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
Extraction of maxillary anterior dentition, alveolectomy, gingivectomyDanielHaghighiDDS
This document summarizes the planned extraction of maxillary anterior dentition, alveolectomy, and gingivectomy for a patient referred by UW Kaiser clinic. The plan involves extracting the maxillary anterior teeth, performing an alveolectomy to remove about 3-4mm of alveolar bone to compensate for the superior position of the teeth, and conducting a gingivectomy. The procedure will be done using a full thickness flap approach with crevicular incisions and removal of the buccal alveolar bone using surgical handpieces and burs. All roots will be removed intact and the alveolus will be sectioned and excess tissue removed before primary closure of the wound.
This document summarizes reconstructive preprosthetic surgery techniques used to enhance tissues for denture support and retention. It discusses vestibuloplasty procedures like skin grafting to increase the vestibule depth and amount of keratinized tissue. Ridge augmentation techniques are described including bone grafts, rib grafts, and visor osteotomies which aim to widen denture foundations but often result in resorption or nerve damage. Hydroxyapatite injections and different types of dental implants are also summarized as alternative ridge augmentation options.
The document discusses pre-prosthetic surgery, which aims to modify the oral environment to better support prosthetic appliances. The goals are to provide a broad, flat ridge with height and a firm mucosal covering. Objectives include eliminating disease, conserving structures, and providing support to withstand forces. The document describes various basic surgical procedures like alveoloplasty, tori removal, and soft tissue procedures to reshape ridges and remove excess tissue in preparation for dentures.
This document discusses various pre-prosthetic soft tissue surgeries. It begins with an introduction to pre-prosthetic surgery and definitions. It then describes 10 common soft tissue deformities that can be addressed surgically, such as labial/lingual frenectomies and alveolar muco-periosteal hyperplasia. Various surgical techniques are explained, including vestibuloplasty procedures using mucosal advancement flaps or grafts to deepen vestibular sulci. The goal of these surgeries is to improve the alveolar ridges and soft tissues to provide better support and retention of dentures.
This document outlines pre-prosthetic surgeries, which are performed to create proper supporting structures for dental prosthetics. It discusses evaluating patients' bony and soft tissues to determine the needed procedures. Common pre-prosthetic surgeries are then described, including recontouring the alveolar ridges through simple alveoloplasty or Dean's intraseptal alveoloplasty. Other procedures covered are reducing maxillary tuberosities or tori, and frenectomies to address soft tissue abnormalities. The goal of these surgeries is to produce optimal supporting structures and tissues for successful dental prosthetics.
Preprosthetic surgery /certified fixed orthodontic courses by Indian dental a...Indian dental academy
Welcome to 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 has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable
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
Extraction of maxillary anterior dentition, alveolectomy, gingivectomyDanielHaghighiDDS
This document summarizes the planned extraction of maxillary anterior dentition, alveolectomy, and gingivectomy for a patient referred by UW Kaiser clinic. The plan involves extracting the maxillary anterior teeth, performing an alveolectomy to remove about 3-4mm of alveolar bone to compensate for the superior position of the teeth, and conducting a gingivectomy. The procedure will be done using a full thickness flap approach with crevicular incisions and removal of the buccal alveolar bone using surgical handpieces and burs. All roots will be removed intact and the alveolus will be sectioned and excess tissue removed before primary closure of the wound.
This document summarizes reconstructive preprosthetic surgery techniques used to enhance tissues for denture support and retention. It discusses vestibuloplasty procedures like skin grafting to increase the vestibule depth and amount of keratinized tissue. Ridge augmentation techniques are described including bone grafts, rib grafts, and visor osteotomies which aim to widen denture foundations but often result in resorption or nerve damage. Hydroxyapatite injections and different types of dental implants are also summarized as alternative ridge augmentation options.
The document discusses pre-prosthetic surgery, which aims to modify the oral environment to better support prosthetic appliances. The goals are to provide a broad, flat ridge with height and a firm mucosal covering. Objectives include eliminating disease, conserving structures, and providing support to withstand forces. The document describes various basic surgical procedures like alveoloplasty, tori removal, and soft tissue procedures to reshape ridges and remove excess tissue in preparation for dentures.
This document discusses various pre-prosthetic soft tissue surgeries. It begins with an introduction to pre-prosthetic surgery and definitions. It then describes 10 common soft tissue deformities that can be addressed surgically, such as labial/lingual frenectomies and alveolar muco-periosteal hyperplasia. Various surgical techniques are explained, including vestibuloplasty procedures using mucosal advancement flaps or grafts to deepen vestibular sulci. The goal of these surgeries is to improve the alveolar ridges and soft tissues to provide better support and retention of dentures.
This document outlines pre-prosthetic surgeries, which are performed to create proper supporting structures for dental prosthetics. It discusses evaluating patients' bony and soft tissues to determine the needed procedures. Common pre-prosthetic surgeries are then described, including recontouring the alveolar ridges through simple alveoloplasty or Dean's intraseptal alveoloplasty. Other procedures covered are reducing maxillary tuberosities or tori, and frenectomies to address soft tissue abnormalities. The goal of these surgeries is to produce optimal supporting structures and tissues for successful dental prosthetics.
Preprosthetic surgery /certified fixed orthodontic courses by Indian dental a...Indian dental academy
Welcome to 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 has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable
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
Ridge augmentation procedures /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.for more details please visit
www.indiandentalacademy.com
This document discusses preprosthetic management prior to dental prosthesis construction. It covers examining the oral cavity to identify potential problems, improving treatment outcomes. Non-surgical methods include tissue rest, occlusal adjustments, and nutrition/jaw exercises. Surgical methods include correcting conditions limiting prosthesis function and enlarging denture bearing areas through procedures like vestibuloplasty and ridge augmentation. Specific procedures covered are alveoloplasty, tuberosity reduction, frenectomy, tori removal, and managing irritated tissues with conditioners. The goal is preparing tissues for a comfortable, functional prosthesis.
This document discusses various pre-prosthetic hard tissue procedures including: recontouring alveolar ridges through alveoloplasty and Dean's alveoloplasty; reducing maxillary tuberosities, palatal exostoses, mylohyoid ridges, and genial tubercles; removing tori and bone augmentation of atrophic maxillary and mandibular ridges through onlay grafts, sinus lifts, and hydroxyapatite grafts. The goal is to modify oral anatomy and eliminate undercuts/protuberances to facilitate dental prosthesis placement through reshaping bony areas.
This document discusses pre-prosthetic surgery procedures aimed at preparing the jaws and surrounding tissues for successful placement of prosthetic appliances like dentures. It outlines objectives of eliminating pathologies and achieving proper jaw relationships and ridge form. Techniques described include alveolar ridge recontouring, tori removal, bone and soft tissue grafting, and vestibuloplasty to increase the denture bearing area. Soft tissue procedures address lesions, muscle attachments and extension of mucosal coverage to support dentures.
This document discusses preprosthetic surgery, which involves surgical procedures performed prior to placing a dental prosthesis in order to reshape and smooth ridges and eliminate hindrances. It describes common preprosthetic surgical procedures like alveoplasty and vestibuloplasty. It then presents a case study of an elderly edentulous patient who underwent quadrant-wise ridge correction surgery to achieve an optimal denture foundation. The surgery involved trimming irregular ridges and bony prominences. Post-operative healing was successful and minimized post-insertion denture problems. Preprosthetic surgery can thus aid in developing ridges to enable a comfortable, well-fitting prosthesis.
Pre prosthetic surgery /certified fixed orthodontic courses by Indian dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
This document discusses preprosthetic surgery and its role in preparing an ideal foundation for complete dentures. It defines preprosthetic surgery as procedures designed to facilitate prosthodontic care. The goals of preprosthetic surgery are to modify the oral environment to be disease-free and provide adequate bony and soft tissue support. Surgical procedures described include alveolar ridge correction/extension, frenectomy, tori removal, and vestibuloplasty to deepen vestibular depth. Patient evaluation and treatment planning is important to determine the appropriate surgical interventions needed to establish an optimal ridge form and tissue support for denture retention.
The document discusses various preprosthetic surgical procedures used to improve the denture foundation for patients requiring removable dentures. Some common procedures mentioned include tuberosity reduction, removal of palatal papillary hyperplasia and fibrous lesions caused by denture irritation, frenectomies, and alveoloplasty to reshape sharp bony ridges. Reconstructive procedures like vestibuloplasty and bone grafting are also briefly covered. The goal of these procedures is to enhance denture support, retention, and stability.
Pre-prosthetic surgery is that part of oral and maxillofacial surgery which restores oral function and facial form. This is concerned with surgical modification of the alveolar process and its surrounding structures to enable the fabrication of a well-fitting, comfortable, and esthetic dental prosthesis. The ultimate goal of pre-prosthetic surgery is to prepare a mouth to receive a dental prosthesis by redesigning and smoothening bony edges.
Vestibuloplasty- ridge extension proceduresZeeshan Arif
This document discusses various ridge extension procedures used in dentistry. It begins by introducing the purpose of ridge extension procedures and classifying different types of ridge deficiencies. It then describes three main techniques - mucosal advancement vestibuloplasty, secondary epithelization vestibuloplasty, and grafting vestibuloplasty. Several specific procedures are outlined, including closed submucosal vestibuloplasty, maxillary and mandibular vestibuloplasty, and modifications like the Kazanjian technique and Clark's technique. The document provides detailed information on how each procedure is performed.
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
Pre prosthetic surgery 1 (nx power lite) /certified fixed orthodontic courses...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
0091-9248678078
This document provides information on preprosthetic surgery procedures. It discusses the causes of edentulous bone loss over time which can negatively impact denture stability and retention. It describes various surgical techniques like alveoloplasty to recontour alveolar ridges, tori removal, frenectomy and vestibuloplasty to deepen vestibular sulci. The aim of these procedures is to provide adequate bony and soft tissue support for removable dentures. It explains how to examine patients, evaluate radiographs and plan different intraoral surgeries like genial tubercle reduction, mylohyoid ridge reduction and maxillary tuberosity reduction. Potential complications of these surgeries are also summarized.
This document discusses preprosthetic surgery, which refers to surgical procedures done prior to placing dentures to modify the oral anatomy and improve retention of dentures. The goals of preprosthetic surgery are to eliminate disease, conserve oral structures, provide tissue to withstand forces, maintain function, and improve aesthetics. Common reasons for preprosthetic surgery include periodontal disease, trauma, patient factors, and mechanical factors from extractions or denture wear. Typical surgical procedures described are ridge correction through alveoloplasty, tuberosity reduction, and tori/exostosis removal, as well as ridge extension using vestibuloplasty and ridge augmentation of the maxilla and mandible.
Pre prosthetic surgery /certified fixed orthodontic courses by Indian dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
1. The document discusses pre-prosthetic surgery procedures performed before denture construction and placement. It covers topics like patient evaluation, classification of ridge resorption, characteristics of an ideal denture ridge, and various basic and advanced surgical techniques.
2. Basic techniques include soft tissue operations to address issues like fibrous hyperplasia and frenum attachments. Bony operations recontour ridges and remove exostoses. Advanced techniques augment ridges with grafts and extend them with vestibuloplasties.
3. Ridge augmentation aims to restore ridge height and width through grafts to bone. Mandibular augmentation techniques include superior border grafts to add strength and contour.
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.
Prosthodontic rehabilitation of the mandibulectomy patient/endodontic coursesIndian dental academy
This document discusses the rehabilitation of patients who have undergone mandibulectomy surgery. It begins by classifying mandibular defects based on the Cantor and Curtis classification system. It then examines various diagnostic considerations for these patients such as the location and size of the mandibular defect, remaining teeth or implants, and post-surgical complications. The document outlines surgical factors like deviation and limited mouth opening. It concludes by discussing challenges for prosthetic rehabilitation based on the amount and location of the mandibular resection.
Implant surgeries to overcome anatomic difficulties ii / dental implant cour...Indian dental academy
This document discusses various surgical techniques used to overcome anatomical difficulties for dental implants. It covers guided tissue regeneration, ridge augmentation, maxillary sinus lift, inferior alveolar canal lateralization, and mental nerve distalization. The maxillary sinus lift technique is described in detail, including indications, contraindications, the original method, benefits and potential complications like membrane perforation. Lateralization of the inferior alveolar nerve and distalization of the mental nerve are also summarized. The document provides an overview of these procedures to help restore function and aesthetics for patients with atrophy or injury.
Ridge augmentation procedures /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.for more details please visit
www.indiandentalacademy.com
This document discusses preprosthetic management prior to dental prosthesis construction. It covers examining the oral cavity to identify potential problems, improving treatment outcomes. Non-surgical methods include tissue rest, occlusal adjustments, and nutrition/jaw exercises. Surgical methods include correcting conditions limiting prosthesis function and enlarging denture bearing areas through procedures like vestibuloplasty and ridge augmentation. Specific procedures covered are alveoloplasty, tuberosity reduction, frenectomy, tori removal, and managing irritated tissues with conditioners. The goal is preparing tissues for a comfortable, functional prosthesis.
This document discusses various pre-prosthetic hard tissue procedures including: recontouring alveolar ridges through alveoloplasty and Dean's alveoloplasty; reducing maxillary tuberosities, palatal exostoses, mylohyoid ridges, and genial tubercles; removing tori and bone augmentation of atrophic maxillary and mandibular ridges through onlay grafts, sinus lifts, and hydroxyapatite grafts. The goal is to modify oral anatomy and eliminate undercuts/protuberances to facilitate dental prosthesis placement through reshaping bony areas.
This document discusses pre-prosthetic surgery procedures aimed at preparing the jaws and surrounding tissues for successful placement of prosthetic appliances like dentures. It outlines objectives of eliminating pathologies and achieving proper jaw relationships and ridge form. Techniques described include alveolar ridge recontouring, tori removal, bone and soft tissue grafting, and vestibuloplasty to increase the denture bearing area. Soft tissue procedures address lesions, muscle attachments and extension of mucosal coverage to support dentures.
This document discusses preprosthetic surgery, which involves surgical procedures performed prior to placing a dental prosthesis in order to reshape and smooth ridges and eliminate hindrances. It describes common preprosthetic surgical procedures like alveoplasty and vestibuloplasty. It then presents a case study of an elderly edentulous patient who underwent quadrant-wise ridge correction surgery to achieve an optimal denture foundation. The surgery involved trimming irregular ridges and bony prominences. Post-operative healing was successful and minimized post-insertion denture problems. Preprosthetic surgery can thus aid in developing ridges to enable a comfortable, well-fitting prosthesis.
Pre prosthetic surgery /certified fixed orthodontic courses by Indian dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
This document discusses preprosthetic surgery and its role in preparing an ideal foundation for complete dentures. It defines preprosthetic surgery as procedures designed to facilitate prosthodontic care. The goals of preprosthetic surgery are to modify the oral environment to be disease-free and provide adequate bony and soft tissue support. Surgical procedures described include alveolar ridge correction/extension, frenectomy, tori removal, and vestibuloplasty to deepen vestibular depth. Patient evaluation and treatment planning is important to determine the appropriate surgical interventions needed to establish an optimal ridge form and tissue support for denture retention.
The document discusses various preprosthetic surgical procedures used to improve the denture foundation for patients requiring removable dentures. Some common procedures mentioned include tuberosity reduction, removal of palatal papillary hyperplasia and fibrous lesions caused by denture irritation, frenectomies, and alveoloplasty to reshape sharp bony ridges. Reconstructive procedures like vestibuloplasty and bone grafting are also briefly covered. The goal of these procedures is to enhance denture support, retention, and stability.
Pre-prosthetic surgery is that part of oral and maxillofacial surgery which restores oral function and facial form. This is concerned with surgical modification of the alveolar process and its surrounding structures to enable the fabrication of a well-fitting, comfortable, and esthetic dental prosthesis. The ultimate goal of pre-prosthetic surgery is to prepare a mouth to receive a dental prosthesis by redesigning and smoothening bony edges.
Vestibuloplasty- ridge extension proceduresZeeshan Arif
This document discusses various ridge extension procedures used in dentistry. It begins by introducing the purpose of ridge extension procedures and classifying different types of ridge deficiencies. It then describes three main techniques - mucosal advancement vestibuloplasty, secondary epithelization vestibuloplasty, and grafting vestibuloplasty. Several specific procedures are outlined, including closed submucosal vestibuloplasty, maxillary and mandibular vestibuloplasty, and modifications like the Kazanjian technique and Clark's technique. The document provides detailed information on how each procedure is performed.
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
Pre prosthetic surgery 1 (nx power lite) /certified fixed orthodontic courses...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
0091-9248678078
This document provides information on preprosthetic surgery procedures. It discusses the causes of edentulous bone loss over time which can negatively impact denture stability and retention. It describes various surgical techniques like alveoloplasty to recontour alveolar ridges, tori removal, frenectomy and vestibuloplasty to deepen vestibular sulci. The aim of these procedures is to provide adequate bony and soft tissue support for removable dentures. It explains how to examine patients, evaluate radiographs and plan different intraoral surgeries like genial tubercle reduction, mylohyoid ridge reduction and maxillary tuberosity reduction. Potential complications of these surgeries are also summarized.
This document discusses preprosthetic surgery, which refers to surgical procedures done prior to placing dentures to modify the oral anatomy and improve retention of dentures. The goals of preprosthetic surgery are to eliminate disease, conserve oral structures, provide tissue to withstand forces, maintain function, and improve aesthetics. Common reasons for preprosthetic surgery include periodontal disease, trauma, patient factors, and mechanical factors from extractions or denture wear. Typical surgical procedures described are ridge correction through alveoloplasty, tuberosity reduction, and tori/exostosis removal, as well as ridge extension using vestibuloplasty and ridge augmentation of the maxilla and mandible.
Pre prosthetic surgery /certified fixed orthodontic courses by Indian dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
1. The document discusses pre-prosthetic surgery procedures performed before denture construction and placement. It covers topics like patient evaluation, classification of ridge resorption, characteristics of an ideal denture ridge, and various basic and advanced surgical techniques.
2. Basic techniques include soft tissue operations to address issues like fibrous hyperplasia and frenum attachments. Bony operations recontour ridges and remove exostoses. Advanced techniques augment ridges with grafts and extend them with vestibuloplasties.
3. Ridge augmentation aims to restore ridge height and width through grafts to bone. Mandibular augmentation techniques include superior border grafts to add strength and contour.
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.
Prosthodontic rehabilitation of the mandibulectomy patient/endodontic coursesIndian dental academy
This document discusses the rehabilitation of patients who have undergone mandibulectomy surgery. It begins by classifying mandibular defects based on the Cantor and Curtis classification system. It then examines various diagnostic considerations for these patients such as the location and size of the mandibular defect, remaining teeth or implants, and post-surgical complications. The document outlines surgical factors like deviation and limited mouth opening. It concludes by discussing challenges for prosthetic rehabilitation based on the amount and location of the mandibular resection.
Implant surgeries to overcome anatomic difficulties ii / dental implant cour...Indian dental academy
This document discusses various surgical techniques used to overcome anatomical difficulties for dental implants. It covers guided tissue regeneration, ridge augmentation, maxillary sinus lift, inferior alveolar canal lateralization, and mental nerve distalization. The maxillary sinus lift technique is described in detail, including indications, contraindications, the original method, benefits and potential complications like membrane perforation. Lateralization of the inferior alveolar nerve and distalization of the mental nerve are also summarized. The document provides an overview of these procedures to help restore function and aesthetics for patients with atrophy or injury.
Implant surgeries to overcome anatomic difficulties / implant dentistry cour...Indian dental academy
The document discusses various implant surgery techniques to overcome anatomical difficulties, including guided tissue regeneration, ridge augmentation, maxillary sinus lift, inferior alveolar canal lateralization, and mental nerve distalization. It provides details on the procedures, including indications, techniques, materials used, advantages, limitations, and complications. The goal is to restore normal function, comfort, and aesthetics for rehabilitating challenging clinical situations, such as atrophy or injury, using these techniques to place dental implants predictably.
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.
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.
Implants in esthetic zone. / implant dentistry course/ implant dentistry courseIndian 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.
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
Implant designs and materials/certified fixed orthodontic courses by Indian d...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
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 various considerations for treatment planning and prosthodontic rehabilitation of edentulous mandibles with dental implants. It covers factors such as biomechanics, esthetics, oral hygiene access, and amount of keratinized tissue. Minimum implant number, length, and spacing are outlined. Techniques for impressions, soft tissue grafting, and fixed prosthesis options like PFM and hybrid are described.
Implant surgeries to overcome anatomic difficulties/certified fixed orthodont...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
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.
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
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.
Similar to Implant surgeries to overcome anatomic difficulties /orthodontic courses by Indian dental academy (20)
Opportunity for Dentists (BDS/MDS )to relocate to United kingdom -Register as a DENTAL HYGIENIST/ DENTAL THERAPIST without Board exams and after approval you can register in GDC as a DH/DT and start working as a DH/DT Immediately and get paid.
You can complete the whole process in 3-4 months.Salary range for DH/DT is around 2500-3500 Pounds per month.
Eligibility / requirements-
1. An International English Language Testing System (IELTS) certificate
at the appropriate level.(Within 2 yrs of application date )
2: A recent primary dental qualification that has been taught and examined in English..(Within 2 yrs of application date )
3: A recent pass in a language test for registration with a regulatory authority in a country where the first language is English.
If you are interested Please contact us for more details.
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals
who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry,
Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
I –Aligners are made with FDA approved transparent thermoplastic materials using 3D scanning, 3D Printing and finally Trays with Pressure vacuum formers.
Dear Doctor,
Indian Dental Academy Now offers comprehensive online Orthodontics course.
Course includes:
1.whiteboard lecture presentations
2.Case Discussions
3.with hundreds of pictures.
4.Demo on Models
5.Demo on Patients
6. subtitles in your own language
12 months unlimited access and support @350 USD only.
For Demo please visit :www.idalectures.com/preview/
For more details visit: www.idalectures.com
Please contact us for any clarifications:
idalectures@gmail.com
indiandentalacademy@gmail.com
Thanks & Regards
Indian Dental Academy
--
Indian Dental Academy
Leader in continuing dental education
www.indiandentalacademy.com
skype:indiandentalacademy
+919248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Diagnosis and treatment planning in completely endntulous arches/dental coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Properties of Denture base materials /rotary endodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Use of modified tooth forms in complete denture occlusion / dental implant...Indian dental academy
This document discusses dental occlusion concepts and philosophies for complete dentures. It introduces key terms like physiologic occlusion and defines different occlusion schemes like balanced articulation and monoplane articulation. The document discusses advantages and disadvantages of using anatomic versus non-anatomic teeth for complete dentures. It also outlines requirements for maintaining denture stability, such as balanced occlusal contacts and control of horizontal forces. The goal of occlusion for complete dentures is to re-establish the homeostasis of the masticatory system disrupted by edentulism.
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 dental casting investment materials. It describes the three main types of investments - gypsum bonded, phosphate bonded, and ethyl silicate bonded investments. For gypsum bonded investments specifically, it details their classification, composition including the roles of gypsum, silica, and modifiers, setting time, normal and hygroscopic setting expansion, and thermal expansion. It provides information on how the properties of gypsum bonded investments are affected by their composition. The document serves as a comprehensive overview of dental casting investment materials.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Main Java[All of the Base Concepts}.docxadhitya5119
This is part 1 of my Java Learning Journey. This Contains Custom methods, classes, constructors, packages, multithreading , try- catch block, finally block and more.
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
Walmart Business+ and Spark Good for Nonprofits.pdfTechSoup
"Learn about all the ways Walmart supports nonprofit organizations.
You will hear from Liz Willett, the Head of Nonprofits, and hear about what Walmart is doing to help nonprofits, including Walmart Business and Spark Good. Walmart Business+ is a new offer for nonprofits that offers discounts and also streamlines nonprofits order and expense tracking, saving time and money.
The webinar may also give some examples on how nonprofits can best leverage Walmart Business+.
The event will cover the following::
Walmart Business + (https://business.walmart.com/plus) is a new shopping experience for nonprofits, schools, and local business customers that connects an exclusive online shopping experience to stores. Benefits include free delivery and shipping, a 'Spend Analytics” feature, special discounts, deals and tax-exempt shopping.
Special TechSoup offer for a free 180 days membership, and up to $150 in discounts on eligible orders.
Spark Good (walmart.com/sparkgood) is a charitable platform that enables nonprofits to receive donations directly from customers and associates.
Answers about how you can do more with Walmart!"
Philippine Edukasyong Pantahanan at Pangkabuhayan (EPP) CurriculumMJDuyan
(𝐓𝐋𝐄 𝟏𝟎𝟎) (𝐋𝐞𝐬𝐬𝐨𝐧 𝟏)-𝐏𝐫𝐞𝐥𝐢𝐦𝐬
𝐃𝐢𝐬𝐜𝐮𝐬𝐬 𝐭𝐡𝐞 𝐄𝐏𝐏 𝐂𝐮𝐫𝐫𝐢𝐜𝐮𝐥𝐮𝐦 𝐢𝐧 𝐭𝐡𝐞 𝐏𝐡𝐢𝐥𝐢𝐩𝐩𝐢𝐧𝐞𝐬:
- Understand the goals and objectives of the Edukasyong Pantahanan at Pangkabuhayan (EPP) curriculum, recognizing its importance in fostering practical life skills and values among students. Students will also be able to identify the key components and subjects covered, such as agriculture, home economics, industrial arts, and information and communication technology.
𝐄𝐱𝐩𝐥𝐚𝐢𝐧 𝐭𝐡𝐞 𝐍𝐚𝐭𝐮𝐫𝐞 𝐚𝐧𝐝 𝐒𝐜𝐨𝐩𝐞 𝐨𝐟 𝐚𝐧 𝐄𝐧𝐭𝐫𝐞𝐩𝐫𝐞𝐧𝐞𝐮𝐫:
-Define entrepreneurship, distinguishing it from general business activities by emphasizing its focus on innovation, risk-taking, and value creation. Students will describe the characteristics and traits of successful entrepreneurs, including their roles and responsibilities, and discuss the broader economic and social impacts of entrepreneurial activities on both local and global scales.
Leveraging Generative AI to Drive Nonprofit InnovationTechSoup
In this webinar, participants learned how to utilize Generative AI to streamline operations and elevate member engagement. Amazon Web Service experts provided a customer specific use cases and dived into low/no-code tools that are quick and easy to deploy through Amazon Web Service (AWS.)
it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
Beyond Degrees - Empowering the Workforce in the Context of Skills-First.pptxEduSkills OECD
Iván Bornacelly, Policy Analyst at the OECD Centre for Skills, OECD, presents at the webinar 'Tackling job market gaps with a skills-first approach' on 12 June 2024
বাংলাদেশের অর্থনৈতিক সমীক্ষা ২০২৪ [Bangladesh Economic Review 2024 Bangla.pdf] কম্পিউটার , ট্যাব ও স্মার্ট ফোন ভার্সন সহ সম্পূর্ণ বাংলা ই-বুক বা pdf বই " সুচিপত্র ...বুকমার্ক মেনু 🔖 ও হাইপার লিংক মেনু 📝👆 যুক্ত ..
আমাদের সবার জন্য খুব খুব গুরুত্বপূর্ণ একটি বই ..বিসিএস, ব্যাংক, ইউনিভার্সিটি ভর্তি ও যে কোন প্রতিযোগিতা মূলক পরীক্ষার জন্য এর খুব ইম্পরট্যান্ট একটি বিষয় ...তাছাড়া বাংলাদেশের সাম্প্রতিক যে কোন ডাটা বা তথ্য এই বইতে পাবেন ...
তাই একজন নাগরিক হিসাবে এই তথ্য গুলো আপনার জানা প্রয়োজন ...।
বিসিএস ও ব্যাংক এর লিখিত পরীক্ষা ...+এছাড়া মাধ্যমিক ও উচ্চমাধ্যমিকের স্টুডেন্টদের জন্য অনেক কাজে আসবে ...
Traditional Musical Instruments of Arunachal Pradesh and Uttar Pradesh - RAYH...
Implant surgeries to overcome anatomic difficulties /orthodontic courses by Indian dental academy
1. IMPLANT SURGERIES TOIMPLANT SURGERIES TO
OVERCOME ANATOMICOVERCOME ANATOMIC
DIFFICULTIESDIFFICULTIES
INDIAN DENTAL ACADEMY
Leader in continuing Dental Education
www.indiandentalacademy.comwww.indiandentalacademy.com
3. INTRODUCTIONINTRODUCTION
The goal of modern dentistry is to restore the patientThe goal of modern dentistry is to restore the patient
to normal contour, function, comfort, esthetics,to normal contour, function, comfort, esthetics,
speech and health regardless of the atrophy, diseasespeech and health regardless of the atrophy, disease
or injury of the stomatognathic system. The moreor injury of the stomatognathic system. The more
teeth a patient is missing the more arduous this goalteeth a patient is missing the more arduous this goal
becomes with traditional dentistry. As a result ofbecomes with traditional dentistry. As a result of
continued research in treatment planning, implantcontinued research in treatment planning, implant
designs, materials and techniques predictable successdesigns, materials and techniques predictable success
is now reality for rehabilitation of many challengingis now reality for rehabilitation of many challenging
clinical situation.clinical situation.
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4. Various techniques to over come anatomicVarious techniques to over come anatomic
difficulties are;difficulties are;
Guided tissue regeneration.Guided tissue regeneration.
Ridge augmentation.Ridge augmentation.
Maxillary sinus lift techniqueMaxillary sinus lift technique
Inferior alveolar canal lateralizationInferior alveolar canal lateralization
Mental nerve distalizationMental nerve distalization
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7. the principles of membrane barrier techniques are tothe principles of membrane barrier techniques are to
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8. acting as a duplicate surgical flapacting as a duplicate surgical flap
also provide a tent like areaalso provide a tent like area
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9. IndicationsIndications
Various implant defectsVarious implant defects
FenestrationsFenestrations
DehiscenceDehiscence
Residual intra osseous defectResidual intra osseous defect
Extraction socket defectExtraction socket defect
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15. AimsAims
Restoration of optimum/near optimum ridge height
and width, ridge form, vestibular depth and optimum
denture bearing area
Protection of neurovascular bundle
Establishment of proper interarch relationship.
Improvement of retention and stability of denture.
Improve the patient comfort for wearing the denture.
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16. LimitationsLimitations
Physical condition of the patientPhysical condition of the patient
Metabolism of the patient (healing capacity)Metabolism of the patient (healing capacity)
Nutritional deficiencies.Nutritional deficiencies.
Availability of adequate soft tissue coverage.Availability of adequate soft tissue coverage.
Compliance of the patient for major surgery.Compliance of the patient for major surgery.
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17. Graft materialsGraft materials
Autogenous bone graft – iliac crest, rib graftsAutogenous bone graft – iliac crest, rib grafts
Allogenic bone grafts – freeze dried cadaver bone.Allogenic bone grafts – freeze dried cadaver bone.
Alloplastic material – hydroxyapatiteAlloplastic material – hydroxyapatite
Metal mesh with autogenous cancellous bone.Metal mesh with autogenous cancellous bone.
Metal mesh with hydroxyapatiteMetal mesh with hydroxyapatite
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18.
Augmentation procedureAugmentation procedure;;
1. superior border grafting1. superior border grafting
2. inferior border grafting2. inferior border grafting
3. interpositional bone graft3. interpositional bone graft
4. visor osteotomy4. visor osteotomy
5. onlay grafting.5. onlay grafting.
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19. Superior border graftingSuperior border grafting
DavisDavis
Two 15 cm autogenous rib graftsTwo 15 cm autogenous rib grafts
Secured using transosseous wiringSecured using transosseous wiring
or circummandibular wiring.or circummandibular wiring.
The other rib graft is made intoThe other rib graft is made into
corticocancellous particles andcorticocancellous particles and
moulded around the first rib graft.moulded around the first rib graft.
Donor site morbidity.Donor site morbidity.
Second surgical site necessary.Second surgical site necessary.
Continued resorption of the graftedContinued resorption of the grafted
sites.sites.
Soft tissue dehiscence or limitationSoft tissue dehiscence or limitation
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20. Inferior border graftingInferior border grafting
Indicated when ridge height is less than 5-8mm andIndicated when ridge height is less than 5-8mm and
risk of pathological fracture.risk of pathological fracture.
First described by Marx for reconstruction ofFirst described by Marx for reconstruction of
mandible following resection.mandible following resection.
Modified by Quinn, used for augmentation of atropicModified by Quinn, used for augmentation of atropic
ridge and subsequent placement of implantsridge and subsequent placement of implants
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21. Supraclavicular incision fromSupraclavicular incision from
mastoid to mastoid region.mastoid to mastoid region.
A freeze-dried allogenic cadaverA freeze-dried allogenic cadaver
mandible is hollowed out andmandible is hollowed out and
multiple perforations made into it tomultiple perforations made into it to
allow for revascularization of theallow for revascularization of the
packed cancellous bone graft. Thispacked cancellous bone graft. This
allogenic mandible will be used as aallogenic mandible will be used as a
tray. The cancellous bone graft istray. The cancellous bone graft is
harvested from the iliac crest. Theharvested from the iliac crest. The
cadaver mandible is then filled withcadaver mandible is then filled with
autogenous cancellous graft particlesautogenous cancellous graft particles
and is fixed to the inferior borderand is fixed to the inferior border
with 2-0 vicryl sutures, bywith 2-0 vicryl sutures, by
circummandibular fixation.circummandibular fixation.
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22. ADVANTAGESADVANTAGES
Since no surgery is done intraorally, patient's oldSince no surgery is done intraorally, patient's old
dentures can be used as transitional denturesdentures can be used as transitional dentures
By using this technique 11 to 17 mm of boneBy using this technique 11 to 17 mm of bone
augmentation can be achieved with a resorption rateaugmentation can be achieved with a resorption rate
of only 5 per cent over the first several years.of only 5 per cent over the first several years.
Increased bone height to accommodate implantIncreased bone height to accommodate implant
surgerysurgery
Extraoral flap gives adequate tissue coverageExtraoral flap gives adequate tissue coverage
Also lower one-third of the facial height isAlso lower one-third of the facial height is
increased. Esthetically better results.increased. Esthetically better results.
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23. Interpositional Bone GraftsInterpositional Bone Grafts
Sandwich Grafting
During this procedure, a horizontal
osteotomy is performed, splitting of the
residual maxilla or mandible and bone
is grafted into this osteotomy gap.
In mandible, sandwich technique is
mainly used for augmentation of the
anterior mandible, between the mental
foramina. The autogenous or allogenic
bone or hydroxyapatite grafts can be
used successfully. Delivery of the
prosthetic appliance is delayed 3 to 5
months for allowing the remodeling of
the bone. Secondary vestibuloplasty
procedures may be necessary.
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24. AdvantagesAdvantages
Less resorption rate than onlay grafting.Less resorption rate than onlay grafting.
More predictable long-term results.More predictable long-term results.
Decreased incidence of nerve paraesthesia than theDecreased incidence of nerve paraesthesia than the
visor osteotomy.visor osteotomy.
Can be used in conjunction with osseointegratedCan be used in conjunction with osseointegrated
implants.implants.
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25. Onlay GraftingOnlay Grafting
Done when adequate height but inadequate width.Done when adequate height but inadequate width.
Two techniquesTwo techniques
1.1. Oldest technique for onlay augmentation withOldest technique for onlay augmentation with
allograft, i.e. hydroxyapatite is advocated byallograft, i.e. hydroxyapatite is advocated by
Obwegeser via submucosal vestibuloplastyObwegeser via submucosal vestibuloplasty
technique. After creating a tunnel via midline, atechnique. After creating a tunnel via midline, a
putty is formed of hydroxyapatite crystals, mixedputty is formed of hydroxyapatite crystals, mixed
with saline/blood, and is injected via syringe intowith saline/blood, and is injected via syringe into
the sub-mucosal tunnel.the sub-mucosal tunnel.
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26. Technique 2;Technique 2; A high vestibular incision is taken toA high vestibular incision is taken to
facilitate good water tight closure and to achieve goodfacilitate good water tight closure and to achieve good
under-mining of the tissues for relaxation.under-mining of the tissues for relaxation.
Mucoperiosteal flap is reflected to expose the defect.Mucoperiosteal flap is reflected to expose the defect.
Small perforations are made in the external cortex bySmall perforations are made in the external cortex by
using small round bur to create bleeding and promotionusing small round bur to create bleeding and promotion
of clot formation and neovascularization. The graftingof clot formation and neovascularization. The grafting
material is placed/ moulded over the external cortex.material is placed/ moulded over the external cortex.
Placement of barrier membrane helps in regeneration andPlacement of barrier membrane helps in regeneration and
preservation of the graft. Scoring of the periosteum ispreservation of the graft. Scoring of the periosteum is
done before closure for proper mobilization of the flap.done before closure for proper mobilization of the flap.
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27. Visor OsteotomyVisor Osteotomy
AdvantageAdvantage Eighty percent ofEighty percent of
the height is maintained at thethe height is maintained at the
endend ofof 3-5 years.3-5 years.
DisadvantagesDisadvantages
Nerve paraesthesia andNerve paraesthesia and
dysesthesia.dysesthesia.
Need for hospitalization.Need for hospitalization.
Donor site morbidity.Donor site morbidity.
Inability to wear the denturesInability to wear the dentures
for 3 to 5 months followingfor 3 to 5 months following
surgery.surgery.
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29. IndicationsIndications
Implant placement in areas of insufficient bone volumeImplant placement in areas of insufficient bone volume
or decreased interarch space.or decreased interarch space.
Oroantral fistula repair.Oroantral fistula repair.
Alveolar cleft reconstruction.Alveolar cleft reconstruction.
Le Fort I down fracture with interpositional grafting.Le Fort I down fracture with interpositional grafting.
Cancer reconstruction for craniofacial prostheses.Cancer reconstruction for craniofacial prostheses.
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30. ContraindicationsContraindications
GENERAL MEDICAL CONTRAINDICATIONSGENERAL MEDICAL CONTRAINDICATIONS
Radiation treatment to the maxillary region.Radiation treatment to the maxillary region.
sepsissepsis
Severe medical fragility.Severe medical fragility.
uncontrolled systemic diseaseuncontrolled systemic disease
excessive tobacco abuseexcessive tobacco abuse
excessive alcohol or substance abuseexcessive alcohol or substance abuse
Psycophobias.Psycophobias.
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31. LOCAL FACTORSLOCAL FACTORS;;
maxillary sinus infectionsmaxillary sinus infections
chronic sinusitischronic sinusitis
alveolar scar ablationalveolar scar ablation
odontogenic infectionsodontogenic infections
inflammatory or pathologic lesionsinflammatory or pathologic lesions
severe allergic rhinitissevere allergic rhinitis
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43. BenefitsBenefits
Reconstruct the highly atrophic posterior maxillaReconstruct the highly atrophic posterior maxilla
Replace the patient's removable prosthesisReplace the patient's removable prosthesis
Stabilize the anterior residual dentition byStabilize the anterior residual dentition by
reconstructing the entire archreconstructing the entire arch
Reduce the continuous progressive atrophy of theReduce the continuous progressive atrophy of the
posterior alveolar ridgeposterior alveolar ridge
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44. ComplicationsComplications
Dehiscence with loss of the graft material
Dehiscence with exposure of the barrier membrane
Infection
Potential loss of implants
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45. Gaber et al did a study on potential alterations ofGaber et al did a study on potential alterations of
voice quality following sinus elevation For thevoice quality following sinus elevation For the
majority of patients, slight changes of the voicemajority of patients, slight changes of the voice
pattern are of no importance. However, for voicepattern are of no importance. However, for voice
professionals, whose voices have become part of theirprofessionals, whose voices have become part of their
distinctive profession or trademark, minimal changesdistinctive profession or trademark, minimal changes
may have dramatic consequences. This specific groupmay have dramatic consequences. This specific group
of patients, such as speakers, actors and singers,of patients, such as speakers, actors and singers,
depend on the particular quality and timbre of theirdepend on the particular quality and timbre of their
voice for their livelihood.voice for their livelihood.
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46. In conclusion, sinus lift surgery appears to be a safe,In conclusion, sinus lift surgery appears to be a safe,
predictable evidence-based method for regeneratingpredictable evidence-based method for regenerating
the highly atrophic posterior maxilla, which does notthe highly atrophic posterior maxilla, which does not
jeopardize the individual characteristic voice patternjeopardize the individual characteristic voice pattern
of high-profile patients critically dependent on theirof high-profile patients critically dependent on their
voices for their livelihood.voices for their livelihood.
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48. INDICATIONSINDICATIONS
Replacing removable prosthetic appliances andReplacing removable prosthetic appliances and
stabilizing the anterior residual dentitionstabilizing the anterior residual dentition
Stabilizing the temporomandibular joint and muscleStabilizing the temporomandibular joint and muscle
balance or overall tone, as reconstruction of thebalance or overall tone, as reconstruction of the
stomatognathic sys-tem is achievedstomatognathic sys-tem is achieved
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49. LIMITATIONSLIMITATIONS
These procedures are technically difficult and therefore not suitedThese procedures are technically difficult and therefore not suited
for every doctor.for every doctor.
Implant practitioners who have the clinical experience, anatomicImplant practitioners who have the clinical experience, anatomic
knowledge, and ability to treat potential interoperative andknowledge, and ability to treat potential interoperative and
postoperative complications are the only ones equipped to performpostoperative complications are the only ones equipped to perform
these procedures.these procedures.
Nerve damage is a significant risk of the procedures. Both theNerve damage is a significant risk of the procedures. Both the
surgical manipulation of the neurovascular bundle and the overallsurgical manipulation of the neurovascular bundle and the overall
surgical procedure can cause postoperative nerve deficits.surgical procedure can cause postoperative nerve deficits.
Each patient should be advised of the risk for permanent nerveEach patient should be advised of the risk for permanent nerve
deficits, which include anesthesia, paresthesia, dyses-thesia, anddeficits, which include anesthesia, paresthesia, dyses-thesia, and
hyperesthesia.hyperesthesia.
Fracture of the mandible, although rare, is also a risk. The vastFracture of the mandible, although rare, is also a risk. The vast
majority of these patients have advanced degrees of atrophy in thismajority of these patients have advanced degrees of atrophy in this
area of the mandible.area of the mandible.
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50. NERVE ANATOMYNERVE ANATOMY
SolarSolar documenteddocumented TwoTwo different types ofdifferent types of
intraosseous path of the mental nerveintraosseous path of the mental nerve
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57. DISTALIZATION OF THE MENTALDISTALIZATION OF THE MENTAL
NEUROVASCULAR BUNDLENEUROVASCULAR BUNDLE
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58. CONCLUSIONCONCLUSION
Patients undergoing these procedures usually displaysPatients undergoing these procedures usually displays
post operative neurologic deficiency. Periodicpost operative neurologic deficiency. Periodic
assessment of these patients are atmost important.assessment of these patients are atmost important.
Without the benefits of CT scans and threeWithout the benefits of CT scans and three
dimensional reformatted imaging, these techniquesdimensional reformatted imaging, these techniques
are difficult, if not impossible, to perform. However,are difficult, if not impossible, to perform. However,
this technology has made these procedures a viablethis technology has made these procedures a viable
option when performed by a skilled andoption when performed by a skilled and
knowledgeable surgeon in appropriately selectedknowledgeable surgeon in appropriately selected
cases.cases.
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59. BIBLIOGRAPHYBIBLIOGRAPHY
Charles A.Babbush: Dental Implants- The Art andCharles A.Babbush: Dental Implants- The Art and
Science.Science.
Carl. E. Meish – Implant dentistryCarl. E. Meish – Implant dentistry
Block Kent Guerra: Implants in Dentistry-Block Kent Guerra: Implants in Dentistry-
Essentials of Endosseous Implants for MaxillofacialEssentials of Endosseous Implants for Maxillofacial
Reconstruction.Reconstruction.
Block: Color Atlas of Dental Implant Surgery.Block: Color Atlas of Dental Implant Surgery.
Neelima Anil Malik: Textbook of OralNeelima Anil Malik: Textbook of Oral
Maxillofacial SurgeryMaxillofacial Surgery
Jensen: The Sinus Bone Graft.Jensen: The Sinus Bone Graft.
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60. Ellegaard et al; Implant therapy involving maxillary sinus lift inEllegaard et al; Implant therapy involving maxillary sinus lift in
periodontally compromised patient; Clin Oral Impl Resperiodontally compromised patient; Clin Oral Impl Res
1997;8;305-315 .1997;8;305-315 .
Charles A.Babbush ; Transpositioning and repositioning theCharles A.Babbush ; Transpositioning and repositioning the
inferior alveolar and mental nerves in conjunction with endostealinferior alveolar and mental nerves in conjunction with endosteal
implant reconstruction;implant reconstruction; PeriodontologyPeriodontology 2000,2000, Vol.Vol. 17, 1998,17, 1998,
183-190183-190
Gabor et al: Effects of sinus lifting on voice quality: Clin. OralGabor et al: Effects of sinus lifting on voice quality: Clin. Oral
Impl. Res.Impl. Res. 1414, 2003 / 767–774, 2003 / 767–774
Eliaz Kaufman: Maxillary Sinus Elevation Surgery: AnEliaz Kaufman: Maxillary Sinus Elevation Surgery: An
Overview;Overview; j Esthet Restor Dent 2003;j Esthet Restor Dent 2003; 15:272-283.15:272-283.
www.indiandentalacademy.comwww.indiandentalacademy.com
Editor's Notes
It is a process used in regeneration of periodontal supporting structures around natural tooth that have been lost as a result of inflammatory diseases or trauma.
Creating and maintaining a blood clot-filled space
Preventing inflammation from bacterial invasion
Isolating the regenerative space from undesirable tissues
Ensuring mechanical stability of the resolving wound complex
facilitate augmentation of alveolar ridge defects, improve bone healing around dental Implants, induce complete bone regeneration, improve bone grafting results, and treat failing implants
barrier to prevent other tissues, especially connective tissue, from entering the intended site of bone reformation and from interfering with osteogenesis and direct bone formation
provide additional wound coverage, acting as a duplicate surgical flap to provide added stability and protection of the blood clot, and they prevent ruptures along the interface between the healing tissues and the root surface.
also provide a tent like area for the blood clot, creating a space under the surgical flap that will act as the scaffold for ingrowth of cells and blood vessels from the base of the lesion.