Implant placement in the anterior region is always a challenge.This presentation demonstrates the use of stereolithographic model derived from the CBCT scan to get a more predictable outcome
Changes of the peri implant soft tissue thickness after grafting with collage...Ashok Kumar
The document summarizes a clinical study that evaluated the use of a collagen matrix (CM) to increase soft tissue thickness around dental implants. In the study, 27 patients received either a CM graft (test group) or no augmentation (control group) during implant placement. Measurements before and 6 months after found that the soft tissue thickness increased significantly in the test group by 1.1 mm and 0.9 mm, but did not change in the control group. Histological analysis showed the CM had degraded and been replaced by new host soft tissue rich in collagen and blood vessels. The study concluded that CM is an effective alternative to connective tissue grafts for augmenting peri-implant soft tissue thickness.
Guided tissue regeneration (GTR) uses barrier membranes to exclude epithelial and gingival connective tissue from accessing root surfaces in order to promote regeneration of periodontal tissues. The key concepts of GTR include Melcher's concept that the cell type which repopulates the root surface determines attachment outcomes. Non-resorbable and resorbable membranes have been developed for use as barriers in GTR procedures. Factors like patient characteristics, defect morphology, surgical technique, and membrane properties influence clinical outcomes of GTR for treating conditions like intrabony defects.
Guided tissue regeneration (GTR) uses membranes to separate gingival tissues from bone and periodontal ligament during healing. This allows periodontal ligament cells, which aid regeneration, to repopulate the area without interference from epithelial cells. GTR has been shown to reduce pocket depths and improve attachment levels in controlled studies. Both resorbable and non-resorbable membranes have been developed and are placed surgically with flap closure to regenerate lost periodontal tissues.
The document discusses guided tissue regeneration (GTR) in treating endodontic-periodontal lesions. It describes how GTR involves placing a barrier membrane to prevent non-bone cells from migrating first to the root surface, facilitating new bone formation. For combined lesions, both endodontic therapy and periodontal regenerative procedures are needed. A case example is provided where a patient with a deep probing defect and tooth mobility underwent root canal treatment, scaling and root planing, and later GTR using an autogenous bone graft and membrane.
This document discusses guided bone regeneration (GBR), a surgical procedure that uses a membrane barrier to exclude soft tissues and promote bone growth in a defect site. It provides background on GBR and guided tissue regeneration, reviews pioneering animal and human studies demonstrating the efficacy of GBR using membranes like e-PTFE, and discusses principles, indications, clinical procedures, and membrane types used in GBR. Key GBR principles include cell exclusion, tenting, scaffolding, stabilization, and framework to support new bone formation.
Guided tissue regeneration is a technique that uses barrier membranes to selectively prevent epithelial and gingival connective tissue cells from migrating into periodontal defects and allows repopulation of the defect with periodontal ligament cells, bone, and cementum. The history of GTR began in the 1980s with experiments using various membranes in animal models that demonstrated regeneration of periodontal structures. The objectives of an ideal GTR membrane are that it is biocompatible, maintains a space between the root and gum tissue, and degrades after initial healing. The surgical procedure involves raising a flap, debriding the defect, placing and suturing the membrane, and closing the flap to cover it.
Dentistry News provided by Wiley-Blackwell
A great new opportunity to reach key opinion leaders reading our journals in Periodontology, Implant Dentistry, Oral Healthcare or Endodontics in Europe, the USA and Worldwide.
The Dentistry News is a new publication offering the dental industry the opportunity to transport workshop presentations,
new scientific findings, press releases etc. quick and easy to selected target groups of specialists subscribing to Wiley-Blackwell
journals.
The publication is a loose insert of 4-8 pages distributed with selected journals.
For more information please contact:
Wiley-Blackwell
Martin Steiniche Nielsen
Direct Phone: +45 77 33 33 89
E-mail: mnielsen@wiley.com
Changes of the peri implant soft tissue thickness after grafting with collage...Ashok Kumar
The document summarizes a clinical study that evaluated the use of a collagen matrix (CM) to increase soft tissue thickness around dental implants. In the study, 27 patients received either a CM graft (test group) or no augmentation (control group) during implant placement. Measurements before and 6 months after found that the soft tissue thickness increased significantly in the test group by 1.1 mm and 0.9 mm, but did not change in the control group. Histological analysis showed the CM had degraded and been replaced by new host soft tissue rich in collagen and blood vessels. The study concluded that CM is an effective alternative to connective tissue grafts for augmenting peri-implant soft tissue thickness.
Guided tissue regeneration (GTR) uses barrier membranes to exclude epithelial and gingival connective tissue from accessing root surfaces in order to promote regeneration of periodontal tissues. The key concepts of GTR include Melcher's concept that the cell type which repopulates the root surface determines attachment outcomes. Non-resorbable and resorbable membranes have been developed for use as barriers in GTR procedures. Factors like patient characteristics, defect morphology, surgical technique, and membrane properties influence clinical outcomes of GTR for treating conditions like intrabony defects.
Guided tissue regeneration (GTR) uses membranes to separate gingival tissues from bone and periodontal ligament during healing. This allows periodontal ligament cells, which aid regeneration, to repopulate the area without interference from epithelial cells. GTR has been shown to reduce pocket depths and improve attachment levels in controlled studies. Both resorbable and non-resorbable membranes have been developed and are placed surgically with flap closure to regenerate lost periodontal tissues.
The document discusses guided tissue regeneration (GTR) in treating endodontic-periodontal lesions. It describes how GTR involves placing a barrier membrane to prevent non-bone cells from migrating first to the root surface, facilitating new bone formation. For combined lesions, both endodontic therapy and periodontal regenerative procedures are needed. A case example is provided where a patient with a deep probing defect and tooth mobility underwent root canal treatment, scaling and root planing, and later GTR using an autogenous bone graft and membrane.
This document discusses guided bone regeneration (GBR), a surgical procedure that uses a membrane barrier to exclude soft tissues and promote bone growth in a defect site. It provides background on GBR and guided tissue regeneration, reviews pioneering animal and human studies demonstrating the efficacy of GBR using membranes like e-PTFE, and discusses principles, indications, clinical procedures, and membrane types used in GBR. Key GBR principles include cell exclusion, tenting, scaffolding, stabilization, and framework to support new bone formation.
Guided tissue regeneration is a technique that uses barrier membranes to selectively prevent epithelial and gingival connective tissue cells from migrating into periodontal defects and allows repopulation of the defect with periodontal ligament cells, bone, and cementum. The history of GTR began in the 1980s with experiments using various membranes in animal models that demonstrated regeneration of periodontal structures. The objectives of an ideal GTR membrane are that it is biocompatible, maintains a space between the root and gum tissue, and degrades after initial healing. The surgical procedure involves raising a flap, debriding the defect, placing and suturing the membrane, and closing the flap to cover it.
Dentistry News provided by Wiley-Blackwell
A great new opportunity to reach key opinion leaders reading our journals in Periodontology, Implant Dentistry, Oral Healthcare or Endodontics in Europe, the USA and Worldwide.
The Dentistry News is a new publication offering the dental industry the opportunity to transport workshop presentations,
new scientific findings, press releases etc. quick and easy to selected target groups of specialists subscribing to Wiley-Blackwell
journals.
The publication is a loose insert of 4-8 pages distributed with selected journals.
For more information please contact:
Wiley-Blackwell
Martin Steiniche Nielsen
Direct Phone: +45 77 33 33 89
E-mail: mnielsen@wiley.com
Guided tissue regeneration (GTR) is a technique used in periodontal therapy to regenerate lost periodontal tissues by placing a barrier membrane over periodontal defects. The membrane prevents epithelial and gingival connective tissue cells from repopulating the root surface, allowing periodontal ligament cells to repopulate and regenerate cementum, bone, and periodontal ligament. Classic studies in the 1980s proved that only periodontal ligament cells have the potential for regeneration of periodontal structures. Clinical application of GTR involves placing a physical barrier membrane during periodontal flap surgery to isolate the root surface and allow repopulation with periodontal ligament cells. Membranes can be resorbable or non-resorbable
“Program on Ridge Split and Ridge Augmentation for Implant Placement”- Two lectures on “Concepts of Ridge Augmentation” and “Novel and Simpler Approaches to Ridge Augmentation”. Event organized by the Dental Experts and held at Paneenya Mahavidyalaya Institute of Dental Sciences, Hyderabad, India on 18/11/2016.
The document discusses periodontal membranes used in guided bone regeneration. It describes the properties and use of non-resorbable membranes like Gore-Tex, which is still considered the gold standard. Guidelines for placement include patient selection, defect selection, and surgical procedure. Resorbable membranes can also be used when space maintenance is not needed and primary closure can be achieved. Complications and case examples using membranes are presented.
This document provides an overview of guided tissue regeneration (GTR). It begins with definitions of periodontal regeneration and GTR. It then discusses the history and development of GTR from the 1970s onwards. The core concept of GTR is explained, which is based on Melcher's hypothesis that only periodontal ligament cells can regenerate the periodontal attachment apparatus. Indications, contraindications, design criteria and objectives of GTR barriers are covered. The document classifies and compares advantages and disadvantages of absorbable versus non-absorbable membranes. Key factors affecting GTR outcomes are discussed. Surgical techniques and the healing of GTR-treated defects are described. The document concludes with additional considerations like complications and the
IMPORTANT ANATOMICAL CONSIDERATIONS IN PERIODONTAL SURGERY AND IMPLANTSShrutiPatil123
The document discusses important anatomical considerations for periodontal surgery and implants. It describes the anatomy of the mandible including the mandibular canal, mental foramen, and age-related changes. It also describes the anatomy of the maxilla including the maxillary sinus, greater palatine foramen, and incisive papillae. Potential complications from damage to anatomical structures like the inferior alveolar nerve, mental nerve, and maxillary sinus are discussed. Understanding regional anatomy is important for effective surgical planning and treatment.
This document provides an overview of regenerative periodontal surgery techniques. It discusses the historical concepts of periodontal regeneration including bone grafts, guided tissue regeneration (GTR), and the emerging field of tissue engineering. Key cellular mediators and signaling molecules that can promote periodontal regeneration are described, including platelet-derived growth factor, bone morphogenetic proteins, insulin-like growth factor, and enamel matrix derivative. The document also reviews the different cell types involved in periodontal regeneration, including dental pulp stem cells, periodontal ligament stem cells, dental follicle progenitor cells, and dental epithelial stem cells. The criteria for achieving true periodontal regeneration and methods to guide cell differentiation and maturation are also summarized.
Bone cure guided bone regeneration membraneLilach Yona
The document describes an innovative AMCA BoneCure membrane for bone regeneration and fracture healing. Key points:
- The AMCA membrane is biocompatible, sterile, and manufactured under GMP. It is micro porous and flexible.
- Preclinical studies in rabbits and sheep showed the membrane provides an optimal environment for rapid fracture healing by acting as a barrier, osteoconductive scaffold, and carrier for drugs/stem cells. Membrane treated fractures healed fully while untreated gaps did not.
- Case studies in dogs and cats demonstrated accelerated healing times of 3-6 weeks for fractures treated with the membrane compared to expected healing times of 3-12 months. Histology confirmed new bone formation in membrane treated
Regenerative techniques for periodontal therapyEnas Elgendy
This document discusses graft materials and procedures for restoring periodontal osseous defects, as well as the principles of guided tissue regeneration (GTR). It describes the potential of autografts, allografts, and xenografts to promote osteogenesis, osteoinduction, and osteoconduction. The challenges of transplanting materials into periodontal defects are outlined. Techniques for GTR involve placing barriers to exclude epithelium and favor regeneration. Membranes can be non-resorbable like ePTFE or resorbable like collagen, polyglycolic acid, or polylactic acid polymers. Proper technique and postoperative care are important for successful regeneration.
Advanced soft tissue & hard tissue grafting Clinical TrainingDr. Rajat Sachdeva
Growth Factors, Tenting screws, Sinuslifts, Endoscopic evaluation of sinuslifts, Block grafts, Particulate grafts, Exomed application, Bone ring, CT/FGG grafts harvest/application, Peri-implantitis management, Suturing. Armamentarium, Choice of Biomaterial.
Course Insight :-
Ø Harvesting of autogenous bone from different intraoral sites
Ø Selection of the appropriate graft substitute
Ø Performing minimal invasive grafting procedures
Ø Successfully performing all the intraoral bone grafting procedures in implant practice such as
a) Using Particulate bone substitutes to graft the periimplant bone defects
b) Socket grafting
best dental care, best dental clinic in ashok vihar, best orthodontic treatment in delhi, braces treatment in ashok vihar, bright smile, dental clinic in new delhi, dentist in ashok vihar, dr.rajat sachdeva, india, modi dental clinic, one hour teeth whitening treatment delhi, oral health care, orthodontic treatment in delhi, sachdeva dental clinic, smile designing, smile makeover, teeth whitening delhi, tooth whitening delhi
This document discusses reconstructive osseous surgeries and periodontal regeneration. It begins with definitions of key terms like repair, reattachment, new attachment, and regeneration. It then covers the history of periodontal regeneration research, including experiments demonstrating the regenerative potential of different progenitor cell sources. The document outlines the biology of wound healing and variables that influence periodontal regeneration. It also discusses methods of evaluating new attachment and periodontal reconstruction outcomes, including clinical, radiographic, surgical re-entry, and histological methods. Finally, it covers regenerative techniques like removal of junctional epithelium and root bio-modification to facilitate new attachment.
The document compares and contrasts coronally advanced flap (CAF) and laterally positioned flap (LPF) periodontal plastic surgery techniques. CAF involves advancing the gingival margin over exposed root surfaces and has been shown to significantly reduce recession and clinical attachment level gain, though results are dependent on biotype and brushing habits. CAF alone may be associated with greater apical relapse over time compared to techniques using connective tissue grafts. LPF involves rotating a pedicle flap from an adjacent tooth to cover recession and has also demonstrated recession reduction and clinical attachment gain, with more maintenance of results long term compared to CAF alone. Both techniques have advantages for less experienced clinicians but are less effective than connective tissue grafting
This document provides an overview of periodontal wound healing and regeneration following periodontal surgery. It defines regeneration as the reproduction of lost or injured periodontal tissues, including cementum, periodontal ligament, and alveolar bone. Successful regeneration is assessed through probing, radiographs, direct measurements, and histology. The document discusses factors that influence regeneration outcomes, such as the surgical technique and local wound environment. Regenerative therapies aim to fully restore the lost periodontal structure and function.
This document discusses periodontal regeneration techniques. It defines regeneration as the renewal of tissues through growth and differentiation of new cells. Repair restores continuity but does not result in new attachment. New attachment embeds new periodontal ligament fibers into cementum. Autografts use bone from the patient while allografts use bone from others. Various graft materials, membranes, and biological modifiers are discussed that can enhance periodontal regeneration results. Maintaining good oral hygiene is important for sustaining positive outcomes.
This document discusses dental implants and the importance of soft tissue and bone health for implant success. It covers topics like osseointegration between implants and bone, gingival shrinkage during healing, the peri-implant soft tissue seal, the need for keratinized gingiva, and maintaining the biological width of peri-implant soft tissues. Patient factors like age, smoking, and diseases as well as local bone quality can influence implant success. Proper implant placement and surgical technique are important to support the overlying soft tissues long-term.
Types of bone and membrane used in guided tissue regeneration UGDS2014
This document discusses types of membranes and bone used in guided tissue regeneration. It describes how guided tissue regeneration uses membranes or barriers to separate gingival tissue from the periodontal ligament and bone, allowing repopulation of the area by periodontal ligament cells. The document outlines different generations of membranes, including non-resorbable, resorbable, and resorbable membranes containing growth factors. It also discusses various types of bone grafts used in guided tissue regeneration, including their mechanisms of bone growth promotion.
This document summarizes a study on using bone grafts and immediate implant placement in areas of high aesthetic value. It describes using block bone grafts taken from the mandible to augment alveolar ridge deficiencies in the maxilla before placing implants. The goals were to assess success rates of implants placed in grafted bone and determine if this technique is suitable for aesthetic areas. The protocol involved using SPI implants and placing immediate provisional restorations on the implants after graft integration to condition the soft tissues during healing. The study aims to evaluate if this technique can provide rigid fixation and osseointegration of implants in grafted bone for functional loading.
The document discusses several case studies of patients who underwent guided surgery using computer planning to place dental implants. For each patient, it describes their initial treatment, including implant placement and any provisional or final prostheses. It then shows outcomes ranging from 2 to 4 years after surgery, demonstrating the successful restoration of function and aesthetics through guided implant placement and computer-planned dental rehabilitation.
Simple Guide System, What makes it best? -by Dr. Amr-Jay True
1. The document discusses the concept of prosthetically driven implant placement where implants are placed based on achieving the best prosthetic outcome rather than just bone anatomy.
2. It describes the benefits of computer-based surgical guides for implant placement including safety, accuracy, and simplifying surgery while expanding dental practices.
3. Some obstacles to using computer-based guides discussed are cost, complexity of conventional guide systems, and long waiting times for guide fabrication. The document proposes a new simplified universal surgical guide kit and training program to help address some of these challenges.
The Guide Right Surgical Guide System is a system of components for the fabrication and correction of diagnostic and surgical dental implant guides in 1 or 2 dimensions.
Guided tissue regeneration (GTR) is a technique used in periodontal therapy to regenerate lost periodontal tissues by placing a barrier membrane over periodontal defects. The membrane prevents epithelial and gingival connective tissue cells from repopulating the root surface, allowing periodontal ligament cells to repopulate and regenerate cementum, bone, and periodontal ligament. Classic studies in the 1980s proved that only periodontal ligament cells have the potential for regeneration of periodontal structures. Clinical application of GTR involves placing a physical barrier membrane during periodontal flap surgery to isolate the root surface and allow repopulation with periodontal ligament cells. Membranes can be resorbable or non-resorbable
“Program on Ridge Split and Ridge Augmentation for Implant Placement”- Two lectures on “Concepts of Ridge Augmentation” and “Novel and Simpler Approaches to Ridge Augmentation”. Event organized by the Dental Experts and held at Paneenya Mahavidyalaya Institute of Dental Sciences, Hyderabad, India on 18/11/2016.
The document discusses periodontal membranes used in guided bone regeneration. It describes the properties and use of non-resorbable membranes like Gore-Tex, which is still considered the gold standard. Guidelines for placement include patient selection, defect selection, and surgical procedure. Resorbable membranes can also be used when space maintenance is not needed and primary closure can be achieved. Complications and case examples using membranes are presented.
This document provides an overview of guided tissue regeneration (GTR). It begins with definitions of periodontal regeneration and GTR. It then discusses the history and development of GTR from the 1970s onwards. The core concept of GTR is explained, which is based on Melcher's hypothesis that only periodontal ligament cells can regenerate the periodontal attachment apparatus. Indications, contraindications, design criteria and objectives of GTR barriers are covered. The document classifies and compares advantages and disadvantages of absorbable versus non-absorbable membranes. Key factors affecting GTR outcomes are discussed. Surgical techniques and the healing of GTR-treated defects are described. The document concludes with additional considerations like complications and the
IMPORTANT ANATOMICAL CONSIDERATIONS IN PERIODONTAL SURGERY AND IMPLANTSShrutiPatil123
The document discusses important anatomical considerations for periodontal surgery and implants. It describes the anatomy of the mandible including the mandibular canal, mental foramen, and age-related changes. It also describes the anatomy of the maxilla including the maxillary sinus, greater palatine foramen, and incisive papillae. Potential complications from damage to anatomical structures like the inferior alveolar nerve, mental nerve, and maxillary sinus are discussed. Understanding regional anatomy is important for effective surgical planning and treatment.
This document provides an overview of regenerative periodontal surgery techniques. It discusses the historical concepts of periodontal regeneration including bone grafts, guided tissue regeneration (GTR), and the emerging field of tissue engineering. Key cellular mediators and signaling molecules that can promote periodontal regeneration are described, including platelet-derived growth factor, bone morphogenetic proteins, insulin-like growth factor, and enamel matrix derivative. The document also reviews the different cell types involved in periodontal regeneration, including dental pulp stem cells, periodontal ligament stem cells, dental follicle progenitor cells, and dental epithelial stem cells. The criteria for achieving true periodontal regeneration and methods to guide cell differentiation and maturation are also summarized.
Bone cure guided bone regeneration membraneLilach Yona
The document describes an innovative AMCA BoneCure membrane for bone regeneration and fracture healing. Key points:
- The AMCA membrane is biocompatible, sterile, and manufactured under GMP. It is micro porous and flexible.
- Preclinical studies in rabbits and sheep showed the membrane provides an optimal environment for rapid fracture healing by acting as a barrier, osteoconductive scaffold, and carrier for drugs/stem cells. Membrane treated fractures healed fully while untreated gaps did not.
- Case studies in dogs and cats demonstrated accelerated healing times of 3-6 weeks for fractures treated with the membrane compared to expected healing times of 3-12 months. Histology confirmed new bone formation in membrane treated
Regenerative techniques for periodontal therapyEnas Elgendy
This document discusses graft materials and procedures for restoring periodontal osseous defects, as well as the principles of guided tissue regeneration (GTR). It describes the potential of autografts, allografts, and xenografts to promote osteogenesis, osteoinduction, and osteoconduction. The challenges of transplanting materials into periodontal defects are outlined. Techniques for GTR involve placing barriers to exclude epithelium and favor regeneration. Membranes can be non-resorbable like ePTFE or resorbable like collagen, polyglycolic acid, or polylactic acid polymers. Proper technique and postoperative care are important for successful regeneration.
Advanced soft tissue & hard tissue grafting Clinical TrainingDr. Rajat Sachdeva
Growth Factors, Tenting screws, Sinuslifts, Endoscopic evaluation of sinuslifts, Block grafts, Particulate grafts, Exomed application, Bone ring, CT/FGG grafts harvest/application, Peri-implantitis management, Suturing. Armamentarium, Choice of Biomaterial.
Course Insight :-
Ø Harvesting of autogenous bone from different intraoral sites
Ø Selection of the appropriate graft substitute
Ø Performing minimal invasive grafting procedures
Ø Successfully performing all the intraoral bone grafting procedures in implant practice such as
a) Using Particulate bone substitutes to graft the periimplant bone defects
b) Socket grafting
best dental care, best dental clinic in ashok vihar, best orthodontic treatment in delhi, braces treatment in ashok vihar, bright smile, dental clinic in new delhi, dentist in ashok vihar, dr.rajat sachdeva, india, modi dental clinic, one hour teeth whitening treatment delhi, oral health care, orthodontic treatment in delhi, sachdeva dental clinic, smile designing, smile makeover, teeth whitening delhi, tooth whitening delhi
This document discusses reconstructive osseous surgeries and periodontal regeneration. It begins with definitions of key terms like repair, reattachment, new attachment, and regeneration. It then covers the history of periodontal regeneration research, including experiments demonstrating the regenerative potential of different progenitor cell sources. The document outlines the biology of wound healing and variables that influence periodontal regeneration. It also discusses methods of evaluating new attachment and periodontal reconstruction outcomes, including clinical, radiographic, surgical re-entry, and histological methods. Finally, it covers regenerative techniques like removal of junctional epithelium and root bio-modification to facilitate new attachment.
The document compares and contrasts coronally advanced flap (CAF) and laterally positioned flap (LPF) periodontal plastic surgery techniques. CAF involves advancing the gingival margin over exposed root surfaces and has been shown to significantly reduce recession and clinical attachment level gain, though results are dependent on biotype and brushing habits. CAF alone may be associated with greater apical relapse over time compared to techniques using connective tissue grafts. LPF involves rotating a pedicle flap from an adjacent tooth to cover recession and has also demonstrated recession reduction and clinical attachment gain, with more maintenance of results long term compared to CAF alone. Both techniques have advantages for less experienced clinicians but are less effective than connective tissue grafting
This document provides an overview of periodontal wound healing and regeneration following periodontal surgery. It defines regeneration as the reproduction of lost or injured periodontal tissues, including cementum, periodontal ligament, and alveolar bone. Successful regeneration is assessed through probing, radiographs, direct measurements, and histology. The document discusses factors that influence regeneration outcomes, such as the surgical technique and local wound environment. Regenerative therapies aim to fully restore the lost periodontal structure and function.
This document discusses periodontal regeneration techniques. It defines regeneration as the renewal of tissues through growth and differentiation of new cells. Repair restores continuity but does not result in new attachment. New attachment embeds new periodontal ligament fibers into cementum. Autografts use bone from the patient while allografts use bone from others. Various graft materials, membranes, and biological modifiers are discussed that can enhance periodontal regeneration results. Maintaining good oral hygiene is important for sustaining positive outcomes.
This document discusses dental implants and the importance of soft tissue and bone health for implant success. It covers topics like osseointegration between implants and bone, gingival shrinkage during healing, the peri-implant soft tissue seal, the need for keratinized gingiva, and maintaining the biological width of peri-implant soft tissues. Patient factors like age, smoking, and diseases as well as local bone quality can influence implant success. Proper implant placement and surgical technique are important to support the overlying soft tissues long-term.
Types of bone and membrane used in guided tissue regeneration UGDS2014
This document discusses types of membranes and bone used in guided tissue regeneration. It describes how guided tissue regeneration uses membranes or barriers to separate gingival tissue from the periodontal ligament and bone, allowing repopulation of the area by periodontal ligament cells. The document outlines different generations of membranes, including non-resorbable, resorbable, and resorbable membranes containing growth factors. It also discusses various types of bone grafts used in guided tissue regeneration, including their mechanisms of bone growth promotion.
This document summarizes a study on using bone grafts and immediate implant placement in areas of high aesthetic value. It describes using block bone grafts taken from the mandible to augment alveolar ridge deficiencies in the maxilla before placing implants. The goals were to assess success rates of implants placed in grafted bone and determine if this technique is suitable for aesthetic areas. The protocol involved using SPI implants and placing immediate provisional restorations on the implants after graft integration to condition the soft tissues during healing. The study aims to evaluate if this technique can provide rigid fixation and osseointegration of implants in grafted bone for functional loading.
The document discusses several case studies of patients who underwent guided surgery using computer planning to place dental implants. For each patient, it describes their initial treatment, including implant placement and any provisional or final prostheses. It then shows outcomes ranging from 2 to 4 years after surgery, demonstrating the successful restoration of function and aesthetics through guided implant placement and computer-planned dental rehabilitation.
Simple Guide System, What makes it best? -by Dr. Amr-Jay True
1. The document discusses the concept of prosthetically driven implant placement where implants are placed based on achieving the best prosthetic outcome rather than just bone anatomy.
2. It describes the benefits of computer-based surgical guides for implant placement including safety, accuracy, and simplifying surgery while expanding dental practices.
3. Some obstacles to using computer-based guides discussed are cost, complexity of conventional guide systems, and long waiting times for guide fabrication. The document proposes a new simplified universal surgical guide kit and training program to help address some of these challenges.
The Guide Right Surgical Guide System is a system of components for the fabrication and correction of diagnostic and surgical dental implant guides in 1 or 2 dimensions.
A 29-year old female patient was missing her upper right canine tooth and sought implant treatment for aesthetic reasons. She had previously extracted an impacted canine in that area. The treatment plan involved using bone spreading and splitting techniques to widen the bone to 2.5mm, then placing a 3.75x13mm implant. A ceramic crown was cemented onto the implant to replace the missing tooth.
1) The document discusses the concept of "platform switching" in implant dentistry, which refers to using a smaller diameter abutment on a larger diameter implant platform.
2) Platform switching shifts the implant-abutment junction inward and away from the bone, helping to preserve marginal bone levels and improve aesthetics.
3) While platform switching has been shown to reduce marginal bone loss compared to non-platform switching implants, further studies are still needed to fully demonstrate its benefits in preserving crestal bone.
Replacement of missing lower front teeth with basal implant a case reportdentalimplantsindia
A male patient was missing 4 lower front teeth and visited a dental clinic for treatment. The dentists implanted 3 dental implants to support a new fixed prosthesis, replacing the missing teeth. After implantation, the patient's missing lower front teeth were successfully restored with an implant-supported prosthesis.
4 case corrections in 2 planes+ demo of triad gel applicationDePlaque
This document describes the fabrication of diagnostic and surgical guides for dental implant placement in two patients. Guides were made using 3mm and 4mm guide posts, ceramic and magnetic guide sleeves, and Triad gel. For each patient, a diagnostic guide was made and evaluated using CBCT imaging software to determine needed angular corrections. Surgical guides were then made incorporating the corrections by bending the guide posts using a bending tool. The guides will help precisely place the implants.
5 single implant case osteotomy prgression in open guide sleevesDePlaque
This document describes the fabrication of diagnostic and surgical guides for a single implant case using the Guide Right system. It involves using CBCT scans and software to plan a 20 degree lingual and 6 degree mesial bend in the guide post to accurately align the implant. Trials are done with drills up to the final implant size. The case highlights the Guide Right bending tool and offset guide posts for linear and angular corrections to achieve precision placement.
2 basic fabrication maxillary single implantDePlaque
The Guide Right Surgical Guide System is a system of components for the fabrication and correction of diagnostic and surgical dental implant guides in 1 or 2 dimensions.
Mandibular overdenture with friadent ball and socket attachmentDr.K.Varsha Rao
This document discusses using Friadent Ball and Socket attachments with Xive implants to fix overdentures in the mandible. The procedure involves placing ball abutments on implants, then a silicone ring and gold attachment matrix on the balls. A blockout spacer is used during pickup to incorporate the attachments into the denture base. The attachments can then be activated or deactivated using specific tools as needed.
Implant Replacement of a Failed Maxillary Anterior ToothDanielHaghighiDDS
A patient with a failing anterior crown needed a replacement tooth. Due to bone loss from the failing crown and close root proximity, an immediate implant was not possible. The dentist grafted the surgical site and placed a temporary removable appliance to stabilize the gum tissue. After 6 months of healing, a dental implant was placed. Following additional healing time, a temporary crown was fabricated on the implant to shape the gum tissue. Finally, permanent ceramic crowns were made for the implant and a lateral tooth to restore esthetics.
Peripheral Ossifying Fibroma: A Case Reportiosrjce
This case report describes a peripheral ossifying fibroma (POF) in a 50-year-old male patient. The patient presented with a 3x3 cm swelling in the mandibular left posterior region. Radiographs showed well-marginated radiopaque lesions with radiolucent foci suggestive of calcifications. Histopathological examination revealed variable thickness stratified squamous epithelium with fibrovascular connective tissue containing dense collagen fibers, compressed blood vessels, chronic inflammatory cells, and osseous-like structures, confirming the diagnosis of POF. POF is a benign reactive gingival lesion that is commonly mistaken for other lesions clinically. Complete surgical excision is the recommended treatment due to the lesion's recurrence
Chayan Biswas is a mechanical design professional with over 23 years of experience in product design and development. He has expertise in static and dynamic design of machinery, product design according to market needs, and managing the full product lifecycle. Currently he is a Senior Manager of Design at APE Power Pvt Ltd, where he oversees turbine design and system design. Previously he held design and management roles at several engineering companies, where he designed hydraulic equipment, presses, pumps, cranes and more. He has strong skills in CAD, CAE, design calculations, and mechanical standards.
Immediate Anterior Dental Implant Placement:A Case ReportAbu-Hussein Muhamad
This case report describes immediate anterior dental implant placement after tooth extraction. The authors placed dental implants immediately following extraction of anterior teeth in order to preserve the esthetics and functional integrity of the periodontal tissues. Diagnosis and treatment planning are key factors for achieving successful outcomes with immediate implants. Immediate implant placement and restoration in the anterior region can help maintain the periodontal architecture and support esthetic outcomes.
This document describes the full mouth rehabilitation of a patient with dentinogenesis imperfecta. It discusses the diagnosis of type II dentinogenesis imperfecta and rules out other conditions. It then outlines the treatment plan of fixed partial dentures for the maxilla and a glass fiber-reinforced acrylic overdenture for the mandible. It provides step-by-step details and images of the rehabilitation process which involved reinforcement of the denture bases with HDPE fibers and fabrication of metal occlusal surfaces. The result was successful full mouth rehabilitation.
The document summarizes the immediate placement of an implant to replace a missing tooth for a 36-year old female patient. It describes the clinical evaluation, treatment plan of extracting the remaining root and immediately placing an implant. It then details the surgical procedure, placement of bone graft and membrane. After 3 months of healing, the second stage surgery is done to uncover the implant for a gingival former and eventual abutment. An impression is taken and crown fabricated and cemented, with instructions given to the patient for implant maintenance.
The Dilemma of The Missing Anterior Single Tooth - Restorative ParametersCHAULONG NGUYEN
This document discusses treatment options for missing single anterior teeth, including removable partial dentures, fixed partial dentures, and implant-supported crowns. It reviews the scientific evidence regarding survival rates of these options and discusses factors that influence treatment decisions like esthetics, bone support, costs, and risks. Case studies are presented to illustrate treatment considerations for different clinical scenarios involving missing anterior teeth. The document emphasizes using both scientific evidence and clinical experience to determine the optimal treatment plan for each individual case.
Full mouth fixed implant rehabilitation in a patientUE
This case report describes the full mouth rehabilitation of a 37-year old female patient who had lost most of her teeth due to generalized aggressive periodontitis. After extracting all remaining teeth, the patient received 12 dental implants, with 6 placed in each jaw. Fixed detachable prostheses were fabricated connecting all 12 implants. The patient was satisfied with the final result and remained stable at the 10 month follow up, though continuous maintenance care is critical for long term success given the risk of peri-implantitis in patients with periodontal disease.
Dental Implant Case of the month: June, 2014dvimplant
Dental Implant Case of the Month:
This case demonstrates a technique for the fabrication of a definitive, fixed-hybrid implant prosthesis in a fully edentulous mandible
4 months prior to this treatment, 6 implants had been placed in the patients mandible and placed in immediate function with an “conversion” prosthesis based on the patients denture.
1 introduction to guide right compnents single implantDePlaque
Guide Right Surgical Guide System is a system of components for the fabrication and correction of diagnostic and surgical guides in one or two dimensions.
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.
Periodontal plastic surgery procedures aim to correct anatomical deformities of the gingiva through techniques like crown lengthening, ridge augmentation, and coverage of denuded root surfaces. Common procedures include free gingival autografts, connective tissue grafts, and coronally positioned flaps. The goals are to improve esthetics, enhance plaque removal, and allow for better attachment of gingiva.
SOCKET PRESERVATION TECHNIQUE- A Case Presentation.pptxAshokKp4
This case report describes the use of a combined epithelialized-subepithelial connective tissue graft for socket preservation and ridge preservation after tooth extraction. The socket was grafted with a bone graft material. A connective tissue graft from the palate with an epithelialized layer was adapted to the socket dimensions and sutured into place. This provided primary closure of the socket to prevent bone and soft tissue loss. At follow-up after 6 months, the width and height of the ridge were maintained, demonstrating the effectiveness of this socket preservation technique using a combined soft tissue graft.
Guided bone regeneration (GBR) is a surgical procedure that uses a membrane barrier to exclude soft tissue cells and promote bone regeneration in a defect site. GBR involves raising a mucoperiosteal flap, debriding the defect, placing grafting material to support the membrane, and covering it with a non-resorbable or resorbable membrane. Early studies using e-PTFE membranes demonstrated significantly more new bone formation compared to controls without membranes. GBR has been shown to successfully increase bone volume for dental implant placement and long-term stability.
TREATMENT OF PERI-IMPLANT SOFT TISSUE DEHISCENCE AROUND IMPLANTS.pptxPrasanthThalur
This document summarizes a case report of treating peri-implant soft tissue dehiscence around implants placed 20 years ago using bone grafts.
The treatment involved using an apically positioned partial-thickness flap combined with a free gingival graft to increase keratinized mucosa width around implants in the maxilla. For an implant with tension from a frenum in the maxilla, the flap was followed by a delayed graft. This resulted in increased keratinized mucosa and reduced bleeding and inflammation.
The report concludes that for multiple implant soft tissue dehiscence, an apically positioned flap with a free gingival graft can improve keratinized mucosa width and stabilize soft tissue,
Soft tissue considerations for implant placementGanesh Nair
pre and post soft tissue considerations prior and post implant placement including various surgical technique for simple and advanced soft tissue augmentation
Reconstructive periodontal therapy
Some of the slides may appear Blank/White/Black, those are the Videos that I added in the presentation.
Kindly Ignore those slides.
Split ridge and expansion techniques are effective for the correction of moderately resorbed edentulous ridges in selected cases.
Transverse expansion is based on osseous plasticity obtained by corticotomy. It progressively allows for an adequate transversal intercortical diameter large enough to insert one or several dental implants.
The gap created by sagittal osteotomy expansion undergoes spontaneous ossification, following a mechanism similar to that occurring in fractures.
This article compares three-dimensional alterations following the use of autogenous versus allogeneic onlay grafts for augmentation at single tooth sites. Autogenous bone grafts from the chin or ramus were compared to freeze-dried allogeneic bone grafts. Cone beam computed tomography scans were used to evaluate changes in graft and defect volumes at 6 months. Both graft types resulted in significant bone fill, with autogenous grafts showing slightly more volume gain. Allogeneic grafts require less surgery time and morbidity compared to autogenous grafts.
Implant Site Development Using Titanium Mesh in the.pptxPrasanthThalur
The document presents a retrospective study of 58 titanium mesh procedures used for implant site development in the maxilla of 48 patients, finding a mean horizontal bone gain of 4.7 mm. While titanium mesh resulted in significant bone regeneration, the risk of mesh exposure increased with patient age, and about 56% of implants required additional contour grafting for adequate bone thickness. This study demonstrates that titanium mesh can allow implant placement after ridge augmentation but discusses the need to inform patients of exposure risks and potential for further grafting.
Guided tissue regeneration is a technique that uses barrier membranes to selectively prevent epithelial and gingival connective tissue cells from migrating into periodontal defects and allows repopulation of the defect with periodontal ligament cells, bone, and cementum. The history of GTR began in the 1980s with experiments using various membranes in animal models that demonstrated regeneration of periodontal tissues. The objectives of an ideal GTR membrane are that it is biocompatible, maintains a space between the root and gum tissue, and degrades after initial healing. The surgical procedure involves raising a flap, debriding the defect, placing and suturing the membrane, and closing the flap to cover it.
This document summarizes various techniques for periodontal plastic surgery, including widening attached gingiva and root coverage procedures. It describes free gingival autografts, which involve taking a graft of keratinized tissue from the palate and suturing it to increase the width of attached gingiva. Apically positioned flaps and laterally positioned pedicle flaps are also discussed to widen attached gingiva. Coronally advanced flaps and semilunar flaps are root coverage procedures where tissue is repositioned to cover denuded root surfaces. The goals, steps, and outcomes of these surgical techniques are outlined in detail.
An Alternative to Autogenous Connective Tissue Grafting for Root CoverageEdward Gottesman
This document provides an overview of root coverage procedures and the use of acellular dermal matrix (ADM) as an alternative to autogenous connective tissue grafting. It describes the processing of ADM to remove cells while retaining the collagen matrix. ADM provides a scaffold that supports natural revascularization and tissue remodeling during healing. When used in conjunction with flap procedures, ADM can augment areas where adjacent tissue is insufficient, avoiding secondary donor site morbidity associated with palatal grafting.
This document discusses the rehabilitation of the atrophic posterior maxilla using pterygoid implants. It provides background on the challenges of posterior maxillary rehabilitation and outlines treatment options like sinus lifts, short implants and tilted implants. It then focuses on the anatomy of the pterygoid region and classifications for pterygoid implants. The document details the surgical protocol for placing pterygoid implants using guides, angled abutments, impressions and final prosthesis placement. It concludes that pterygoid implants provide an alternative to maxillary reconstruction and avoid cantilevers while allowing for immediate loading.
This document discusses periodontal plastic surgery techniques. It begins by defining periodontal plastic surgery and outlining its goals of correcting anatomical deformities, increasing attached gingiva, and deepening shallow vestibules. It then describes various techniques for widening attached gingiva including free gingival grafts, free connective tissue grafts, and apically positioned flaps. Criteria for selecting mucogingival techniques include ensuring the surgical site is plaque-free and has adequate blood supply. The objectives of periodontal plastic surgery are to address problems associated with lack of attached gingiva and shallow vestibules. Key techniques are described for augmenting gingiva both apical and coronal to a ging
REFERENCES TAKEN FROM CARRANZA'S TEXTBOOK OF CLINICAL PERIODONTOLOGY AND LINDHE'S TEXTBOOK OF CLINICAL PERIODONTOLOGY AND IMPLANT DENTISTRY. CONTAINS ENOUGH AND MORE DETAILS OF THIS TOPIC FOR BDS STUDENTS.HOPE THIS PRESENTATION WILL HELP U GAIN SOME KNOWLEDGE ABOUT PERIODONTAL PLASTIC AND ESTHETIC DENTISTRY.
This document discusses techniques for exposing submerged dental implants while preserving surrounding bone and soft tissue. It outlines objectives such as controlling soft tissue thickness and preserving or creating attached keratinized tissue. The primary procedure involves manipulating the gingiva to obtain a close-fitting junction between the implant and mucosa. Decision trees are provided to determine if a tissue punch, full-thickness flap, or partial thickness flap with gingivectomy is needed based on the existing band of keratinized tissue. Connective tissue grafts are recommended when keratinized gingiva is deficient.
Similar to Implant placement in the anterior region with simutaneousGBR–surgery guided by stereolithographic model (20)
Full mouth rehabilitation with zirconia crowns Dr.K.Varsha Rao
A 40-year-old male patient was unhappy with his smile due to enamel loss from enamel hypoplasia and fluorosis. The treatment plan involved a combination of monolithic and layered zirconia crowns. After diagnostic casts and a facebow transfer were sent to the lab, waxups and temporaries were made to plan the smile design and prep the teeth using the provisionals as a reference. Final zirconia crowns were fabricated and cemented.
Grafting (from Symphysis) and implant placement in lateral incisor area.Dr.K.Varsha Rao
A 38-year-old female presented with a failed endodontically treated lateral incisor that was mobile. Imaging showed reduced bone height and width at the site. A staged approach was planned where autogenous bone was harvested from the symphysis by an oral surgeon and placed at the site. After 4 months, a 3.0mm implant was placed and GBR was performed. Temporary restorations and abutments were used until a final zirconia crown was cemented 3 months later.
Class IV restorations are probably the biggest aesthetic challenge especially the line of demarcation between the restoration and tooth . The Styleitaliano philosophy is based established on the CBT technique (Controlled Body Thickness) where the layers are calibrated using the Misura instrument.
Immediate implant with modified healing abutmentDr.K.Varsha Rao
Immediate implant placement is one of the most easily accepted treatment protocols due to decreased waiting period.If we plan a modified healing abutment to copy the existing architecture,we can deliver a final prosthesis which mimics the emergence profile of the extracted tooth .
This document describes a microbrushstamp technique for restoring posterior teeth with composite. The technique involves cutting a microbrush to create a stamp, placing a gingival dam, picking up the stamp, using the stamp with an indexing mark on cling film over the last layer of composite, and removing the cling film for an immediate post-op restoration.
Immediate temporary bridge on immediate placement implantsDr.K.Varsha Rao
A patient wanted to replace missing central incisors with an implant supported bridge but could not afford grafting. Two lateral incisors were extracted and immediate implants placed. A temporary bridge was fabricated and placed on the day of surgery using stock abutments, a latex sheet, and bisacryl to give the patient a fixed temporary prosthesis immediately.
Immediate placement and loading of xive implants inDr.K.Varsha Rao
Implants were immediately placed in the mandible and loaded with provisional restorations within 48 hours. Dr. K. Varsha Rao discusses the technique of immediate placement and loading of Xive implants in the mandible. This approach can provide patients with earlier restoration of function and esthetics compared to the traditional delayed loading protocol.
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
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.
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.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
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.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
TEST BANK For Community Health Nursing A Canadian Perspective, 5th Edition by...Donc Test
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Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
In some case, your chronic prostatitis may be related to over-masturbation. Generally, natural medicine Diuretic and Anti-inflammatory Pill can help mee get a cure.
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Implant placement in the anterior region with simutaneousGBR–surgery guided by stereolithographic model
1. Implant placement in the anterior
region with simultaneous GBR –
Surgery guided by stereolithographic
model
Dr.K.Varsha Rao
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20. • The 3D rendition of the jaw helped to anticipate a
fenestration with drilling .Appropriate size implant could
be decided based on the trial drilling to ensure the entire
length of the implant is in native bone.
• Freeze dried allograft was used for its osteoinductive and
osteoconductive properties as the first layer.
• Xenograft was used for contour augmentation.
• Resorbable collagen membrane was used instead of a non
resorbable titanium membrane or reinforced PTFE as only
buccal augmentation was needed for this case.And to
avoid second stage surgery.
• Platelet rich fibrin was used for increasing the soft tissue
healing and vascularisation at the surgical site.
• Connective tissue graft was used to augment soft tissue.