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
Introduction to straight wire appliance and its evolution /certified fixed ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
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
bracket positioning in orthodontics / dental crown & bridge coursesIndian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The anterior point of reference /certified fixed orthodontic courses by Indi...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
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
Introduction to straight wire appliance and its evolution /certified fixed ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
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
bracket positioning in orthodontics / dental crown & bridge coursesIndian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The anterior point of reference /certified fixed orthodontic courses by Indi...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
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.
Tmj instrumentation /orthodontic courses by Indian dental academy Indian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Vertical jaw relations /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
Rehabitilation /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
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
MBT Technique /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
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
Long Island Dental Implant Surgeon presents "Select Dental Implant Clinical D...Edward Brant DDS, MS
Periodontist who does his best when he provides Long Island with treatment for tooth and gum disease. Dentist, dental implants, laser gum treatment for periodontal disease, bone graft, gum surgery
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
Copy of selection of mbt appliance /certified fixed orthodontic courses by In...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
Cephalometrics for orthognathic surgery1 /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
Retention and support in removable partial denture kalpanaKumari Kalpana
Retention of a removable prosthesis is a unique concern when compared with other prosthesis. Forces acting to displace the prosthesis from the tissue can consist of gravity acting against a maxillary prosthesis, the action of adherent foods acting to displace the prosthesis on opening of the mouth in chewing, or functional forces acting across a fulcrum to unseat the prosthesis.
Influence of survey line on designing of clasp / dental implant courses by In...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
Bio progressive therapy /certified fixed orthodontic courses by Indian denta...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.
Articulator /certified fixed orthodontic courses by Indian dental academy Indian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
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
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.
Tmj instrumentation /orthodontic courses by Indian dental academy Indian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Vertical jaw relations /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
Rehabitilation /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
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
MBT Technique /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
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
Long Island Dental Implant Surgeon presents "Select Dental Implant Clinical D...Edward Brant DDS, MS
Periodontist who does his best when he provides Long Island with treatment for tooth and gum disease. Dentist, dental implants, laser gum treatment for periodontal disease, bone graft, gum surgery
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
Copy of selection of mbt appliance /certified fixed orthodontic courses by In...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
Cephalometrics for orthognathic surgery1 /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
Retention and support in removable partial denture kalpanaKumari Kalpana
Retention of a removable prosthesis is a unique concern when compared with other prosthesis. Forces acting to displace the prosthesis from the tissue can consist of gravity acting against a maxillary prosthesis, the action of adherent foods acting to displace the prosthesis on opening of the mouth in chewing, or functional forces acting across a fulcrum to unseat the prosthesis.
Influence of survey line on designing of clasp / dental implant courses by In...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
Bio progressive therapy /certified fixed orthodontic courses by Indian denta...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.
Articulator /certified fixed orthodontic courses by Indian dental academy Indian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
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.
Evolution ,components and classification of implants/ orthodontic practiceIndian 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.
Attachments in implant retained overdentures/ cosmetic dentistry trainingIndian 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
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
Torque in pre adjusted e.w.a /certified fixed orthodontic courses by Indian...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
Torque in p.e.a /certified fixed orthodontic courses by Indian dental aca...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
Concepts new/certified fixed orthodontic courses by Indian dental academyIndian dental academy
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Canine retraction /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
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
Friction mechanics /certified fixed orthodontic courses by Indian dental aca...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
Levelling and aligning in orthodontics /certified fixed orthodontic courses b...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
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
this ppt will give you complete in depth information about how establish occlusion removable partial dentures. we have got residentila courses for prosthodontics where in complete training will be provided on patient
Opportunity for Dentists (BDS/MDS )to relocate to United kingdom -Register as a DENTAL HYGIENIST/ DENTAL THERAPIST without Board exams and after approval you can register in GDC as a DH/DT and start working as a DH/DT Immediately and get paid.
You can complete the whole process in 3-4 months.Salary range for DH/DT is around 2500-3500 Pounds per month.
Eligibility / requirements-
1. An International English Language Testing System (IELTS) certificate
at the appropriate level.(Within 2 yrs of application date )
2: A recent primary dental qualification that has been taught and examined in English..(Within 2 yrs of application date )
3: A recent pass in a language test for registration with a regulatory authority in a country where the first language is English.
If you are interested Please contact us for more details.
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals
who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry,
Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
I –Aligners are made with FDA approved transparent thermoplastic materials using 3D scanning, 3D Printing and finally Trays with Pressure vacuum formers.
Dear Doctor,
Indian Dental Academy Now offers comprehensive online Orthodontics course.
Course includes:
1.whiteboard lecture presentations
2.Case Discussions
3.with hundreds of pictures.
4.Demo on Models
5.Demo on Patients
6. subtitles in your own language
12 months unlimited access and support @350 USD only.
For Demo please visit :www.idalectures.com/preview/
For more details visit: www.idalectures.com
Please contact us for any clarifications:
idalectures@gmail.com
indiandentalacademy@gmail.com
Thanks & Regards
Indian Dental Academy
--
Indian Dental Academy
Leader in continuing dental education
www.indiandentalacademy.com
skype:indiandentalacademy
+919248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Diagnosis and treatment planning in completely endntulous arches/dental coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Properties of Denture base materials /rotary endodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Use of modified tooth forms in complete denture occlusion / dental implant...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Operation “Blue Star” is the only event in the history of Independent India where the state went into war with its own people. Even after about 40 years it is not clear if it was culmination of states anger over people of the region, a political game of power or start of dictatorial chapter in the democratic setup.
The people of Punjab felt alienated from main stream due to denial of their just demands during a long democratic struggle since independence. As it happen all over the word, it led to militant struggle with great loss of lives of military, police and civilian personnel. Killing of Indira Gandhi and massacre of innocent Sikhs in Delhi and other India cities was also associated with this movement.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Home assignment II on Spectroscopy 2024 Answers.pdf
Treatment options for mandibular over dentures / dental courses in private academy
1. TREATMENT OPTIONS FOR
MANDIBULAR OVERDENTURES
&&
TREATMENT PLANNING FORTREATMENT PLANNING FOR
EDENTULOUS POSTERIOR MAXILLAEDENTULOUS POSTERIOR MAXILLA
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com
www.indiandentalacademy.com
2. MANDIBULAR IMPLANT
OVERDENTURES-INTRODUCTION
• DENTAL PROFESSION AND PUBLIC AREDENTAL PROFESSION AND PUBLIC ARE
MORE AWARE OF THE PROBLEMSMORE AWARE OF THE PROBLEMS
ASSOCIATED WITH A COMPLETEASSOCIATED WITH A COMPLETE
MANDIBULAR DENTURE THAN ANYMANDIBULAR DENTURE THAN ANY
OTHER DENTAL PROSTHESISOTHER DENTAL PROSTHESIS
• INSERTION OF IMPLANTS FORINSERTION OF IMPLANTS FOR
SUPPORT,RETENTION AND STABILITY OFSUPPORT,RETENTION AND STABILITY OF
AN OVERDENTURE CONTRIBUTES A MOREAN OVERDENTURE CONTRIBUTES A MORE
FAVORABLE ENVIRONMENT FOR THEFAVORABLE ENVIRONMENT FOR THE
RESTORATIONRESTORATION
www.indiandentalacademy.com
3. ADVANTAGES OF IMPLANT
SUPPORTED OVERDENTURES
• PREVENT BONE LOSSPREVENT BONE LOSS
• MAINTAIN FACIALMAINTAIN FACIAL ESTHETICSESTHETICS
• REDUCE ORREDUCE OR ELIMINATE PROSTHESISELIMINATE PROSTHESIS
MOVEMENTMOVEMENT
• CREATECREATE REPRODUCIBEREPRODUCIBE CENTRICCENTRIC
RELATIONRELATION OCCULUSIONOCCULUSION
• ELIMINATE SOFT TISSUE ABRASIONELIMINATE SOFT TISSUE ABRASION
• IMPROVEIMPROVE CHEWING EFFICIENCYCHEWING EFFICIENCY
www.indiandentalacademy.com
4. • INCREASEINCREASE OCCLUSAL FORCE
• IMPROVEIMPROVE PROSTHESIS STABILITY
• IMPROVE PROSTHESISIMPROVE PROSTHESIS RETENTION
• IMPROVEIMPROVE SPEECH
• REDUCE OR ELIMINATE DENTUREREDUCE OR ELIMINATE DENTURE
SIZE (FLANGESSIZE (FLANGES))
• REQUIRE FEWER IMPLANTSREQUIRE FEWER IMPLANTS
COMPARED WITH FIXEDCOMPARED WITH FIXED
PROSTHESESPROSTHESES
www.indiandentalacademy.com
5. • IMPROVEIMPROVE HYGIENEHYGIENE
• REMOVE EASILYREMOVE EASILY AT NIGHT TOAT NIGHT TO
• CONTROL NOCTURNALCONTROL NOCTURNAL
PARAFUNCTIONPARAFUNCTION
• REPAIR EASILYREPAIR EASILY COMPARED WITHCOMPARED WITH
FIXED PROSTHESISFIXED PROSTHESIS
• REQUIRE SHORTER PROSTHETICREQUIRE SHORTER PROSTHETIC
APPTS, REDUCED LABORATORYAPPTS, REDUCED LABORATORY
FEES AND FEWER IMPLANTS WHICHFEES AND FEWER IMPLANTS WHICH
REDUCE OVERALL COSTREDUCE OVERALL COST..
www.indiandentalacademy.com
6. DISADVANTAGES
• PRIMARY DISADVANTAGE-RELATED TO
PATIENTS DESIRE (OVERDENTURE WOULD
NOT SATISFY THE PSYCHOLOGIC NEED OF
PATIENT TO FEEL THE PROSTHESIS AS A
PART OF THEIR BODY
• LACK OF SUFFICIENT ARCH SPACE MAKES
AN OVERDENTURE DENTURE SYSTEM
MORE DIFFICULT
www.indiandentalacademy.com
7. MANDIBULAR IMPLANT
SITE SELECTION
• 1.GREATEST AVAILABLE HEIGHT OF BONE
IS AVAILABLE IN THE ANTERIOR
MANDIBLE BETWEEN THE MENTAL
FORAMINA OR ANTERIOR LOOPS OF THE
MANDIBULAR CANAL
• DENSITY OF BONE IN THIS AREA IS ALSO
OPTIMAL FOR IMPLANT SUPPORT
www.indiandentalacademy.com
8. IMPLANT SITE SELECTION
(CONTD…)
• AVAILABLE BONE IN THE ANTERIOR
MANDIBLE IS DIVIDED INTO 5 EQUAL
COLUMNS OF BONE SERVING AS
POTENTIAL IMPLANT SITES LABELLED
AS A,B,C,D AND E STARTING FROM
PATIENTS RIGHT
www.indiandentalacademy.com
9. CLASSIFICATION OF
OVERDENTURE MOVEMENT
• IMPLANT OVERDENTURE MOVEMENTS
HAVE BEEN SORTED IN SIX DIRECTIONS
OR RANGE OF MOVEMENTS
• PROSTHESIS MOVEMENT IS EVALUATED
WHILE RESTORATION IS IN THE MOUTH
www.indiandentalacademy.com
10. OVER DENTURE MOVEMENT
(CONTD….)
• PM-0 :THE PROSTHESIS DOES NOT HAVE
MOVEMENT DURING FUNCTION
• PM-2 :PROSTHESIS WITH A HINGE
MOTION
• PM-3 :PROSTHESIS WITH AN APICAL
AND HINGE MOTION
• PM-4 :ALLOWS MOVEMENT IN FOUR
DIRECTIONS
• PM-6 :HAS ALL RANGES OF PROSTHESIS
MOVEMENT
www.indiandentalacademy.com
11. OVERDENTURE ATTACHMENTS
• OVERDENTURE ATTACHMENT PERMITS
MOVEMENT DURING FUNCTION AND OR
REMOVAL FROM THE MOUTH.
• FEMALE PORTION OF THE ATTACHEMENT
IN THE PROSTHESIS SHOULD BE DESIGNED
TO WEAR AND BE REPLACED NOT THE
MALE PORTION (PATRIX) CONNECTED TO
THE SUPERSTRUCTURE OR IMPLANT
• IDEALLY THE ATTACHMENT SHOULD
OFFER THE POSSIBILITY TO CONTROL THE
DEGREE OF RETENTIONwww.indiandentalacademy.com
12. O RING ATTACHMENTS
(BALL ATTACHMENTS)
• O RINGS ARE DOUGH NUT SHAPED,
SYNTHETIC POLYMER OBJECTS THAT
POSSESS THE ABILITY TO BEND WITH
RESISTANCE AND THEN RETURN TO
THEIR APPROXIMATE ORIGINAL SHAPE
• O RING IS COMPRESSED RADIALLY
BETWEEN TWO MATING SURFACES
COMPRISING A POST AND A METAL
ENCAPSULATOR INTO WHICH THE O
RING IS INSTALLED
www.indiandentalacademy.com
13. O RING ATTACHMENTS (CONTD..)
• THE DYNAMIC MOVEMENT OF O RING IS
ONE OF THE MOST RESILIENT OR
MOBILE TYPE OF ATTACHMENTS
• O RINGS MAY HAVE A RANGE OF
MOTION OF SIX DIFFERENT
DIRECTIONS
www.indiandentalacademy.com
14. METAL ENCAPSULATOR
• A METAL ENCAPSULATOR PERMITS THE
EASY REPLACEMENT OF THE O RING
AFTER WEARING OR DAMAGE
• THE ENCAPSULATOR HAS AN
UNDERCUT REGION THAT HOUSES THE
O RING CALLED THE INTERNAL CAVITY
www.indiandentalacademy.com
15. HADER BAR AND CLIP
• HADER BAR AND RIDER SYSTEM WAS
MODIFIED TO HADER EDS SYSTEM
• EDS BAR SYSTEM IS ONLY 3mm
HIGH,CLIPS HAVE THREE DIFFERENT
RETENTION STRENGTHS AND A 20
DEGREE CLIP ROTATION(WHICH
INCREASES THE FLEXIBILTY OF THE
SYSTEM
• HADER BAR AND CLIP IS A TYPE 2
ATTACHMENT AND MAY BE USED FOR
PM-0 OR PM-2 TREATMENT PLANS
www.indiandentalacademy.com
16. MANDIBULAR OVERDENTURE
TREATMENT OPTIONS
IMPLANTS IN
THE B AND D
POSITION,
INDEPENDENT
OF EACH OTHER
IDEAL ANTERIOR AND
POSTERIOR RIDGE FORM
IDEAL DENTURE
COST IS A MAJOR
FACTOR
RETENTION ONLY
OPTION 1
www.indiandentalacademy.com
17. OPTION 1
• INDICATED PRIMARILY WHEN COST IS
THE MOST SIGNIFICANT FACTOR
• OTHER INDICATIONS ARE WHEN THE
SPAN BETWEEN THE IMPLANTS IS TOO
LONG AND INSUFICIENT SPACE EXISTS
TO ACCOMDATE ATTACHMENTS ON A
BAR AND IN ARCHES TEAR SHAPED
ANTERIORLY
• POSTERIOR RIDGE FORM SHOLD BE
INVERTED U SHAPE WITH HIGH
PARALLEL WALLS FOR GOOD TO
EXCELLENT ANATOMIC CONDITIONS
FOR DENTURE RETENTION,SUPPORT
AND STABILITY.www.indiandentalacademy.com
18. OPTION 1 (CONTD…)
• MOST COMMON ATTACHMENT USED HERE
IS THE O RING DESIGN AND PROSTHESIS
MOVEMENT MUST BE AS PRACTICAL(PM-6)
• TWO IMPLANTS ARE INSERTED IN B AND D
POSITION AND THEY ARE INDEPENDENT
AND NOT CONNECTED WITH A
SUPERSTRUCTURE
• IT IS BETTER TO HAVE IMPLANTS IN THE B
AND D POSITION RATHER THAN IN THE A
AND E REGIONS
www.indiandentalacademy.com
19. OPTION 1 (CONTD….)
• INDEPENDENT IMPLANTS IN THE AND E
POSITIONS PERMIT MORE ROCKING OF
THE RESTORATION COMPARED WITH B
AND D REGIONS
• PLACED IN B AND D POSITIONS-
ANTERIOR MOVEMENT OF THE
PROSTHESIS IS REDUCED AND
PROSTHESIS ALSO ACTS AS A SPLINT TO
THE TEETH,DECREASING SOME OF THE
STRESS TO EACH IMPLANT
www.indiandentalacademy.com
20. OPTION 2
IMPLANTS IN THE B
AND D POSITION
JOINED RIGIDLY BY
A BAR
IDEAL POSTERIOR RIDGE FORM
IDEAL DENTURE
COST IS A MAJOR FACTOR
RETENTION AND MINOR
STABILITY
www.indiandentalacademy.com
21. OPTION 2
• SELECTED ONLY ON RARE OCCASIONS
• IMPLANTS USUALLY PLACED IN B AND D
POSITIONS SPLINTED TOGETHER WITH
A SUPERSTRUCTURE WITHOUT ANY
DISTAL CANTILEVER
• RETENTIVE ELEMENT MAY BE O – RING
OR CLIP DESIGN BASED ON THE
INTERARCH DISTANCE AVAILABLE
• BAR , SIMILAR TO THOSE DESIGNED BY
DOLDER OR HADER
www.indiandentalacademy.com
22. IMPLANTS IN ‘B’ AND ‘D’ POSITIONS
• IMPLANTS PLACED IN ‘B’ AND ‘D’
POSITION SATISFIES IDEAL DISTANCE
BETWEEN IMPLANTS ( 20 TO 22MM
RANGE)
• IMPLANTS SPLINTED IN ‘B’ AND ‘D’
POSITIONS REDUCES IMPLANT
REACTION FORCES – PROVIDES LESS
STRESS TO IMPLANT AT CREST OF THE
BONE
www.indiandentalacademy.com
23. DISADVANTAGES OF SPLINTED
‘A’ AND ‘E’ IMPLANTS
• IMPLANTS JOINED WITH STRAIGHT
BAR ARE LINGUAL TO THE RIDGE
B.ANTERIOR TIPPING OF
OVERDENTURE
C.FIVE TIMES MORE BAR
FLEXURE THAN ‘B’ AND ‘D’
POSITIONS
www.indiandentalacademy.com
24. • 2) IMPLANTS JOINED WITH ANTERIOR
CURVED BAR
A.GREATER BAR FLEXIBILTY
(9 TIMES THE B AND D POSITIONS)
B.INCREASED SCREW LOOSENING
C.INCREASED MOMENT FORCES
ON ANTERIOR OF PROSTHESIS
D.ATTACHMENT OR CURVED BAR MAY
PREVENT PROSTHESIS MOVEMENT
DISADVANTAGES OF SPLINTED
‘A’ AND ‘E’ IMPLANTS (CONTD….)
www.indiandentalacademy.com
25. DISADVANTAGES OF SPLINTED‘A’
AND ‘E’ IMPLANTS (CONTD…..)
• 3)HIGHER BITE FORCE THAN ‘B’ AND ‘D’
POSITIONS
• 4) MORE LATERAL LOAD FROM
PROSTHESIS TO IMPLANTS THAN ‘B’
AND ‘D’ POSITION
www.indiandentalacademy.com
26. OPTION 3(A)
IMPLANTS IN THE
B,C AND D
POSITION JOINED
BY A RIGID BAR
WHEN THE
POSTERIOR RIDGE
FORM IS POOR
• DIVISION C-h ANTERIOR BONE
VOLUME
• POOR POSTERIOR RIDGE FORM
• RETENTION AND MINOR
STABILITY
• PM3 TO PM6www.indiandentalacademy.com
27. OPTION 3 ( CONTD….)
• USUAL TREATMENT FOR A PATIENT WITH
MINIMAL COMPLAINTS
• CONCERN - PRIMARILY RETENTION AND
ANTERIOR STABILITY
• POSTERIOR RIDGE FORM DETERMINES
THE LINGUAL FLANGE EXTENSION OF THE
DENTURE
• IF POSTERIOR RIDGE FORM IS
GOOD,IMPLANTS ARE PLACED IN ‘A’, ‘C’
AND ‘E’ AREAS AND PM-2 TO PM –6 RANGE
OF MOTION IS REASONABLE.www.indiandentalacademy.com
28. OPTION 3 ( CONTD…..)
• IF ANTERIOR OR POSTERIOR RIDGE
FORM IS POOR THE IMPLANTS ARE
PLACED IN THE ‘B’, ‘C’ AND ‘D’ REGIONS
• THIS INCREASES THE POSTERIOR
MOVEMENT OF THE RESTORATION BUT
DECREASES THE AMOUNT OF STRESS
ON THE IMPLANTS AND THE SCREW
RETAINED BAR
• PM FOR THREE IMPLANTS IN ‘B’, ‘C’
AND ‘D’ AREAS SHOULD HAVE PM-3 TO
PM-6 RANGES OF MOTIONwww.indiandentalacademy.com
29. OPTION 3(B)
IMPLANTS IN THE
‘A’, ‘C’ AND ‘E’
POSITION RIGIDLY
JOINED BY A BAR IF
POSTERIOR RIDGE
FORM IS GOOD
• IDEAL POSTERIOR RIDGE
FORM
• IDEAL DENTURE
• RETENTION AND MODERATE
STABILITY
• PM2 TO PM6www.indiandentalacademy.com
30. ADVANTAGES OF SPLINTED
‘A’, ‘C’ AND ‘E’ IMPLANTS
• SIX TIMES LESS BAR FLEXURE
COMPARED WITH ‘A’ AND ‘E’ POSITIONS
• LESS SCREW LOSENING
A. LESS FLEXURE
B. THREE IMPLANT ABUTMENTS
• LESS STRESS TO EACH IMPLANT
COMPARED WITH ‘A’ AND ‘E’ IMPLANTS
A. GREATER SURFACE AREA
B. MORE IMPLANTS
C. GREATER ‘A’ TO ‘D’ DISTANCE
www.indiandentalacademy.com
31. • ONE HALF MOMENT FORCE
COMPARED WITH ‘A’ AND ‘E’
IMPLANTS
• LESS PROSTHESIS MOVEMENT
• ONE IMPLANT FAILURE STILL
PROVIDES ADEQUATE IMPLANT
SUPPORT
www.indiandentalacademy.com
32. OPTION 4
IMPLANTS IN THE
‘A’, ‘B’, ‘D’ AND ‘E’
POSITIONS RIGIDLY
JOINED BY A BAR
CANTILEVERED
DISTALLY ABOUT
10mm
• PATIENT DESIRES
GREATER RETENTION,
MAJOR STABILITY AND
SUPPORT
• PM2 TO PM6www.indiandentalacademy.com
33. OPTION 4 (CONTD…)
• IN OD-4 FOUR IMPLANTS ARE PLACED IN
‘A’, ‘B’, ‘D’ AND ‘E’ POSITIONS
• CANTILEVERED SUPERSTRUCTURE IS A
FEATURE OF FOUR OR MORE IMPLANTS
FOR
1) INCREASE IN IMPLANT SUPPORT
COMPARED WITH OD-1 TO OD-3
2) ADDITIONAL RETENTION OF
SUPERSTRUCTURE LIMITS THE RISK OF
SCREW LOSSENING AND RELATED
COMPLICATIONSwww.indiandentalacademy.com
34. OPTION 4 ( CONTD….)
• PATIENTS INDICATION FOR OD-4
INCLUDE POOR POSTERIOR ANATOMY
WITH THE POSTERIOR MANDIBLE
BEING MORE RESORBED THAN
ANTERIOR
• A PM-2 RANGE OF MOTION IS MOST
COMMON
• ATTACHEMENTS ARE OFTEN PLACED IN
DISTAL CANTILEVERS AND IN MIDLINE
www.indiandentalacademy.com
35. OPTION 4 ( CONTD…)
• THE PATIENT BENEFITS FROM THE
4 IMPLANTS BECAUSE THERE IS
GREAT VERTICAL SUPPORT AND
LATERAL STABILITY
www.indiandentalacademy.com
36. OPTION 5
IMPLANTS IN THE
‘A’, ‘B’, ‘C’, ‘D’ AND
‘E’ POSITIONS
RIGIDLY JOINED
BY A BAR
CANTILEVERED
DISTALLY ABOUT
15mm
• PATIENT HAS HIGH
DEMANDS OR DESIRES
RETENTION,STABILITY
AND SUPPORT
• PM0www.indiandentalacademy.com
37. OPTION 5 (CONTD….)
• DESIGNED FOR PATIENTS WITH
MODERATE TO SEVERE PROBLEMS
RELATED TO A TRADITIONAL
RESTORATION
• FIVE IMPALANTS ARE INSERTED IN THE
‘A’, ‘B’, ‘C’, ‘D’ AND ‘E’ POSITIONS.
• SUPERSTRUCTURE IS CANTILEVERED
DISTALLY A MAXIMUM OF 2.5 TIMES THE
A-P DISTANCE OR APPROXIMATELY
15mm,WHICH PLACES IT UNDER THE FIRST
MOLAR AREA.www.indiandentalacademy.com
38. OPTION 5 ( CONTD…)
• IF STRESS FACTORS ARE NOT
FAVORABLE CANTILEVER SHOULD BE
REDUCED
• TEETH OF FINAL RESTORATION
USUALLY DO NOT EXTEND BEYOND THE
FIRST MOLAR AND THIS HELPS
PREVENT A HIDDEN
CANTILEVER,WHICH MAY EXTEND
BEYOND THIS POSITION
• RESTORATION OFTEN RP-4,
COMPLETELY IMPLANT SUPPORTEDwww.indiandentalacademy.com
39. OPTION 5 ( CONTD…)
• FOUR TO SIX RETENTIVE ELEMENTS
ARE INCLUDED IN THE BAR DESIGN
(TYPICALLY O-RINGS AND HADER
CLIPS) AND THEY PROVIDE RETENTION
AND OPPOSE PROSTHESIS MOVEMENT
www.indiandentalacademy.com
40. CONCLUSION
• FIVE MENTIONED OPTIONS PROVIDE
ORGANIZED APPROACH TO SOLVING A
PATIENTS COMPLAINTS OR ANATOMIC
LIMITATIONS
• PROSTHESIS SUPPORT AND RANGE OF
MOTION SHOULD BE A PART OF INITIAL
DIAGNOSIS
www.indiandentalacademy.com
41. • OD 2 AND OD 3 ARE COMPARED TO A
TWO LEGGED CHAIR(PROVIDES SOME
VERTICAL SUPPORT,BUT CAN ROCK
BACK AND FORTH
• OD 4 IS COMPARED TO A THREE
LEGGED CHAIR(PROVIDES FURTHER
SUPPORT BUT CAN BE ROCKED ONE
WAY OR OTHER BY LATERAL FORCES
• OD 5 COMPARED TO A FOUR LEGGED
CHAIR PROVIDES GREATEST SUPPORT
AND IS A STABLE AND RETENTIVE
PROSTHESISwww.indiandentalacademy.com
42. • ADVANTAGES OF IMPLANT
OVERDENTURES RELATE TO
• 1)ABILITY TO PLACE RIGID
HEALTHY ABUTMENTS IN ANTERIOR
POSITIONS OF CHOICE
• 2)THE NUMBER,LOCATION,
SUPERSTRUCTURE DESIGN AND
PROSTHETIC RANGE OF MOTION CAN
BE DETERMINED BASED ON PATIENTS
EXPRESSED NEEDS AND DESIRES
www.indiandentalacademy.com
43. • IMPLANTS PLACED IN ‘B’, ‘C’ AND ‘D’
POSITIONS ALLOWS MORE MOVEMENT
IN THE PROSTHESIS SO IMPLANTS WILL
NOT BE OVERLOADED
• PROSTHESES MOVEMENT SHOULD BE
PM3 OR GREATER TO REDUCE THE
STRESS ON THE B, C AND D IMPLANTS
www.indiandentalacademy.com
44. TREATMENT PLANNING FOR
EDENTULOUS POSTERIOR MAXILLA
• MAXILLARY POSTERIOR EDENTULOUS
REGION PRESENTS WITH MANY UNIQUE
AND CHALLENGING CONDITIONS
• BONE QUALITY,BONE DENSITY AND
INCREASED FORCES IN THIS REGION
HAVE TO BE CONSIDERED IN THE
TREATMENT PLAN OF THIS REGION OF
THE MOUTH
www.indiandentalacademy.com
45. ANATOMIC CONSIDERATIONS
• EVOLUTION OF POSTERIOR MAXILLA
WITH LOSS OF TEETH
1.AVAILABLE BONE HEIGHT IS LOST
IN THE POSTERIOR MAXILLA
2.DECREASE IN BONE WIDTH AT THE
EXPENSE OF LABIAL BONY PLATE
3.WIDTH IN THIS REGION-DECREASES
AT A RAPID RATE HERE THAN ANY
OTHER REGION IN THE JAW.
4.ABUNDANT DIVISION A BONE RIDGE
IS RESORBED INTO A MEDIALLY
POSITIONED DIVISION B BONE
www.indiandentalacademy.com
46. ANATOMIC CONSIDERATIONS
(CONTD….)
• DENSITY IS DECREASED IN LONG TERM MORE
THAN ANY OTHER REGION
• ABSENCE OF CORTICAL PLATE ON THE CREST
OF THE RIDGE - COMPROMISES INITIAL
IMPLANT STABILITY
• LABIAL CORTICAL PLATE IS THIN AND RIDGE
IS OFTEN WIDE
• DIMENSION IN HEIGHT OF POST.MAXILLA IS
GREATLY REDUCED - DUE TO DUAL
ABSORPTION FROM
1.CREST OF RIDGE AND
2.PNEUMATIZATION OF THE SINUS
AFTER TEETH LOSS
www.indiandentalacademy.com
47. SPECIAL CONSIDERATIONS
(CONTD…)
• OCCLUSAL FORCES IN THE POSTERIOR
REGION ARE GREATER THAN IN THE
ANTERIOR REGION
• POSTERIOR MAXILLA ALWAYS
OPPOSES NATURAL TEETH OR IMPLANT
SUPPORTED RESTORATIONS-THIS
FUIRTHER INCREASES FORCES
COMPARED WITH SOFT TISSUE BORNE
RESTRATIONS
www.indiandentalacademy.com
48. EXPANSION OF MAXILLARY SINUS
• A EXPANSION PHENOMENON OF THE
MAXILLARY SINUS OCCURS AFTER LOSS OF
THE POSTERIOR TEETH
• ANTRUM EXPANDS IN INFERIOR ,
LATERAL ASPECT AND MAY EVEN PROCEED
TO LATERAL PIRIFORM OF THE NOSE AND
INVADES CANINE EMINENCE REGION
• HENCE,AMOUNT OF BONE IN POSTERIOR
MAXILLA IS GREATLY DECREASES IN HEIGHT
www.indiandentalacademy.com
49. EXPANSION OF MAXILLARY SINUS
(CONTD….)
• FOLLOWING PERIODONTAL
DISEASE TOOTH LOSS AND SINUS
EXPANSION,LESS THAN 10MM
REMAINS BETWEEN ALVEOLAR
RIDGE CREST AND FLOOR OF THE
MAXILLARY SINUS
www.indiandentalacademy.com
50. SPECIAL CONSIDERATIONS FOR
THE POSTERIOR MAXILLA
• INTERARCH DISTANCE SHOULD BE
EVALUATED BEFORE IMPLANT
PLACEMENT-
SHOULD BE > THAN 6mm.
IF LESS SPACE IS PRESENT THEN
FOLLOWING CAN BE DONE TO RESTORE
CORRECT RIDGE ORIENTATION
1. GINGIVECTOMY
2.OSTEOPLASTY AND / OR VERTICAL
OSTEOTOMY
www.indiandentalacademy.com
51. SUB ANTRAL OPTION 1(CONTD….)
• STRESSES OCCUR PRIMARILY AT THE
CRESTAL REGION
• 1.BIOMECHANICAL DESIGNS OF
IMPLANTS TO MINIMIZE THEIR
NOXIOUS EFFECT ARE IMPLEMENTED
• 2.IMPLANT DIAMETER IS AN
EFFECTIVE METHOD TO INCREASE
SURFACE AREA AT THE CRESTAL
REGION
• 3.IMPLANT NUMBER – A GOOD
METHOD TO DECREASE CRESTAL
STRESSES www.indiandentalacademy.com
53. WATERS VIEW
• TRADITIONALLY EMPLOYED FOR
THE STUDY OF THE MAXILLARY
SINUS
• BETTER VIEW TO ILLUSTRATE
CLOUDINESS AND SCLEROTIC
CHANGES OF THE MAXILLARY
SINUS
www.indiandentalacademy.com
54. PANORAMIC XRAY (BENEFITS)
PROVIDES BETTER ILLUSTRATION OF:
• CONTOUR OF SINUS
• PRESENCE OF CYST LIKE DENSITIES
• FLOOR OF THE ANTRUM AND THE AMOUT OF
AVAILABLE BONE BETWEEN CREST OF THE
RIDGE AND THE SINUS FLOOR
• DISTANCE BETWEEN THE PALATAL LINES AND
THE FLOOR OF THE ANTRUM –GOOD
INDICATION OF THE FACIAL HEIGHT OF THE
BONE BELOW THE ZYGOMA FOR DIRECT
SURGICAL ACCESS FOR THE SINUS GRAFT
www.indiandentalacademy.com
55. USES OF COMPUTED TOMOGRAPHY
PROVIDES CLEAR VIEW OF:
1. IMAGES OF MAX SINUS IN ALL DIRECTIONS
2. ALL WALLS OF MAXILLARY SINUS
3. POTENTIAL ASSOCIATED PATHOLOGIES
4. DETAILED REGIONAL ANATOMY
5. EXTENT OF MUCOPERIOSTEAL THICKENING
(MIDDLE MEATUS AND INFUNDIBULAR
REGION)
6. HIGHLY DIAGNOSTIC VIEW OF
POSTEROLATERAL WALLS TOGETHER WITH
THE SOFT TISSUE STRUCTURE OF
INFRATEMPORAL & PTERYGOPALATINE
FOSSA www.indiandentalacademy.com
56. SUBANTRAL OPTION 1
DONE WHEN
SUFFICIENT
AVAILABLE BONE
HEIGHT
TO PERMIT THE
PLACEMENT OF
ENDOSTEAL
IMPLANTS
www.indiandentalacademy.com
57. SUB ANTRAL OPTION 1(CONTD…)
• IN ABUNDANT BONE VOLUME DIVISION
A ROOT FORM IMPLANTS ARE USED
• MINIMUM BONE HEIGHT IS RELATED TO
IMPLANT DESIGN AND BONE DENSITY
D2 BONE-ATLEAST 11mm
D3 BONE-ATLEAST 12mm
D4 BONE-ATLEAST 13mm
(FOR A 4mm DIAMETER SCREW
IMPLANT)
www.indiandentalacademy.com
58. SUB ANTRAL OPTION 1(CONTD….)
• SURGICAL APPROACH DECIDED BY BONE
DENSITY
IF NARROWER BONE VOLUME IS THERE
OSTEOPLASTY OR
AUGMENTATION TO INCREASE THE WIDTH
(WITH BONE SPREADING AND
INTRAPOSITIONAL& GRAFTS)
• IF LESS THAN 2.5mm WIDTH IS ONLY
AVAILABLE THEN ONLAY AUTOGENOUS
BONE GRAFTS IS DONE
www.indiandentalacademy.com
59. SUB ANTRAL OPTION 1(CONTD….)
• AFTER HEALING,AREA IS REEVALUATED
TO DETERMINE PROPER TREATMENT PLAN
• ENDOSTEAL IMPLANTS ARE LEFT TO HEAL
IN A NONFUNCTIONAL ENVIRONMENT FOR
APPROXIMATELY 4 TO 8 MONTHS BEFORE
THE ABUTMENT POSTS ARE ADDED FOR
PROSTHODONTIC RECONSTRUCTION
• AFTER INITIAL HEALING PHASE
,PROGRESSIVE LOADING PHASE
TREATMENT IS CARRIED OUT
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60. SUBANTRAL OPTION 2: SINUS LIFT
• 1.SELECTED WHEN 10-12MM VERTICAL
BONE PRESENT
• 2.IMPLANTS SCREW TYPE DESIGN ROOT
FORM IMPLANTSwww.indiandentalacademy.com
61. SUB ANTRAL OPTION 2 (CONTD….)
• 3.TO OBTAIN 12-14MM OF VERTICAL
BONE NECESSARY FOR IMPROVED
IMPLANT SURVIVAL-ANTRAL FLOOR IS
ELEVATED FROM BELOW BY SURGERY
• FINAL IMPLANT MAY THEN BE
INSERTED INTO THE IMPLANT
OSTEOTOMY AND 0 TO 2mm OF NEW
BONE FORMATION IS ALLOWED TO
OCCUR
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62. SUB ANTRAL OPTION 2 (CONTD….)
• 4.NATURAL ELEVATION OF SINUS
MEMBRANE WILL OCCUR AROUND
TEETH WITH PERIAPICAL DISEASE-THIS
ELEVATION RESULTS IN NEW BONE
FORMATION
• 4.6 TO 8 MONTHS AFTER SURGERY IS
USED TO INDICATE THE SUCCES OF 0 TO
2MM OF INCREASED VERTICAL HEIGHT
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63. SUB ANTRAL OPTION 2 (CONTD….)
IF SINUS PERFORATION OCCURSIF SINUS PERFORATION OCCURS DURINGDURING
SURGERY:SURGERY:
• EXTRA 2 MONTHS IS ADDED TO
USUAL HEALING TIME FOR INTEGRATION
OF BONE WITH IMPLANT AND FOR 1 TO 2
mm
• AN ADDITIONAL IMPLANT OR
WIDER IMPLANT IS INCLUDED IN CASE IF
BONE DOES NOT FORM B’COZ OF
PERFORATION
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64. SUB ANTRAL OPTION 2 (CONTD….)
• IF NO BONE FORMATION IS OBTAINED
AROUND APICAL PORTION OF IMPLANT:
• STILL CORTICAL LINING OF SINUS
ENGAGES THE IMPLANT IN APICAL THIRD
REGION AND IMPROVES RIGIDITY AND STREE
RANSFER
• 10-12mm IMPLANT PORTION IN
BONE IS MANAGED WITH PROGRESSIVE
LOADING
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65. SUBANTRAL OPTION 3 :SINUS
GRAFT AND INITIAL DELAYED
ENDOSTEAL IMPLANT PLACEMENT
INDICATED WHEN
• ATLEAST 5mm OF
VERTICAL BONE
PRESENT
• SUFFICIENT WIDTH
PRESENT BETWEEN
ANTRAL FLOOR
AND CREST OF
RESIDUAL RIDGE
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66. SUB ANTRAL OPTION 3 (CONTD…)
• TREATMENT PROCEDURE
• 1.TATUM LATERAL MAXILLARY WALL
APPROACH IS PERFORMED JUST
SUPERIOR TO RESIDUAL ALVEOLAR
BONE
• 2. LATERAL ACCESS WINDOW AND
MEMBRANE ARE ROTATED IN AND
UPWARD TO A SUPERIOR POSITION
• 3.A MIXTURE OF AUTOGENOUS
BONE,ALLOPLAST AND ALLOGRAFT
MATERIAL IS PLACED IN SPACE
PREVIOUSLY OCCUPIED BY THE SINUSwww.indiandentalacademy.com
67. SUB ANTRAL OPTION 3 (CONTD….)
• AFTER 2 TO 4 MONTHS WHEN THE AREA
HEALS THE IMPLANTS ARE
INSERTED(THIS SHORT DELAY ENSURES
GRAFT IS STABLE AND HEALS WITHOUT
COMPROMISE
• IT IS PRUDENT TO DELAY IMPLANT
PLACEMENT UNTIL THE GRAFT INITIALLY
MATURES AND THE RISK OF INFECTION IS
ELIMINATED
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68. SUB ANTRAL OPTION 3 (CONTD…..)
• DELAYED IMPLANT INSERTION ALSO
ALLOWS THE SURGEON TO ASSESS THE
BONE AUGMENTATION FORMATION
AND DENSITY BEFORE IMPLANT
PLACEMENT
• IMPLANT (B’COZ OF THE DELAYED
PLACEMENT )IS MORE RIGIDLY FIXED
SINCE SURROUNDED BY A MATURE
BONE GRAFT
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69. SUB ANTRAL OPTION 3 (CONTD….)
• IMPLANT DESIGN AND SURGICAL
APPROACH ARE SIMILAR TO OTHER
REGIONS OF MOUTH-VOLUME,DENSITY
OF BONE,STRESS FACTORS AND
PROSTHETIC OPTION DETERMINE HOW
MANY ROOT FORMS ARE INDICATED
• OSTEOPLASTY CAN BE DONE IF WIDER
ROOT FORM IMPLANTS ARE TO BE
PLACED
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70. SUB ANTRAL OPTION 3 (CONTD….)
• IF NO OSTEOPLASTY AND ONLY ONLAY
GRAFTING IS DONE,ADDITIONAL 6
MONTH HEALING TIME IS NEEDED
• ADDITIONAL 4 TO 8 MONTH HEALING IS
INDICATED BEFORE STAGE II
UNCOVERY AND PERMUCOSAL
ABUTMENT PLCEMENT
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71. SUBANTRAL OPTION 4
• SERVES TO
AUGMENT REGION
FOR FUTURE
IMPLANT
PLACEMENT
• THIS IS INDICATED
WHEN LESS THAN 5
mm IS PRESENT
BETWEEN THE
RESIDUAL CREST OF
BONE AND FLOOR OF
THE SINUS
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72. SUB ANTRAL OPTION 4 ( CONTD…..)
• THERE IS INSUFFICIENT HOST BONE IN
HEIGHT AND QUALITY IN THE REGION
TO PERMIT PREDICTABLE IMPLANT
PLACEMENT
• THESE CONDITIONS ALSO NEED
GREATER GRAFT VOLUME
• COMPROMISED OSSEOUS
BED,EXTENSIVE PNEUMATIZATION AND
INSUFFICIENT BONE STRUCTURE FOR
PRIMARY IMPLANT STABILIZATION
REQUIRE MORE TIME FOR BONE TO
REPLACE GRAFT
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73. SUB ANTRAL OPTION 4 ( CONTD….)
• TATUM LATERAL WALL APPROACH IS
DONE SAME AS IN SA 3
• MEMBRANE IS ELEVATED TO ALLOW
PLACEMENT OF AUTOGENOUS
BONE,ALLOPLASTS AND ALLOGRAFTS
• USUALLY ADDITIONAL GRAFT SITE FOR
AUTOGENOUS BONE IS USED APART
FROM TUBEROSITY
• AUGMENTED REGION ALLOWED TO
HEAL FOR 6 TO 10 MONTHS BEFORE
REENTRY FOR ENDOSTEAL IMPLANTS
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74. SUB ANTRAL OPTION 4 (CONTD….)
• IMPLANT DESIGN AS IN OTHER REGIONS
DEPENDS ON AVAILABLE BONE AND
INTENDED PROSTHESIS
• LESS THAN 5mm BONE IS SUFFICIENT
FOR ROOT FORM IMPLANTS AFTER
SINUS GRAFT HAS MATURED
• IMPLANT IS OFTEN PLACED IN THE
REGION OF LINGUAL CUSP OF NATURAL
TOOTH
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75. SUB ANTRAL OPTION 4 (CONTD…..)
• BONE GRAFT IS EVALUATED AT
IMPLANT PLACEMENT TO DETERMINE
HEALING TIME FOR ENDOSTEAL
IMPLANT
• 4 TO 10 ADDITIONAL MONTHS ELAPSE
BEFORE PROSTHODONTIC
RECONSTRUCTION
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76. SUMMARY
• POSTERIOR MAXILLA IS THE LEAST
PREDICTABLE AREA FOR IMPLANT
SURVIVAL DUE TO INADEQUATE BONE
HEIGHT,POOR BONE DENSITY AND HIGH
OCCLUSAL FORCES
• INITIALLY PAST IMPLANT MODALITIES
ATTEMPTED TO AVOID THIS AREA
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77. • LATER TECHNIQUES FOR MAXILLARY
SINUS ELEVATION AND SUBANTRAL
BONE REGENERATION TO IMPROVE
IMPLANT HEIGHT WERE DEVELOPED
• OPTIONS WERE THEN MODIFIED TO
REFLECT WIDTH OF THE AVAILABLE
BONE
• AFTER THE NECESSARY PROCEDURES
FOR HEIGHT AND WIDTH ,ROOT FORM
IMPLANTS WERE INDICATEDwww.indiandentalacademy.com
78. • UNFAVORABLE RIDGE ANATOMY
(NARROW WIDTH )NECESSITATES THE
USAGE OF AUTOGENOUS BONE GRAFTS
OR OSTEOPLASTY TECHNIQUES
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79. THANK YOU
For more details please visit
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