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 provides information about nasoalveolar molding (NAM) for treating cleft lip and palate. It defines cleft lip and cleft palate, and describes presurgical NAM which reshapes the alveolar and nasal segments before surgical repair. The key steps of NAM include taking an impression, fabricating an acrylic molding plate with a nasal stent, inserting the plate and using tape for retention, and making weekly adjustments to reshape the tissues over 3-5 months before surgery. The goals of NAM are to decrease the cleft deformity and improve symmetry, with benefits such as reducing the need for future bone grafts or surgeries.
The document discusses several theories of craniofacial growth including remodeling theory, genetic theory, sutural theory, nasal septum theory, and the functional matrix hypothesis. It provides details on the key concepts and inconsistencies of each theory. The remodeling theory proposed that growth occurs through bone deposition and resorption at surfaces. The sutural theory emphasized the role of sutures and cartilage in driving growth. The nasal septum theory proposed the nasal septum cartilage pushes the midface forward during growth. The functional matrix hypothesis views the skull as comprising functional units that drive skeletal growth.
1. The document discusses prenatal facial growth, which can be divided into three periods: the period of the ovum, embryo, and fetus.
2. During the period of the embryo (1-7 weeks), the major development of the facial and cranial regions occurs, including the formation of the branchial arches which give rise to structures of the face, neck, and throat.
3. In the period of the fetus, accelerated growth of craniofacial structures occurs resulting in increased size and changes in proportions, and the prenatal growth of structures such as the cranial base, maxilla, mandible, palate, and mandible are described.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The document provides an overview of the activator appliance and its modifications. Some key points:
- The activator was developed in the early 1900s as a way to induce functional growth modifications. It works by applying muscle forces to the jaws through light contact between the appliance and teeth.
- There are different types of activators (H-activator and V-activator) depending on the amount of vertical opening and anterior positioning in the construction bite.
- The appliance is indicated for Class II and III malocclusions, open bites, and other functional issues in growing individuals. Contraindications include non-growing patients and severe vertical growth patterns.
- The activator is thought to work
Influence of Drugs on Orthodontic Tooth MovementMahmoud Shaheen
This document summarizes the effects of various medications on orthodontic tooth movement. It discusses how analgesics like NSAIDs inhibit prostaglandin synthesis and can slow tooth movement. Corticosteroids increase bone resorption and can accelerate movement. Bisphosphonates, fluorides, estrogens, and androgens inhibit osteoclast activity and bone resorption, potentially delaying movement. Thyroid hormones and vitamin D may increase tooth movement by stimulating osteoclasts. Anti-convulsants can induce gingival issues complicating treatment. The conclusion emphasizes the importance for orthodontists to be aware of how medications can influence treatment outcomes and discuss potential complications with patients.
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
Nasoalveolar moulding /certified fixed orthodontic courses by Indian dental a...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 about nasoalveolar molding (NAM) for treating cleft lip and palate. It defines cleft lip and cleft palate, and describes presurgical NAM which reshapes the alveolar and nasal segments before surgical repair. The key steps of NAM include taking an impression, fabricating an acrylic molding plate with a nasal stent, inserting the plate and using tape for retention, and making weekly adjustments to reshape the tissues over 3-5 months before surgery. The goals of NAM are to decrease the cleft deformity and improve symmetry, with benefits such as reducing the need for future bone grafts or surgeries.
The document discusses several theories of craniofacial growth including remodeling theory, genetic theory, sutural theory, nasal septum theory, and the functional matrix hypothesis. It provides details on the key concepts and inconsistencies of each theory. The remodeling theory proposed that growth occurs through bone deposition and resorption at surfaces. The sutural theory emphasized the role of sutures and cartilage in driving growth. The nasal septum theory proposed the nasal septum cartilage pushes the midface forward during growth. The functional matrix hypothesis views the skull as comprising functional units that drive skeletal growth.
1. The document discusses prenatal facial growth, which can be divided into three periods: the period of the ovum, embryo, and fetus.
2. During the period of the embryo (1-7 weeks), the major development of the facial and cranial regions occurs, including the formation of the branchial arches which give rise to structures of the face, neck, and throat.
3. In the period of the fetus, accelerated growth of craniofacial structures occurs resulting in increased size and changes in proportions, and the prenatal growth of structures such as the cranial base, maxilla, mandible, palate, and mandible are described.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The document provides an overview of the activator appliance and its modifications. Some key points:
- The activator was developed in the early 1900s as a way to induce functional growth modifications. It works by applying muscle forces to the jaws through light contact between the appliance and teeth.
- There are different types of activators (H-activator and V-activator) depending on the amount of vertical opening and anterior positioning in the construction bite.
- The appliance is indicated for Class II and III malocclusions, open bites, and other functional issues in growing individuals. Contraindications include non-growing patients and severe vertical growth patterns.
- The activator is thought to work
Influence of Drugs on Orthodontic Tooth MovementMahmoud Shaheen
This document summarizes the effects of various medications on orthodontic tooth movement. It discusses how analgesics like NSAIDs inhibit prostaglandin synthesis and can slow tooth movement. Corticosteroids increase bone resorption and can accelerate movement. Bisphosphonates, fluorides, estrogens, and androgens inhibit osteoclast activity and bone resorption, potentially delaying movement. Thyroid hormones and vitamin D may increase tooth movement by stimulating osteoclasts. Anti-convulsants can induce gingival issues complicating treatment. The conclusion emphasizes the importance for orthodontists to be aware of how medications can influence treatment outcomes and discuss potential complications with patients.
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
Nasoalveolar moulding /certified fixed orthodontic courses by Indian dental a...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
This document discusses the management of open bite malocclusions. It begins by defining open bite and classifying it as either skeletal or dental in nature. Skeletal open bite is caused by excessive vertical growth of the jaws while dental open bite is due to reduced incisor height. Common etiologies of open bite include thumb sucking habits, tongue thrusting, and abnormal skeletal growth patterns. The document outlines various treatment approaches for different open bite classifications and etiologies.
Self-ligating brackets have an in-built metal face that can open and close. They were developed to address issues with conventional ligating systems like high friction and impaired oral hygiene. Self-ligating brackets are classified as active or passive based on whether their clip actively engages the archwire. Key advantages include improved engagement, lower friction, faster treatment, and better oral hygiene. However, several studies found no difference in treatment time or outcomes compared to conventional brackets. Clinical tips for using self-ligating brackets include longer appointment intervals, more use of lighter forces early on, and an initial wire sequence of 0.014" then 0.014"x0.025" nickel titanium.
Management of cleft lip and palate 2. /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
00919248678078
This document provides a history of the evolution of bonding in orthodontics from the 1960s to present day. It discusses key developments such as the introduction of acid etching by Buonocore in the 1950s, the early use of epoxy and composite resins for bonding by Newman and Miura in the 1960s-1970s, the introduction of visible light curing systems in the 1980s, and the development of self-etching primers in the 2000s. Bonding has evolved from using fillings materials to specialized orthodontic bonding resins and primers, and techniques now allow bonding to both dry and wet enamel surfaces.
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
Functional matrix Hypothesis- RevisitedDr Susna Paul
The document summarizes the functional matrix hypothesis, which proposes that craniofacial bone growth is in response to mechanical stimuli from surrounding soft tissues. It revisits the hypothesis by incorporating recent understandings of mechanotransduction, the connected cellular network of bone cells, and the interplay between genetic and epigenetic factors. Specifically, it describes how mechanical loads are sensed by bone cells and transmitted through the cellular network to regulate gene expression and bone formation. It presents the original genomic thesis of bone development being controlled by genes alone, the epigenetic antithesis of multiple developmental processes, and a resolution synthesizing both genetic and epigenetic influences.
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 document discusses the role of homeobox genes in craniofacial development. It describes several classes of homeobox genes such as Msx, Dlx, Otx, Gsc, Barx, Prx and their roles. Mutation or deletion of these genes can lead to defects in structures derived from cranial neural crest cells including the skull, teeth, limbs and brain. The complex interactions between homeobox genes, growth factors and other regulatory proteins control patterning, growth and differentiation during embryonic development of the craniofacial region.
This document provides an overview of principles of facial growth and development, with a focus on mandibular growth rotations. It discusses key concepts such as the amount and timing of growth, assessment of growth, growth of the mandible, and mechanisms of mandibular rotation. Several studies on mandibular growth rotations are summarized, including the seminal work by Bjork in the 1950s using metal implants to track growth sites and directions. Bjork identified seven structural signs that can indicate the direction of mandibular growth. The document also briefly discusses the work of Bjork and Skieller, Proffit, Schudy, and Isaacson related to mandibular growth rotations.
Temporary anchorage devices in orthodonticsParag Deshmukh
The document discusses temporary anchorage devices (TADs) used in orthodontics, specifically mini-implants. It provides background on how TADs have improved orthodontic anchorage compared to traditional methods. The introduction describes how TADs solve limitations of extraoral anchorage devices and provide reliable anchorage. It then covers implant terminology, history, parts, types, indications, bone physiology, and clinical applications of TADs as absolute anchorage for various tooth movements.
The document provides an overview of various cephalometric analyses used in orthodontics, including Downs analysis, Steiner's analysis, Tweed's analysis, and the WITS appraisal. It describes the landmarks, reference planes, and measurements included in each analysis and their typical mean values. The goal of cephalometric analyses is to quantify spatial relationships between craniofacial structures through angular and linear measurements in order to aid in diagnosis, treatment planning, and assessment of treatment outcomes.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document discusses the history and applications of robotics in orthodontics. It describes several robotic systems that have been developed to assist with tasks like wire bending (SureSmile, LAMDA), digital bracket placement, and stereolithography model production. Studies show that treatment with the SureSmile robot results in lower scores on the American Board of Orthodontics grading system and shorter treatment time compared to conventional treatment. Overall, robotics is playing an increasing role in orthodontics to improve precision and efficiency.
This document discusses natural head position (NHP) in cephalometric radiography. It outlines limitations of traditional reference planes like sella-nasion and discusses how NHP provides a more reproducible and clinically relevant orientation. NHP is defined as the small range of positions where the subject looks at a distant eye-level point with relaxed posture. Several methods are described for standardizing and measuring NHP, including the use of mirrors, fluid levels, and inclinometers. Maintaining NHP is important because variations can influence the appearance and measurements of craniofacial structures.
This document discusses various fixed appliance techniques for maxillary arch expansion. It begins by classifying expansion appliances based on whether they are fixed or removable, and whether they provide rapid/orthopedic or slow/dentoalveolar expansion. It then describes several common fixed appliances for rapid and slow maxillary expansion, including tooth-borne appliances like Hyrax and tooth/tissue-borne appliances like Haas. The document discusses the effects of rapid maxillary expansion on the maxilla and mandible, as well as indications/contraindications and clinical management of rapid maxillary expansion. It concludes by mentioning bonded rapid palatal expanders as an alternative to banded appliances.
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
Bite registration /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
A brief presentation about the maxillofacial extra-oral defects, and the prosthesis used for the rehabilitation, as well as steps of fabrication.
Hossam Faisal - TA of Prosthodontics, Future University Egypt
prosthodontic management of acquired defects of mandible /certified fixed ort...Indian dental academy
This document discusses the prosthodontic management of acquired mandibular defects. It covers the classification of mandibular defects, diagnostic considerations for rehabilitation, and management approaches for partially edentulous patients and completely edentulous patients. For partially edentulous patients, principles of designing removable partial dentures are discussed for different defect types. For completely edentulous patients, the swallowing impression technique is recommended to record the neutral zone. The role of implants in enhancing rehabilitation outcomes is also covered.
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 the management of open bite malocclusions. It begins by defining open bite and classifying it as either skeletal or dental in nature. Skeletal open bite is caused by excessive vertical growth of the jaws while dental open bite is due to reduced incisor height. Common etiologies of open bite include thumb sucking habits, tongue thrusting, and abnormal skeletal growth patterns. The document outlines various treatment approaches for different open bite classifications and etiologies.
Self-ligating brackets have an in-built metal face that can open and close. They were developed to address issues with conventional ligating systems like high friction and impaired oral hygiene. Self-ligating brackets are classified as active or passive based on whether their clip actively engages the archwire. Key advantages include improved engagement, lower friction, faster treatment, and better oral hygiene. However, several studies found no difference in treatment time or outcomes compared to conventional brackets. Clinical tips for using self-ligating brackets include longer appointment intervals, more use of lighter forces early on, and an initial wire sequence of 0.014" then 0.014"x0.025" nickel titanium.
Management of cleft lip and palate 2. /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
00919248678078
This document provides a history of the evolution of bonding in orthodontics from the 1960s to present day. It discusses key developments such as the introduction of acid etching by Buonocore in the 1950s, the early use of epoxy and composite resins for bonding by Newman and Miura in the 1960s-1970s, the introduction of visible light curing systems in the 1980s, and the development of self-etching primers in the 2000s. Bonding has evolved from using fillings materials to specialized orthodontic bonding resins and primers, and techniques now allow bonding to both dry and wet enamel surfaces.
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
Functional matrix Hypothesis- RevisitedDr Susna Paul
The document summarizes the functional matrix hypothesis, which proposes that craniofacial bone growth is in response to mechanical stimuli from surrounding soft tissues. It revisits the hypothesis by incorporating recent understandings of mechanotransduction, the connected cellular network of bone cells, and the interplay between genetic and epigenetic factors. Specifically, it describes how mechanical loads are sensed by bone cells and transmitted through the cellular network to regulate gene expression and bone formation. It presents the original genomic thesis of bone development being controlled by genes alone, the epigenetic antithesis of multiple developmental processes, and a resolution synthesizing both genetic and epigenetic influences.
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 document discusses the role of homeobox genes in craniofacial development. It describes several classes of homeobox genes such as Msx, Dlx, Otx, Gsc, Barx, Prx and their roles. Mutation or deletion of these genes can lead to defects in structures derived from cranial neural crest cells including the skull, teeth, limbs and brain. The complex interactions between homeobox genes, growth factors and other regulatory proteins control patterning, growth and differentiation during embryonic development of the craniofacial region.
This document provides an overview of principles of facial growth and development, with a focus on mandibular growth rotations. It discusses key concepts such as the amount and timing of growth, assessment of growth, growth of the mandible, and mechanisms of mandibular rotation. Several studies on mandibular growth rotations are summarized, including the seminal work by Bjork in the 1950s using metal implants to track growth sites and directions. Bjork identified seven structural signs that can indicate the direction of mandibular growth. The document also briefly discusses the work of Bjork and Skieller, Proffit, Schudy, and Isaacson related to mandibular growth rotations.
Temporary anchorage devices in orthodonticsParag Deshmukh
The document discusses temporary anchorage devices (TADs) used in orthodontics, specifically mini-implants. It provides background on how TADs have improved orthodontic anchorage compared to traditional methods. The introduction describes how TADs solve limitations of extraoral anchorage devices and provide reliable anchorage. It then covers implant terminology, history, parts, types, indications, bone physiology, and clinical applications of TADs as absolute anchorage for various tooth movements.
The document provides an overview of various cephalometric analyses used in orthodontics, including Downs analysis, Steiner's analysis, Tweed's analysis, and the WITS appraisal. It describes the landmarks, reference planes, and measurements included in each analysis and their typical mean values. The goal of cephalometric analyses is to quantify spatial relationships between craniofacial structures through angular and linear measurements in order to aid in diagnosis, treatment planning, and assessment of treatment outcomes.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
This document discusses the history and applications of robotics in orthodontics. It describes several robotic systems that have been developed to assist with tasks like wire bending (SureSmile, LAMDA), digital bracket placement, and stereolithography model production. Studies show that treatment with the SureSmile robot results in lower scores on the American Board of Orthodontics grading system and shorter treatment time compared to conventional treatment. Overall, robotics is playing an increasing role in orthodontics to improve precision and efficiency.
This document discusses natural head position (NHP) in cephalometric radiography. It outlines limitations of traditional reference planes like sella-nasion and discusses how NHP provides a more reproducible and clinically relevant orientation. NHP is defined as the small range of positions where the subject looks at a distant eye-level point with relaxed posture. Several methods are described for standardizing and measuring NHP, including the use of mirrors, fluid levels, and inclinometers. Maintaining NHP is important because variations can influence the appearance and measurements of craniofacial structures.
This document discusses various fixed appliance techniques for maxillary arch expansion. It begins by classifying expansion appliances based on whether they are fixed or removable, and whether they provide rapid/orthopedic or slow/dentoalveolar expansion. It then describes several common fixed appliances for rapid and slow maxillary expansion, including tooth-borne appliances like Hyrax and tooth/tissue-borne appliances like Haas. The document discusses the effects of rapid maxillary expansion on the maxilla and mandible, as well as indications/contraindications and clinical management of rapid maxillary expansion. It concludes by mentioning bonded rapid palatal expanders as an alternative to banded appliances.
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
Bite registration /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
A brief presentation about the maxillofacial extra-oral defects, and the prosthesis used for the rehabilitation, as well as steps of fabrication.
Hossam Faisal - TA of Prosthodontics, Future University Egypt
prosthodontic management of acquired defects of mandible /certified fixed ort...Indian dental academy
This document discusses the prosthodontic management of acquired mandibular defects. It covers the classification of mandibular defects, diagnostic considerations for rehabilitation, and management approaches for partially edentulous patients and completely edentulous patients. For partially edentulous patients, principles of designing removable partial dentures are discussed for different defect types. For completely edentulous patients, the swallowing impression technique is recommended to record the neutral zone. The role of implants in enhancing rehabilitation outcomes is also covered.
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 treatment planning for maxillary surgical procedures. It provides an overview of the history and evolution of orthognathic surgery. Key developments include the introduction of sagittal split ramus osteotomy in 1959 and LeFort I downfracture technique in the 1960s. Modern techniques now allow repositioning of one or both jaws, and rigid internal fixation since the 1990s has improved patient comfort. The document outlines the treatment process from assessment to pre-surgical orthodontics to surgery and post-operative orthodontic alignment.
Clinical management of edentulous maxillectomy / oral surgery courses 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
This document provides a 3-part summary of cleft lip and palate repair techniques. It discusses various techniques for unilateral and bilateral cleft lip repair such as Millard's rotation-advancement and Tennison-Randall triangular flap. For cleft palate repair, it describes techniques including Bardach two-flap palatoplasty and Furlow palatoplasty. It also covers topics like velopharyngeal insufficiency, alveolar bone grafting, and the roles of pre- and post-surgical orthodontics.
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.
Clinical amnagement of edentulous maxillectomy pt/ 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.
Obturator seminar final /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
Occlusal registration in removable partial denture /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.
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
Clinical management of edentulous maxillectomy /prosthodontic coursesIndian dental academy
This document discusses the clinical management of edentulous maxillectomy patients through various phases of prosthetic restoration. It covers surgical enhancements, the use of surgical, interim and definitive obturator prostheses, and techniques for improving speech and reducing complications. The goal is to rehabilitate the anatomical defects caused by maxillectomy surgery through multiple prosthetic steps.
Basal Implant rehabilitation in oral surgerysuhaskamble151
This document provides an overview of basal implantology techniques, which involve placing dental implants in dense cortical bone areas rather than trabecular bone. It discusses 16 disciplines or techniques for placing basal implants, including anchoring implants in the pterygoid plate, maxillary sinus floor, nasal cavity floor, and lingual/buccal cortices. The advantages of basal implants are described as not requiring bone grafting and enabling restoration of teeth even in severely atrophic jaws. Guidelines and tips are provided for each implantation technique to ensure proper placement and avoid complications.
Obturators ii / dental implant 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
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 document discusses various topics related to maxillofacial prosthodontics including classification of obturators, impression techniques, and construction of different types of obturators. It describes immediate surgical obturators fabricated preoperatively using irreversible hydrocolloid impressions. Treatment obturators are made 7 days postoperatively using alginate impressions. Permanent obturators can be fixed, hinged, or detachable depending on the defect and surrounding tissues. Impression techniques address challenges from limited opening and undercuts.
Class V and VI amalgam cavity preparations Nadeem Aashiq
This document discusses class V and VI cavity preparations for amalgam restorations. Class V cavities involve lesions on the cervical third of tooth surfaces. Class VI cavities involve lesions on incisal or cusp tips. The document outlines the indications, contraindications, advantages and disadvantages of amalgam, as well as the clinical technique for preparing class V and VI cavities. This includes isolating the tooth, outlining a trapezoidal or kidney-shaped cavity form, ensuring proper cavity depth, retention forms like grooves or holes, and finishing and polishing the restoration.
Occlusal registration in removable partial denture / orthodontic seminarsIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
This document outlines the clinical and laboratory steps involved in fabricating complete dentures. It begins with an introduction and then describes each step in detail, including: primary and secondary impressions, making a special tray, the master cast, bite rim, jaw relations, mounting on an articulator, try in, denture processing through compression molding, and finishing and polishing. The overall process involves close collaboration between the clinician and dental technician to create functional and aesthetic complete dentures for edentulous patients.
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.
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Leader in continuing dental education
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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
Temple of Asclepius in Thrace. Excavation resultsKrassimira Luka
The temple and the sanctuary around were dedicated to Asklepios Zmidrenus. This name has been known since 1875 when an inscription dedicated to him was discovered in Rome. The inscription is dated in 227 AD and was left by soldiers originating from the city of Philippopolis (modern Plovdiv).
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.
🔥🔥🔥🔥🔥🔥🔥🔥🔥
إضغ بين إيديكم من أقوى الملازم التي صممتها
ملزمة تشريح الجهاز الهيكلي (نظري 3)
💀💀💀💀💀💀💀💀💀💀
تتميز هذهِ الملزمة بعِدة مُميزات :
1- مُترجمة ترجمة تُناسب جميع المستويات
2- تحتوي على 78 رسم توضيحي لكل كلمة موجودة بالملزمة (لكل كلمة !!!!)
#فهم_ماكو_درخ
3- دقة الكتابة والصور عالية جداً جداً جداً
4- هُنالك بعض المعلومات تم توضيحها بشكل تفصيلي جداً (تُعتبر لدى الطالب أو الطالبة بإنها معلومات مُبهمة ومع ذلك تم توضيح هذهِ المعلومات المُبهمة بشكل تفصيلي جداً
5- الملزمة تشرح نفسها ب نفسها بس تكلك تعال اقراني
6- تحتوي الملزمة في اول سلايد على خارطة تتضمن جميع تفرُعات معلومات الجهاز الهيكلي المذكورة في هذهِ الملزمة
واخيراً هذهِ الملزمة حلالٌ عليكم وإتمنى منكم إن تدعولي بالخير والصحة والعافية فقط
كل التوفيق زملائي وزميلاتي ، زميلكم محمد الذهبي 💊💊
🔥🔥🔥🔥🔥🔥🔥🔥🔥
Andreas Schleicher presents PISA 2022 Volume III - Creative Thinking - 18 Jun...EduSkills OECD
Andreas Schleicher, Director of Education and Skills at the OECD presents at the launch of PISA 2022 Volume III - Creative Minds, Creative Schools on 18 June 2024.
This presentation was provided by Rebecca Benner, Ph.D., of the American Society of Anesthesiologists, for the second session of NISO's 2024 Training Series "DEIA in the Scholarly Landscape." Session Two: 'Expanding Pathways to Publishing Careers,' was held June 13, 2024.
A Visual Guide to 1 Samuel | A Tale of Two HeartsSteve Thomason
These slides walk through the story of 1 Samuel. Samuel is the last judge of Israel. The people reject God and want a king. Saul is anointed as the first king, but he is not a good king. David, the shepherd boy is anointed and Saul is envious of him. David shows honor while Saul continues to self destruct.
CapTechTalks Webinar Slides June 2024 Donovan Wright.pptxCapitolTechU
Slides from a Capitol Technology University webinar held June 20, 2024. The webinar featured Dr. Donovan Wright, presenting on the Department of Defense Digital Transformation.
How to Manage Reception Report in Odoo 17Celine George
A business may deal with both sales and purchases occasionally. They buy things from vendors and then sell them to their customers. Such dealings can be confusing at times. Because multiple clients may inquire about the same product at the same time, after purchasing those products, customers must be assigned to them. Odoo has a tool called Reception Report that can be used to complete this assignment. By enabling this, a reception report comes automatically after confirming a receipt, from which we can assign products to orders.
3. • BASICS OF NASOALVEOLAR
MOLDING
• NAM IN UNILATERAL CLCP
• NAM IN BILATERAL CLCP
• ADVANTAGES OF NAM
• COMPLICATIONS OF NAM
www.indiandentalacademy.com
4. DISADVANTAGES OF
TRADITIONAL INFANT
ORTHOPAEDICS
• Deformity of the nasal cartilages in
unilateral and bilateral cleft lip and palate
• Deficiency of the length of the collumela in
bilateral cleft lip and palate
www.indiandentalacademy.com
5. • The technique was described by –
• Grayson ( 1993)
• Brechet ( 1995)
• Santiago ( 1997)
• Cutting ( 1998)
www.indiandentalacademy.com
6. Technique
• It mainly uses acrylic stents attached to a
vestibular shield of a oral molding plate to
mold the nasal cartillages into a more
normal form and position during the
neonatal period
• This takes advantage of the malleability of
the immature nasal cartilages and its ability
to maintain a permanent correction in form.
www.indiandentalacademy.com
7. • In addition the collumela is also non
surgically corrected using tissue expansion
principles.
• This correction is achieved by gradual
expansion of the nasal stents and
application of tissue expanding elastic
forces that are applied to the prolabium
www.indiandentalacademy.com
9. Objectives of Nasoalveolar
Molding
• Active molding and repositioning of the
deformed nasal cartilages and alveolar
process
• Correction of the deficient collumela
mainly in bilateral cases.
www.indiandentalacademy.com
10. Correction of unilateral oronasal
cleft deformity
• The lower lateral alar cartilage is depressed
and concave in the alar rim and is separated
from the contra lateral cartilage high in the
nasal tip
• The nasal tip is displaced and depressed and
there is also resultant overhang of the
nostril apex
www.indiandentalacademy.com
12. • The collumela and nasal septum are
inclined with the base deviated to the non
cleft side.
• In addition the orbicularis oris fibres in the
lateral lip segments contracts into a bulge
with some fibres running superiorly over
the cleft towards the nasal tip
www.indiandentalacademy.com
14. OBJECTIVES OF PNAM
• To correct and align and approximate the
intra oral alveolar segments
• To correct the deformed nasal cartilages
• To correct the nasal tip and alar base on the
affected side.
• To correct the position of the philtrum and
collumela.
www.indiandentalacademy.com
15. • These corrections are achieved using an
intra oral molding plate,with a nasal stent
rising from the labial vestibular flange.
www.indiandentalacademy.com
16. Procedure
• Impressions of the infant are made using an
elastomeric impression material
• Impressions of the cleft are useful in
assessing pre and post alveolar molding
results and also in fabrication of the nasal
stent.
www.indiandentalacademy.com
17. Fabrication of molding plate
• A molding plate is fabricated using
conventional acrylic resin
www.indiandentalacademy.com
18. • The molding plate is secured to the palate
and alveolar process through external
strapping (surgical adhesive tapes) to the
cheeks and to an acrylic extension from the
oral plate between the lips below the cleft.
www.indiandentalacademy.com
20. Modification of the molding plate
• The molding plate is modified at weekly
intervals to gradually approximate the
alveolar segments and reduce the size of the
cleft gap.
• This is achieved by removal of acrylic resin
in areas where alveolar segments are to
move and application of soft liner in areas
where alveolar bone is to be reduced.
www.indiandentalacademy.com
22. • The ultimate aim of he selective removal
and addition of the acrylic material is to
align the alveolar segments and to achieve
the closure of the alveolar cleft gap
• This is similar to the Zurich type molding
plate described by Hotz (1969)
www.indiandentalacademy.com
24. • The effectiveness of the molding therapy is
enhanced by supporting the palatal tissues
and by taping the lip segments together
across the cleft.
• Maintaining the tight lip apposition with the
external tape provides orthopaedic benefits
and reduces the consequent scar.
www.indiandentalacademy.com
25. • The lip adhesion alone provides
uncontrolled orthopaedic effects but the lip
tape adhesion along with the molding plate
produces controlled approximation of the
alveolar segments.
• Taping the lip segments also helps the
alignment of the nasal base region by
bringing the collumela towards the mid
saggital plane and by improving the
symmetry of the nostril apertures.
www.indiandentalacademy.com
27. NASAL STENT
• When the alveolar cleft width has reduced
to less than 6 mm then the nasal stent is
added to the molding plate so that nasal
cartilage molding may start
• Any attempt to close the deformity if the
cleft is large may result in undesirable
increase in the size of lateral nasal wall
www.indiandentalacademy.com
28. • The nasal stent is a projection of acrylic
from the labial flange of the molding plate.
• Through gradual addition of acrylic the sent
is positioned underneath the apex of alar
cartilage on the cleft side
• The dome of the alar cartilage is elevated to
normal position and symmetry.
• The stent should be located midway
between the middle of the cleft lip segments
www.indiandentalacademy.com
30. • At the tip of the stent soft liner is added so
that tissue breakdown does not occur when
positive pressure is added to the nasal
lining.
• The stent performs as a custom tissue
expander for cleft side of the collumela
• The elevation of the nasal tip on the cleft
side will also increase the patency of the
nostril aperture.
www.indiandentalacademy.com
31. • Through gradual modification of the nasal
stent the shape of the cartilaginous
septum,alar cartilage tip and lateral and
medial crus are carefully molded to
resemble the normal shape of these
structures.
• when properly taped temporary blanching
of the tissue overlying the tip of the nasal
stent occurs as the infant suckles and
activates the appliance.
www.indiandentalacademy.com
32. • Elevation of the nasal soft tissue results in
an intra oral molding plate that is conducted
down the nasal stent results in more
effective molding of the alveolar segments.
• Lip taping is still continued after the
placement of the nasal stent
• At the closing of moulding the collumela,
philtrum and alveolar segments should be
aligned to facilitate the surgical restoration
of normal anatomic relationships.
www.indiandentalacademy.com
34. GOALS
• To approximate the gingival tissues on
either side of the cleft.
• However a successful surgical result is
obtained when a small cleft remains
between the segments.
• PNAM allows a single surgical repair of the
deformity of the nasolabial complex with
successful results.
www.indiandentalacademy.com
35. Advantages of PNAM
• Ability to guide the alveolar segments to a
more normal position prior to surgery.
• Reduction of the cleft gap facilitates the
primary gingivoperiosteal closure of the
cleft defect,because there is a greater
probability that a complete osseous bridge
formation will happen when cleft width is
reduced.
www.indiandentalacademy.com
36. • The combined action of the nasoalveolar
molding plate and non surgical lip
approximation with surgical taping results
in a predictable correction of the
nasal,alveolar and soft tissue deformities.
• As a result under surgical repair the lip and
nose heals under minimal tension with no or
minimal scar formation.
www.indiandentalacademy.com
38. Benefits in unilateral clefts
• Restoration of the collumela from a more
oblique to a midline position which also
results in improved projection of the nasal
tip and alar cartilage symmetry.
• The collumela base is no longer deviated to
the non cleft side as it uprights and takes up
normal convexity.
www.indiandentalacademy.com
39. • The nasal cartilage on the cleft side is fashioned to
be similar to the one of the non affected side as the
alar cartilage is molded to a more normal convex
shape.
• The nasal tip is directed anteriorly and upwards ,
this is possible because tissue expansion allows to
include the inherent tissue defects n the cleft side.
• All these are achieved without surgery and reduce
the need for additional soft tissue surgeries and
alveolar bone grafting . Thus reducing consequent
trauma and tissue scarring.
www.indiandentalacademy.com
44. BILATERAL ORO NASAL
CLEFTS
• The lower cartilages have failed to migrate
to the nasal tip to stretch the collumela
• Pro labium also lacks muscle thickness and
is positioned directly behind the collumela.
• The alar cartilages are positioned along the
alar margin and are stretched over the cleft
in a flared fashion.
www.indiandentalacademy.com
46. • The premaxilla is suspended from the tip of
the nasal septum where as the lateral
segments remain behind.
www.indiandentalacademy.com
47. OBJECTIVES
• Lengthen the collumela
• Reposition the alar cartilages towards the
tip
• Align the alveolar segments and pre maxilla
to form a more normal maxillary arch.
www.indiandentalacademy.com
48. • Soft tissue and cartilaginous correction are
achieved through a conventional molding
plate.
• The nasal stents also stretch the lower nasal
lining,thereby allowing the domes of the
lateral lateral cartilages to be approximated
under minimal tension during surgical
repair.
• The device and its stents are secured with
adhesive surgical tapes and elastics.
www.indiandentalacademy.com
49. PROCEDURE
• Impressions are taken using elastomeric
impression material
• Molding plate is fabricated that
encompasses the lateral alveolar segments
and pre maxilla.
• The everted pre maxilla is positioned
between the lateral alveolar segments by
modification of the molding plate.
www.indiandentalacademy.com
51. • A surgical adhesive tape and elastics is used
to secure the molding plate actively against
the alveolar process and pre maxilla.
• Through modifications of the internal
molding plate and elastic forces applied by
the elastics attached to the adhesive tapes
the pre maxilla is placed in a keystone
position between the lateral alveolar
segments.
• The molding plate is adjusted weekly to
position the alveolar segments as the pre
maxilla is retracted.
www.indiandentalacademy.com
53. • The pre maxilla is positioned by modifying
the molding plate by adding soft resin liners
anterior to the pre maxilla and removal
posterior to the pre maxilla.
www.indiandentalacademy.com
54. Second stage
• Approximately three weeks after fabrication
of the plate.
• Nasal stents are built up from the anterior of
the oral molding plate to enter the nasal
aperture.
www.indiandentalacademy.com
56. • The nasal stent elevate the nasal cartilages
and prevent the downward pull by the tapes
placed on the pro labium
www.indiandentalacademy.com
57. • A horizontal pro labial band pulls back on
the collumela at the base of the nasolabial
fold.
• The bands force is used to preserve the
nasolabial angle at the junction of the
collumela base and the philtrum as the
collumela is lengthened.
.
www.indiandentalacademy.com
59. • The nasal stent supports the nasal tip and exerts
tissue expanding forces that are directed to the
collumela and nasal lining
• The stents are also modified to give convexity to
the alar cartilages.
• The stent also advance the medial and lateral crus
of the alar cartilages into the nasal tip while
lengthening the collumela.
www.indiandentalacademy.com
61. • Nasal stent is bifid with a superior and
inferior lobe.
• The superior lobe enters the nostril and
pressing up and forward against the nasal
lining behind the dome of alar cartilage.
• The lower lobe is positioned under the apex
of the nostril aperture,pressing up against
the soft tissue triangle.
www.indiandentalacademy.com
63. • Surgical tape attached from the prolabium
to the anteroinferior part of the molding
plate pulls down and reshapes the
collumela.
www.indiandentalacademy.com
64. • Attached across the nasal stent is the horizontal
prolabial band that pushes against the collumela
and further lengthens it.
• The prolabial band is made of a chain of elastics
and coated with a denture liner to prevent
ulceration of the tissue
• It is contoured on the tissue to restrict the width of
the collumela.
• It is attached to metal pins on the molding plate
(nasal stents) and stretched.
www.indiandentalacademy.com
66. How is the collumela
lengthened ?
• The stretching force applied by the adhesive
tape.
• The horizontal posteriorly directed froce by
the elastic band ( pro labial band)
• Upward and anterior force applied to the
nasal tip by the nasal stent.
www.indiandentalacademy.com
67. • One of the biggest benefits of builateral
nasoalveolar molding is the lengthening of
the collumela.
• About 4mm to 7mm lengthening of
collumela can be achieved by this
procedure.
• Nasoalveolar molding without collumelar
lengthening may require surgical correction.
• Surgical correction may result in scar tissue
and may damage the anatomy of the
nasolabial complex.
www.indiandentalacademy.com
69. • This also improves the esthetics of the
nasolabial complex.
• It stretches the nasal lining and allows the
surgeon to approximate the domes of the
lower alar cartilages with lesser dificulty.
www.indiandentalacademy.com
70. COMPLICATIONS
• Soft tissue breakdown may occur in areas of
modification of the plate if they are not
properly polished
• Ulceration may developed and this can be
prevented by adding tissue lubricant or by
proper polishing of the plate.
• If tapes and elastics are not applied then the
plate will not be adequately retained
www.indiandentalacademy.com
71. • If the appliance is lost or not worn then the
previously closed cleft area may relapse due
to tongue pressure.
• Occasionally the labial surface of the
central incisor may erupt prematurely due
to molding pressure.
• Ectopic tooth bud may be seen on the
lateral aspect of the pre maxillary segment
which might have to removed to prevent
aspiration.
www.indiandentalacademy.com
72. Maull et al ( 1999)
• Did a study on patients who underwent
nasoalveolar molding and claimed that there
was an increase in symmetry of nasal
structures following nasoalveolar molding.
www.indiandentalacademy.com
73. Cutting et al (1998)
• Showed that NAM combined with a
modified surgical technique improved the
esthetics of both unilateral and bilateral
cleft patients.
www.indiandentalacademy.com
74. CONCLUSION
• Pre surgical reduction of alveolar cleft
allows the surgeon to perform a
gingivoparietoplasty.
• This procedure reduces the need for
alveolar bone grafts in more than 60% of
cases in mixed dentition.
www.indiandentalacademy.com
75. • The pre surgical alignment and correction
and alignment of nasal structures reduces
the need for primary nasal surgery and
thereby reducing the scar formation and
more consistent post operative results.
www.indiandentalacademy.com
76. • In bilateral cases the need for secondary
elongation of collumela by surgery is
eliminated and consequent scar formation at
the lip collumela junction is prevented.
• NAM combined with a modified surgical
procedure addresses the needs of the lip-
nasal-alveolar complex in a single surgery
and reduces the number of surgeries an
individual has to undergo in a life time.
www.indiandentalacademy.com