Sinus lift procedure: the maxillary sinus elevation and the bone augmentation procedure is technique sensitive, requiring meticulous surgical skills and expertise.
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Sinus lift Technique| Direct and Indirect Sinus Lift Technique| Dr. Rajat Sachdeva
Sinus Lift Technique
While placing Dental Implants on posterior region of upper jaw, due to either expansion of Maxillary Sinus as age advances or ridge resorption occurs because of various reason, dental implants cannot be placed on inadequate bone.
Sinus Lift procedure, to elevate Sinus Membrane through bone graft from socket, and Implant installation these indirectly augment the ridge and is called Indirect Technique.
And if it is done through Cald-well-luc procedure, it is called Direct Sinus Technique.
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Sinus lift Technique| Direct and Indirect Sinus Lift Technique| Dr. Rajat Sachdeva
Sinus Lift Technique
While placing Dental Implants on posterior region of upper jaw, due to either expansion of Maxillary Sinus as age advances or ridge resorption occurs because of various reason, dental implants cannot be placed on inadequate bone.
Sinus Lift procedure, to elevate Sinus Membrane through bone graft from socket, and Implant installation these indirectly augment the ridge and is called Indirect Technique.
And if it is done through Cald-well-luc procedure, it is called Direct Sinus Technique.
Learn more, follow our link:-
• Google+ link: g.page/delhidental/review
• Facebook link: https://goo.gl/tui98A
• Youtube link: https://goo.gl/mk7jfm
• Linkedin link: https://goo.gl/PrPgpB
• Slideshare link : http://goo.gl/0HY6ep
• Twitter Page : https://goo.gl/tohkcI
• Instagram page : https://goo.gl/OOGVig
Furcation involvement is a common sequela of severe chronic periodontal disease. Its effective management has a profound influence on the outcome of periodontal therapy.
mucogingival surgery or plastic surgery of muco-gingival tissue is a surgical procedure targeted to correct and eliminate anatomic, developmental and traumatic alterations of gingiva.
REFERENCES TAKEN FROM CARRANZA'S TEXTBOOK OF CLINICAL PERIODONTOLOGY AND LINDHE'S TEXTBOOK OF CLINICAL PERIODONTOLOGY AND IMPLANT DENTISTRY. CONTAINS ENOUGH AND MORE DETAILS OF THIS TOPIC FOR BDS STUDENTS.HOPE THIS PRESENTATION WILL HELP U GAIN SOME KNOWLEDGE ABOUT PERIODONTAL PLASTIC AND ESTHETIC DENTISTRY.
Indirect Sinus Lift
A sinus lift procedure is essentially done to increase bone height and density in the posterior maxilla.
Extremely effective in increasing bone height. for more details visit our website https://www.implantdentistindia.com/i...
Direct Sinus Lift
The direct sinus lift or the lateral window sinus elevation is a widely used technique when resorption of the alveolar bone which leads to insufficient bone height (No bone to place implant). for more details please visit https://www.implantdentistindia.com/d...
We will assure you of the best treatment in this area.
Experienced Implantologist -Dr. Sudhakar Reddy, a Maxillofacial surgeon by specialization has vast experience with such a surgical procedures and can make this surgery very simple.
Book an appointment now
The periodontal dressing is a physical barrier that is placed in the surgical site to protect the healing tissues from the forces produced during mastication, for comfort and close adaptation.
Sinus lift with dental implants Placement.(with Clinical Photographs) Dr. ...All Good Things
Hi. This is Dr. Amit T. Suryawanshi. Oral & Maxillofacial surgeon from Pune, India. I am here on slideshare.com to share some of my own presentations presented at various levels in the field of OMFS. Hope this would somehow be helpful to you making your presentations. All the best & your replies are welcomed!
Furcation involvement is a common sequela of severe chronic periodontal disease. Its effective management has a profound influence on the outcome of periodontal therapy.
mucogingival surgery or plastic surgery of muco-gingival tissue is a surgical procedure targeted to correct and eliminate anatomic, developmental and traumatic alterations of gingiva.
REFERENCES TAKEN FROM CARRANZA'S TEXTBOOK OF CLINICAL PERIODONTOLOGY AND LINDHE'S TEXTBOOK OF CLINICAL PERIODONTOLOGY AND IMPLANT DENTISTRY. CONTAINS ENOUGH AND MORE DETAILS OF THIS TOPIC FOR BDS STUDENTS.HOPE THIS PRESENTATION WILL HELP U GAIN SOME KNOWLEDGE ABOUT PERIODONTAL PLASTIC AND ESTHETIC DENTISTRY.
Indirect Sinus Lift
A sinus lift procedure is essentially done to increase bone height and density in the posterior maxilla.
Extremely effective in increasing bone height. for more details visit our website https://www.implantdentistindia.com/i...
Direct Sinus Lift
The direct sinus lift or the lateral window sinus elevation is a widely used technique when resorption of the alveolar bone which leads to insufficient bone height (No bone to place implant). for more details please visit https://www.implantdentistindia.com/d...
We will assure you of the best treatment in this area.
Experienced Implantologist -Dr. Sudhakar Reddy, a Maxillofacial surgeon by specialization has vast experience with such a surgical procedures and can make this surgery very simple.
Book an appointment now
The periodontal dressing is a physical barrier that is placed in the surgical site to protect the healing tissues from the forces produced during mastication, for comfort and close adaptation.
Sinus lift with dental implants Placement.(with Clinical Photographs) Dr. ...All Good Things
Hi. This is Dr. Amit T. Suryawanshi. Oral & Maxillofacial surgeon from Pune, India. I am here on slideshare.com to share some of my own presentations presented at various levels in the field of OMFS. Hope this would somehow be helpful to you making your presentations. All the best & your replies are welcomed!
Sinus Lift and Immediate Implant PlacementDental Evo
Sinus Lift and Immediate Implant Placement, using LAS kit and TS3 implants.
Presentation by Dr Nicola Baldini DDS
http://www.dentalevo.it/dentistry-materials/sinus-lift-big-buccal-window/
http://www.dentalevo.it/dentistry-materials/sinus-lift-small-buccal-window/
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
Sinus lift nədir? Üst çənədə arxa bölgədə özəlliklə azı dişlərinin itirilməsindən sonra sümük əriməsinə bağlı olaraq sümük yüksəkliyində ciddi bir azalma baş verir ki, bu da dişsiz bölgələrə diş implantı tətbiq etməyə maneçilik törədir.Bunun üçün həmin bölgədə sümük yüksəkliyini artırmaq üçün sinus lift işləmi icra edilir. Sinus lift əməliyyatı necə aparılır ? Steril şəraitdə lokal anesteziya altında icra edilə biləcək bir işləmdir.Sintetik qreftlər və ya pasientin öz sümük toxumasından əldə edilən qreftlərlə itirilmiş və yaxud ərimiş sümük toxuması bərpa edilir.
Immediate loading of implant supported over dentures using / dental implant c...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
“One-Piece” Immediate-Load Post-Extraction Implant In Maxillary Central IncisorAbu-Hussein Muhamad
Abstract: This case report describes extraction of a fractured left maxillary central incisor tooth, followed by immediate placement of an one-piece implant in the prepared socket and temporization by a bonded restoration.
Materials And Methods: The tooth was extracted with minimal hard and soft tissue trauma and without flap reflection. The socket was prepared to the required depth and a Implant was inserted.
Results: The atraumatic operating technique and the immediate insertion of the one-piece Implant resulted in the preservation of the hard and soft tissues at the extraction site.
Conclusion: The “One-piece” dental implant and provisional restoration provided the patient with immediate esthetics, function, comfort and most importantly preservation of tissues. The one-piece implant design resulted in a high cumulative implant survival rate and beneficial marginal bone levels.
The maxillary sinuses were first illustrated and described by Leonardo Da Vinci in 1489 and later documented by the English anatomist Nathaniel Highmore in 1651.
The maxillary sinus, or antrum of Highmore, lies within the body of the maxillary bone and is the largest and first to develop of the paranasal sinuses.
Shape- a pyramid-shaped cavity; base- adjacent to the nasal wall; apex- pointing to zygoma.
Size- insignificant until eruption of permanent dentition; average dimensions of adult sinus- 2.5–3.5 cm wide, 3.6–4.5 cm tall, and 3.8–4.5 cm deep; estimated volume of approximately 12–15 cm.
Extent- Anteriorly, extends to canine and premolar area. sinus floor usually has its most inferior point near the first molar region.
Minimally Invasive Extraction and Immediate Implant Placement with Single-Sta...Abu-Hussein Muhamad
This case report describes extraction of a fractured left maxillary lateral incisor tooth, followed by immediate placement of a dental implant in the prepared socket and temporization by a bonded restoration. Materials And Methods: The tooth was extracted with minimal hard and soft tissue trauma and without flap reflection. The socket was prepared to the required depth and a Implant was inserted. An impression was made 4 months after implant insertion, and a definitive restoration was placed. Results: The atraumatic operating technique and the immediate insertion of the Implant resulted in the preservation of the hard and soft tissues at the extraction site. The patient exhibited no clinical or radiologic complications through 12 months of clinical monitoring after loading. Conclusion: The dental implant and provisional restoration provided the patient with immediate esthetics, function, comfort and most importantly preservation of tissues.
This is a power point presentation on sinus floor elevation, describing the various techniques, biological aspects and clinical outcomes from a periodontist point of view. It also includes a brief review on the anatomy of maxillary sinus and management of complications.
Split ridge and expansion techniques are effective for the correction of moderately resorbed edentulous ridges in selected cases.
Transverse expansion is based on osseous plasticity obtained by corticotomy. It progressively allows for an adequate transversal intercortical diameter large enough to insert one or several dental implants.
The gap created by sagittal osteotomy expansion undergoes spontaneous ossification, following a mechanism similar to that occurring in fractures.
Journal Club On Pre-extractive Interradicular Implant Bed Preparation: Case P...Shilpa Shiv
Journal Club On Pre-extractive Interradicular Implant Bed Preparation: Case Presentations of a Novel Approach to Immediate Implant Placement at Multirooted Molar Sites, IJPRD 2013.
The content covers majority of the aspect of immediate implant placement - why immediate implants?, case selection, decision making, classifications, surgical technique, healing following immediate implant placement, immediate implants in infected sockets/periapical infections, literature reviews and recommendations for clinical practice.
Implant surgeries to overcome anatomic difficulties ii / dental implant cour...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
Immediate Implant Placement And Restoration With Natural Tooth In The Maxilla...Abu-Hussein Muhamad
Anterior tooth loss and restoration in the esthetic zone is a common challenge in dentistry today. The prominent visibility of the area can be especially distressing to the patient and requires a timely and esthetically pleasing solution. Immediate single-tooth implantation followed by immediate provisionalization is becoming an increasingly desirable treatment that offers numerous benefits over conventional delayed loading. Provisionalization for immediately-placed implants using the patient’s existing tooth can enhance the final aesthetic outcome if certain steps are
followed. If the natural tooth is intact and can be used as a provisional, the emergence profile can be very similar to the preoperative condition. This article outlines a technique to use the patient’s natural tooth after extraction to provisionalize an implant.
Abstract: Immediate implant placement has been the acceptable procedure for the past two decades. Perhaps
the most important aspect of any implant surgery in accordance with the successful procedure is implant
surgery and bone to implant contact.The aim of this article is to describe a clinical case in which a fractured
maxillary canine was replaced by an immediately loaded postextraction implant using a simplified technique,
which permits a reduction of the number of implant components and consequently a lower cost of treatment,
while at the same time maintaining acceptable aesthetic and functional outcomes.
Key words: Immediate implant placement, Immediate loading, Immediate provisionalisation, Esthetics
Implant surgeries to overcome anatomic difficulties / implant dentistry cour...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.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
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MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...
Sinus lift procedure
1.
Dr.
Maggi
Tom,
M.D.S
(Oral
and
Maxillofacial
Surgery)
SINUS LIFT PROCEDURE
Maxillary sinus floor augmentation (also termed sinus lift, sinus graft, sinus
augmentation or sinus procedure) is a surgical procedure which aims to increase
the amount of bone in the posterior maxilla (upper jaw bone), in the area of
the premolar and molarteeth, by lifting the lower Schneiderian membrane (sinus
membrane) and placing a bone graft.
In the immediate time period after maxillary posterior tooth extraction, initial
decrease in alveolar width is by resorption and/or loss of buccal bone. With
continuous bone remodeling, absence of stimulation, loss of bone height, and
density leads to an increase in antral pneumatization. The maxillary sinus
pneumatization is caused by progressive hallowing out of alveolar process of
apical aspect mediated by osteoclasts and by increase in positive intra-antral
pressure. In such a situation, the residual vertical bone height is decreased making
standard implant placement difficult.
To adapt, circumvent, and treat this local physiological as well as anatomical
limitation; maxillary sinus floor elevation has become an important preplacement
procedure in dental implant treatment planning. Various methodologies have
evolved to increase the thickness of maxillary sinus floor. The treatment goal of all
such procedures is to increase residual bone height. Few of the technique involve
simple, minimal elevation of maxillary sinus membrane, Schneiderian membrane,
while other include placement of various type of grafts including allografts,
autografts, bone morphogenetic proteins, and hydroxyapatite crystals.
The success of minimally invasive sinus augmentation and dental implant
placement relies on selection of technique of placement, graft material, if necessary
and adequate preoperative planning besides the skill of operator. There are two
2.
Dr.
Maggi
Tom,
M.D.S
(Oral
and
Maxillofacial
Surgery)
main ways of reaching sinus membrane; a direct one and an indirect method of
sinus augmentation. The direct sinus augmentation technique (DSAT) involves
direct visualization and manipulation of Schneiderian membrane while the other
method indirectly (ISAT) manipulates the membrane. Both these method have
delineated indication and contraindication.
DIRECT SINUS LIFT PROCEDURE :
It is also called Caldwell luc procedure.
Advantages:
• Clear
• Easy access
• Loading of implant can be immediate
• More efficient work done
Disadvantage:
• More pain
• More post operative discomfort
• Time consuming
• Needs highly efficient surgeon
• More susceptible for infection
Procedure:
• Firstly the surgical site is prepared as per aseptic protocol.local anesthesia
given.
• A incision given , soft tissue in anterior maxilla has been reflected back to
expose overlying maxillary sinus (arrowheads).
3.
Dr.
Maggi
Tom,
M.D.S
(Oral
and
Maxillofacial
Surgery)
• Note osteotomy (arrows) in bone.
• The cross-sectional (lateral) view of maxillary sinus shows the bone flap
created by osteotomy has been pushed inward with maxillary sinus
membrane.
• Then the osteotomy and sinus membrane displaced inward and space
packed with bone graft.
4.
Dr.
Maggi
Tom,
M.D.S
(Oral
and
Maxillofacial
Surgery)
• The cross-sectional view of maxillary sinus shows that the Bone graft fills
space created by inward displacement of osteotomy and sinus membrane.
5.
Dr.
Maggi
Tom,
M.D.S
(Oral
and
Maxillofacial
Surgery)
INDIRECT SINUS LIFT PROCEDURE:
• OSTEOTOMY TECHNIQUE- by SUMMER in 1994
Advantages:
• Minimally invasive surgical procedure.
• The osteotomy is minimal being 1-3 mm deep and wide.
• Minimal instrumentation with closed graft deliver permits a sterile
technique.
• Simplicity of the procedure requires less time and expertise
Disadvantages:
• Immediate implant loading is recommended after 3 months.
• Blind procedure (the sinus isn’t exposed).
• More chance of errors to occur.
Procedure:
• A crestal incision is made, and the crestal ridge is exposed.
• A sharp osteotome is used to "chisel" a rectangle in the crestal ridge of the
maxilla, then a sinus-lift osteotome is used like a mallet to fracture the bone.
• Punch a hole through where the rectangle was created into the sinus floor.
• The sinus is then raised with bone grafting material and implants are placed.
6.
Dr.
Maggi
Tom,
M.D.S
(Oral
and
Maxillofacial
Surgery)
Note:
• It takes about three to six months for the sinus augmentation bone to become
part of the patient's natural sinus floor bone.
• Up to six months of healing is sometimes left before implants are attempted.
• However, some surgeons perform both the augmentation and dental implant
simultaneously, to avoid the necessity of two surgeries
Risks and Complications:
• Includes tearing or perforation of the schneiderian membrane , intra-
operative or post-operative bleeding,post-operative infection, and loss of
bone graft or implants.
• If the perforation is small, it often can be managed with a resorbable barrier
membrane placed over the opening , followed by careful placing of the bone
augmentation material.
• If a perforation or tear is extensive, it may be necessary to abort the
procedure, close the wound , and attmpt again at a later date.
• Infectionss have been reported in a small numbers.
• A more serious bleeding problem can arise if an intraosseous artery is
severed in the process.
• Bone wax and topical hemostatic agents must be available to manage such a
urgent surgical complication
Conclusion:
Thus , the maxillary sinus elevation and the bone augmentation procedure is
technique sensitive, requiring meticulous surgical skills and expertise.