risk of otherwise undetected injuries. Barriers to routine cystoscopy include lack of surgeon training and credentialing difficulties.
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
This document discusses considerations for maxillofacial prosthetics, including indications, goals, and types of obturators. It provides details on managing a partially dentate patient undergoing hemimaxillectomy. Key points addressed include:
- Indications for maxillofacial prosthetics include when surgical reconstruction is contraindicated or as a temporary prosthesis during surgical correction.
- Goals of maxillofacial prosthetics include being easily placed/removed, restoring lost function, and having a near-normal appearance.
- A 56-year-old male requiring hemimaxillectomy would receive pre-operative dental management and impressions to aid in construction of a surgical obturator.
-
This randomized controlled study compared clinical outcomes of flapless implant surgery to traditional flap implant placement. 24 patients received implants in the maxillary anterior or premolar region, with 12 receiving flapless implants and 12 receiving traditional flap implants. Both groups had high success rates of around 92% after 15 months. The flapless group had slightly higher plaque scores initially but scores were similar after 15 months. The flapless group experienced less loss of keratinized gingiva. While both groups reported satisfaction, the flapless approach may provide benefits such as reduced treatment time and discomfort. Larger studies are still needed to confirm these results.
The document provides an overview of the ELUVIATM Drug-Eluting Vascular Stent System. It summarizes the stent's drug-delivery technology, clinical trial results showing 92.5% freedom from target lesion revascularization at 2 years, and optimized triaxial delivery system design. The document is intended to educate medical professionals on the product specifications, size matrix, and deployment technique for the ELUVIATM stent.
This document discusses the benefits of using narrow diameter implants with LOCATOR attachments for retaining overdentures. It notes that the percentage of the elderly population is increasing significantly and many will require dentures, representing a growing market. Mini implants have traditionally had issues but newer options like the LOCATOR Overdenture Implant System provide patients with a less invasive treatment that does not require bone grafting while offering the proven performance of LOCATOR attachments. The system provides clinicians with enhanced options for placement and correction of divergent implants as well as multiple retention levels to meet patient needs.
The document discusses the GORE VIABAHN Endoprosthesis with PROPATEN Bioactive Surface for treating in-stent restenosis lesions. It notes that the device has demonstrated exceptional patency rates, with a freedom from target lesion revascularization of 75% and primary patency of 80% at 12 months, outperforming other devices used to treat complex in-stent restenosis lesions on average lengths of 19cm. The document provides information on the manufacturer, W.L. Gore & Associates, and references clinical studies that have shown the device's superiority over other options for in-stent restenosis.
This document discusses the All on Four and All on Six dental implant concepts. It provides background on conventional rehabilitation approaches and challenges with atrophic jaws. Tilted implants are introduced as an alternative that places implants at an angle to bypass anatomical structures and increase prosthetic support. The All on Four concept involves placing four implants total, two in the front and two in the back at an angle, to support a fixed full-arch dental prosthesis. Advantages include avoiding complex surgery, providing immediate function, and reducing costs compared to other approaches. Treatment planning considerations and protocols for the surgical and prosthetic phases are outlined.
This document provides information on gastrointestinal stents. It discusses the history of stents, the types of stents including metal, plastic and biodegradable stents. It outlines the indications for stenting in the esophagus, stomach and colon. It details the procedure for stent placement and possible complications. It provides specifics on esophageal, gastric and colonic stents.
Abstract: Corticotomy-assisted orthodontic treatment is an established and efficient orthodontic technique that has recently been studied in a number of publications. Corticotomy facilitated orthodontics have been employed in various forms over speed up orthodontic treatment It involves selective alveolar decortication in the form of decortication lines and dots performed around the teeth that are to be moved. It is done to induce a state of increased tissue turnover and a transient osteopenia, which is followed by a faster rate of orthodontic tooth movement. This technique has several advantages, including faster tooth movement, shorter treatment time, safer expansion of constricted arches, enhanced post-orthodontic treatment stability and extended envelope of tooth movement. The aim of this article is to present a comprehensive review of the literature, including historical background, contemporary clinical techniques, indications, contraindications, complications and side effects. Keywords: Corticotomy, decortication, review, orthodontic treatment
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
This document discusses biomechanics considerations for implant treatment planning and prosthesis design. It emphasizes controlling occlusal factors like cusp angles and occlusal table width to reduce cantilever effects and implant overload. Custom abutments are highlighted as a way to control these factors. The importance of proper implant positioning and attachment of implants to natural teeth with rigid rather than semi-precision attachments is also stressed.
A Review of Atherectomy in Peripheral Arterial Diseaseasclepiuspdfs
Atherectomy involves exciting technology and offers expanded treatment options for PAD. Data are scant so far in most lower extremity territories to support its use over other interventions, but newer results are promising. There is still a financial benefit to choosing atherectomy in the outpatient setting that likely drives much of its popularity among interventionalists. Atherectomy is an exciting technology for peripheral vascular intervention. Its use has greatly increased over the last decade. Data on its superiority to angioplasty or angioplasty with stenting are scant. Here, we review atherectomy techniques and principles along with results and controversy surrounding its use.
Similar to GORE® VIABIL® Short Wire Biliary Endoprosthesis - Product Brochure (20)
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
Visit : https://massagespaajman.com/
Call : 052 987 1315
This particular slides consist of- what is hypotension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is the summary of hypotension:
Hypotension, or low blood pressure, is when the pressure of blood circulating in the body is lower than normal or expected. It's only a problem if it negatively impacts the body and causes symptoms. Normal blood pressure is usually between 90/60 mmHg and 120/80 mmHg, but pressures below 90/60 are generally considered hypotensive.
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...nirahealhty
The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
We are one of the top Massage Spa Ajman Our highly skilled, experienced, and certified massage therapists from different corners of the world are committed to serving you with a soothing and relaxing experience. Luxuriate yourself at our spas in Sharjah and Ajman, which are indeed enriched with an ambiance of relaxation and tranquility. We could confidently claim that we are one of the most affordable Spa Ajman and Sharjah as well, where you can book the massage session of your choice for just 99 AED at any time as we are open 24 hours a day, 7 days a week.
Visit : https://massagespaajman.com/
Call : 052 987 1315
Letter to MREC - application to conduct studyAzreen Aj
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
2024 HIPAA Compliance Training Guide to the Compliance OfficersConference Panel
Join us for a comprehensive 90-minute lesson designed specifically for Compliance Officers and Practice/Business Managers. This 2024 HIPAA Training session will guide you through the critical steps needed to ensure your practice is fully prepared for upcoming audits. Key updates and significant changes under the Omnibus Rule will be covered, along with the latest applicable updates for 2024.
Key Areas Covered:
Texting and Email Communication: Understand the compliance requirements for electronic communication.
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GORE® VIABIL® Short Wire Biliary Endoprosthesis - Product Brochure
1. S H O R T W I R E
B I L I A R Y E N D O P R O S T H E S I S
Maximize Control.
Minimize Migration.
New
SHORT
WIRE
Delivery System
2. Improved treatment of biliary strictures
The self-expanding, fully-covered metal stent is intended for palliation of malignant strictures in the
biliary tree. The GORE®
VIABIL®
Short Wire Biliary Endoprosthesis is the only fully covered metal stent
with anti-migration technology proven to minimize the risk of reintervention. Additionally, it offers
substantiated evidence in studies that demonstrate sustained long-term patency.
The precision you expect.
Non-foreshortening*
stent design and short wire delivery system provide optimal deployment positioning.
The outcomes you demand.
Designed to reduce the risk of migration and premature obstruction, while sustaining long-term patency.
The assurance you can count on.
With a 0.2% average reported migration rate1
, GORE®
VIABIL®
Short Wire Biliary Endoprosthesis is backed
by a device replacement program if a migration occurs.2
We’re so confident, we now offer an
ANTI-MIGRATION ASSURANCE PROGRAM
Replacement if a device migrates within one full year post implantation**
*If deployed as instructed, the endoprosthesis will not appreciably foreshorten.
**See back for the details of the assurance program.
3. Demonstrated low migrations
Fully covered anchoring fins
Securely holds the device within the duct to minimize
the risk of migration, with a reported 0–1.4%
migration rate range outperforming BOSTON
SCIENTIFIC WALLFLEX Biliary RX Fully Covered Stent
migration rates ranging up to 0–13%.1
Optimal Conformability
Nitinol Wire based stent design
Optimal balance of Radial and Axial force provides
the right fit and flexibility to help prevent migration
and sludge formation.3,4
Prevents tissue ingrowth and
promotes conformability
Durable, non-porous FEP/ePTFE liner
Prevents tissue ingrowth and promotes conformability.
Proven highest patency helps provide a high standard
of palliative care for your patients.5,6
1
1
3
2 BOSTON SCIENTIFIC WALLFLEX
Biliary RX Fully Covered Stent
GORE®
VIABIL®
Short Wire
Biliary Endoprosthesis
Precise delivery
New short wire delivery system
Combined short wire delivery system and stent
flexibility provides accurate delivery with optimal
positioning and deployment.
Non-foreshortening design
for precision you can count on.
During delivery:
• Unlike other stents, eliminates repositioning
associated with typical push/pull delivery
• Will not appreciably change in length
2
3
4. Anti-migration design
Unique anti-migration design features atraumatic anchoring fins to help minimize the risk of migration
and mitigate clinical challenges.
MIGRATION RATE COMPARISON1
Based on 23 papers published from 2002 to 2015.
Unique combination for the treatment of biliary obstruction
0.0% Bezzi M et al.
0.0% Fanelli F et al.
0.0% Hatzidakis A et al.
0.0% Krokidis M et al.
0.0% Irurzun J et al.
0.0% Krokidis M et al.
0.0% Marzio A et al.
0.0% Scheer F et al.
0.0% Schoder M et al.
0.0% Van Steenbergen W
0.0% Zurstrassen CE et al.
1.4% Bakhru M et al.
0–1.4%
(0.2%weightedaverage)
Siddiqui et al. 5.0%
Lee et al. 7.0%
Chedid et al. 8.8%
Ryozawa et al. 13.0%
Kahaleh et al. 1.5%
Nakai et al. 0.0%
Kitano et al. 0.0%
Korenblit et al. 3.9%
Sampaziotis et al. 4.7%
Petersen et al. 1.7%
Ogawa et al. 2.8%
BOSTON SCIENTIFIC WALLFLEX
Biliary RX Fully Covered Stent
0–13%
(4.6%weightedaverage)
GORE®
VIABIL®
Biliary Endoprosthesis
Average reported
migration rate is ≈ 0.2%.1
We’re so confident, we now offer an
ANTI-MIGRATION
ASSURANCE PROGRAM
Replacement if a device migrates
within one full year post implantation
5. Compared to the BOSTON SCIENTIFIC
WALLFLEX Biliary RX Fully Covered
Stent, the GORE®
VIABIL®
Biliary
Endoprosthesis has low Af and
moderate Rf, the preferred
combination for reducing migration
and achieving higher patency.4
TRAIGHTENING AXIAL FORCE
Higher primary patency
Clinical performance demonstrates GORE®
VIABIL®
Biliary Endoprosthesis maintains higher primary patency
than the leading competitor at 3, 6, and 12-months.5,6
Improved long-term patency can mean an improved
quality of life for patients.
Preferred combination
Preferred balance of Axial and Radial forces*
conform to duct anatomy
According to studies by Isayama et al., 2012, stent migration and sludge formation is related to the device
conformability in the bile duct, which is influenced by the device’s axial force (Af).3
A balance of low
axial force and moderate radial force (Rf) is preferred for optimal performance.4
GORE®
VIABIL®
Biliary Endoprosthesis is the preferred combination of low Af
and moderate Rf to minimize risk of migration, conforming naturally to the
bile duct anatomy.4
SEMS with high Af do not conform well in the curved bile duct, increasing the
risk of stent migration. Additionally, the duct tends to kink at the proximal edge
of the stent, causing sludge formation or cholangitis.3
STRAIGHTENING AXIAL FORCE
High axial force
Low axial force
RadialForce(N)
14
12
10
8
6
4
2
0
Axial Force (mN)
0 20 40 60 80 100 120
GORE®
VIABIL®
Biliary Device (ø10mn)
GORE®
VIABIL®
Biliary Device (ø8mn)
BOSTON SCIENTIFIC WALLFLEX Biliary RX Stent (ø10mn)
BOSTON SCIENTIFIC WALLFLEX Biliary RX Stent (ø8mn)
100%
90%
80%
70%
60%
50%
12 months6 months3 months
100%
98.3%
96.2%
84.3% 76.5%
63.5%BOSTON SCIENTIFIC WALLFLEX
Biliary RX Fully Covered Stent
GORE®
VIABIL®
Biliary
Endoprosthesis
* Axial force is the recovery force that leads to straightening after being bent, while
Radial force maintains and expands the luminal patency at the stricture once deployed.
6. Economic impact of migration
Assume your hospital does 100 endoscopic retrograde cholangiopancreatography (ERCP) with stent
placements per year, with the average patient survival for malignant strictures being six months.
GORE®
VIABIL®
Short Wire
Biliary Endoprosthesis
BOSTON SCIENTIFIC WALLFLEX
Biliary RX Fully Covered Stent
Migration Rate (average)1
0.2% 4.6%
Estimated number of reinterventions
to manage migrations (per year)
1 5
Estimated patency at six months5,6
96.2% 84.3%
Estimated number of reinterventions
to manage loss of patency (per year)
4 16
Total number of reinterventions expected per year 5 21
Estimated additional cost per year due to
reinterventions (includes ERCP + Stent cost)*
$32,205 $151,221
*Average cost of inpatient ERCP is $4649. Source: National Healthcare payer database, 2015
Gore has used reasonable efforts to ensure the completeness and accuracy of the information contained herein as of the date this document was prepared. Gore is not
liable for any claims or actions attributable to the use of this, nor for any errors or omissions involved in the use of the information, or the results. Payment policies are
variable depending on the payer, geographic location and provider specific contracts. The models provided here are for illustrative purposes only and are not intended
to be indicative of payment from any payer.
Potential economic impact
If GORE®
VIABIL®
Short Wire Biliary
Endoprosthesis was used to treat
100 patients with unresectable
malignant biliary strictures, your
institution is estimated to annually:
ELIMINATE 16 REINTERVENTIONS
due to migrations and reduced patency, and
SAVE $116,716
versus using BOSTON SCIENTIFIC
WALLFLEX Biliary RX Fully Covered Stent.
7. Sizing and specifications
Endoscopic
GORE®
VIABIL®
Short Wire Biliary
Endoprosthesis
Catalogue Number
GORE®
VIABIL®
Biliary
Endoprosthesis
Catalogue Number
Endoprosthesis
Diameter (mm) ×
Length (cm)
Working Length
of Delivery
Catheter (cm)
Drainage Holes
Located At the
Hilar Region
Transmural
Drainage Holes
Length (cm)
VSWVN0804 VN0804200 8 x 4 200 No holes —
VSWVN0806 VN0806200 8 x 6 200 No holes —
VSWVN0808 VN0808200 8 x 8 200 No holes —
VSWVN0810 VN0810200 8 x 10 200 No holes —
VSWVN1004 VN1004200 10 x 4 200 No holes —
VSWVN1006 VN1006200 10 x 6 200 No holes —
VSWVN1008 VN1008200 10 x 8 200 No holes —
VSWVN1010 VN1010200 10 x 10 200 No holes —
VSWVH0806 VH0806200 8 x 6 200 Holes 2
VSWVH0808 VH0808200 8 x 8 200 Holes 2
VSWVH0810 VH0810200 8 x 10 200 Holes 2
VSWVH1006 VH1006200 10 x 6 200 Holes 2
VSWVH1008 VH1008200 10 x 8 200 Holes 2
VSWVH1010 VH1010200 10 x 10 200 Holes 2
Sizing, availability, and pricing varies by country.
Please check with your representative for availability.