This document summarizes key aspects of dental implant surgery including osseointegration, surgical considerations, anatomical considerations, implant stability assessment, one-stage versus two-stage surgery, and extraction and immediate implant placement. It discusses the direct bone-implant connection called osseointegration, factors that influence osseous healing like implant surface characteristics, and techniques for ensuring primary stability. Key anatomical structures like nerves and sinuses are reviewed for surgical safety. Methods of evaluating initial implant stability like resonance frequency analysis are presented. The document compares one-stage and two-stage surgical protocols and reviews when immediate placement is appropriate.
Implant abutment and implant abutment connectionsDR.BHAVESH JHA
this ppt enlightened with different types of implant abutment connection. Detailed classification of abutments. Different types of abutments. Latest trends of abutments. Smart abutments. Platform switching, rationale of platform switching and related articles.
One of the best seminar of the author. Covered in detail regarding the increasing vertical dimension, centric relation, methods to record centric relation, philosophies of occlusion and in detail everything about full mouth rehabilitation.
Implant abutment and implant abutment connectionsDR.BHAVESH JHA
this ppt enlightened with different types of implant abutment connection. Detailed classification of abutments. Different types of abutments. Latest trends of abutments. Smart abutments. Platform switching, rationale of platform switching and related articles.
One of the best seminar of the author. Covered in detail regarding the increasing vertical dimension, centric relation, methods to record centric relation, philosophies of occlusion and in detail everything about full mouth rehabilitation.
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.
Non rigid connectors in fixed prosthesis / 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.
Socket preservation or alveolar ridge preservation (ARP) is a procedure to reduce bone loss after tooth extraction to preserve the dental alveolus (tooth socket) in the alveolar bone
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• 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
The biological fixation determines the longevity of dental implant treatment. It ensures the long term survival of dental implant. Better the osseointegration,higher will be the survival rate
This seminar deals with implant-related complications that lead to implant failure.this also discus diagnostic criteria and preventive methods for an implant failure.
Osseointegration, definition, history, process of osseointegration, factors influencing osseointegration, methods for evaluation of osseointegration, failure of osseointegration
loading protocols in dental implants about indications and contraindications of conventional , immediate,progressive and delayed loading of dental implants
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.
Non rigid connectors in fixed prosthesis / 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.
Socket preservation or alveolar ridge preservation (ARP) is a procedure to reduce bone loss after tooth extraction to preserve the dental alveolus (tooth socket) in the alveolar bone
For more information, you can book an appointment at
Dr Sachdeva's Dental Aesthetic And Implant Institute,
I 101, Ashok Vihar Phase 1, Delhi- 110052
Contact us at
• Phone : +919818894041,01142464041
• Our Websites:
• www.sachdevadentalcare.com
• www.dentalclinicindelhi.com
• www.dentalimplantindia.co.in
• www.dentalcoursesdelhi.com
• www.facialaestheticsdelhi.com
• Google+ link: https://goo.gl/vqAmvr
• 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
The biological fixation determines the longevity of dental implant treatment. It ensures the long term survival of dental implant. Better the osseointegration,higher will be the survival rate
This seminar deals with implant-related complications that lead to implant failure.this also discus diagnostic criteria and preventive methods for an implant failure.
Osseointegration, definition, history, process of osseointegration, factors influencing osseointegration, methods for evaluation of osseointegration, failure of osseointegration
loading protocols in dental implants about indications and contraindications of conventional , immediate,progressive and delayed loading of dental implants
Standard surgical procedure for implant placement Diana Abo el Ola
The lecture gives in details step by step how to replace an implant in the osteotomy site. Also, mention the preoperative and postoperative procedures.
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.
This presentation has videos and more surgical aspects of recent advances in Implant dentistry.This is different from other presentations in this platform since it is stuffed with most recent articles and informations
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
Peizosurgery: A boon in modern periodonticsAnushri Gupta
Piezoelectricity is the electricity resulting from pressure. It is effective in precise bone cutting. It spares soft tissue and hence less blood loss is seen.
There are three basic phases of the digital workflow when designing and/or fabricating removable partial denture frameworks; data acquisition, designing (computer aided design (CAD)), and computer-aided manufacturing (CAM). The bulk of this presentation is dedicated to the design steps used in this workflow utilizing sample maxillary and mandibular casts
There are three basic phases of the digital workflow when designing and/or fabricating removable partial denture frameworks; data acquisition, designing (computer aided design (CAD)), and computer-aided manufacturing (CAM). The bulk of this presentation is dedicated to the design steps used in this workflow utilizing sample maxillary and mandibular casts
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Best Ayurvedic medicine for Gas and IndigestionSwastikAyurveda
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
CDSCO and Phamacovigilance {Regulatory body in India}NEHA GUPTA
The Central Drugs Standard Control Organization (CDSCO) is India's national regulatory body for pharmaceuticals and medical devices. Operating under the Directorate General of Health Services, Ministry of Health & Family Welfare, Government of India, the CDSCO is responsible for approving new drugs, conducting clinical trials, setting standards for drugs, controlling the quality of imported drugs, and coordinating the activities of State Drug Control Organizations by providing expert advice.
Pharmacovigilance, on the other hand, is the science and activities related to the detection, assessment, understanding, and prevention of adverse effects or any other drug-related problems. The primary aim of pharmacovigilance is to ensure the safety and efficacy of medicines, thereby protecting public health.
In India, pharmacovigilance activities are monitored by the Pharmacovigilance Programme of India (PvPI), which works closely with CDSCO to collect, analyze, and act upon data regarding adverse drug reactions (ADRs). Together, they play a critical role in ensuring that the benefits of drugs outweigh their risks, maintaining high standards of patient safety, and promoting the rational use of medicines.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
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These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
2. Osseointegration
A direct structural
and functional
connection
between ordered,
living bone and
the surface of a
load-carrying
implant
(Brånemark, 1985)
Cortical bone
Cancellous bone
Per-Ingvar Brånemark
4. Osseointegration
Osseous Healing:
•
•
•
•
•
•
•
•
Blood fills gap between implant and
damaged bone surface
Blood clots with fibrin network
formation (Platelets)
Inflammation (PMN s & Macrophages)
Resorption (Macrophages ingest
inflammatory debris & Osteoclasts
resorb damaged bone )
Neovascularization (Endothelial cells)
Migration/differentiation/
proliferation (MSC s, fibroblasts &
osteoblasts)
Osteoid & Woven bone (osteoblasts)
4-6 weeks after surgery
Replacement of woven bone by
lamellar bone (osteoclasts &
osteoblasts)
Basic multi-cellular unit
Osteoclast cutting cone: basic
remodeling process for bone renewal
7. Peri-Implant Soft Tissue
Healing & Biology
• Bone resorption occurs to
create a proper soft tissue
seal around implants
• The term biologic width is
used when describing the
soft tissue dimensions around
implants
• Epithelial cells are attached
by hemidesmosomes & basal
lamina
• Collagen fibers are oriented
parallel to the implant
surface
CTA
8. Osseointegration
Original Brånemark Protocol
•
•
Implants must be sterile
Made of highly biocompatible
material such as titanium
(covered by a biologically inert
TiO2 layer)
• Inserted with atraumatic surgical
technique that avoids
overheating of bone
• Implants must have good initial
stability at the time of placement
• Implants must not be subjected
to functional forces during initial
healing period
A non-loaded healing period:
1. Anterior MN: 3 m
2. Posterior MN: 4 m
3. Maxilla: 6 m
Submerged & Non-loaded
9. Traditional Loading
Maxilla: 6 months
Ant MN: 3 months
Post MN: 4 months
Two-Stage
Cover
Screw
Stage 1 Surgery
Healing
Abutment
Stage 2 Surgery
One-Stage
Final
Restoration
Healing
Abutment
Final
Restoration
11. Surgical Considerations
•
•
•
•
•
Excessive surgical trauma
and thermal injury result in
osseonecrosis and fibrous
encapsulation
Temperature over 47 °C for 1
min causes heat necrosis in
bone (Eriksson & Albrektsson
1983)
Heat generation is affected
by speed, load placed on
drill, drill sharpness and
design
Precise osteotomy
preparation by surgeon to
achieve good primary
stability
Good primary closure
47 °C
Precise osteotomy
preparation
Good Primary
Closure
From Larry Peterson,
Contemporary Oral
& Maxillofacial Surgery,
3rd Edition
12. Surgical Considerations
Implant Design
•
•
Primary mechanical
stability is provided by
implant design, bone
quality & precise
osteotomy preparation
The transition from
primary mechanical
stability to biologic
stability takes place
during early wound
healing & is provided by
newly formed bone
Threaded
Implant
Cylinder-Type
Implant
Press-fit
Precise Osteotomy
Preparation
13. Stage One Surgery
• When to tap?
• When to
countersink?
• Coolant (copious irrigation)
• Sharp drills
• Temp over 47 °C for 1 min
causes heat necrosis in bone
(Eriksson & Albrektsson 1983)
• Up & down motion for effective irrigation
• Avoid over-torque (Implant over-tightening
causes bone micro-fractures/bone necrosis)
14. Stage One Surgery
• Twist drills are longer than selected
implants
• Countersink only in presence of thick
cortical layer
• Excessive countersinking in poor quality
bone may compromise primary stability
• Tap only in dense bone (most implants
are self tapping i.e. self threading)
• Placement torque should not exceed 45
Ncm
19. How to Assess Implant Primary
Stability?
1.
•
•
•
•
Resonance Frequency
Analysis (RFA)/Implant
Stability Quotient (ISQ)
Transducer is excited
over a frequency range
Response is measured
RF is determined by
degree of stiffness at IBI &
level of bone surrounding
the implant
Implant stability quotient
(ISQ) is a numerical value
ranging from 0 – 100
reflecting the level of
stability
20. How to Assess Implant Primary
Stability?
2. Implant insertion torque
21. Stage Two Surgery
• Implant exposure
• Removal of cover screw
• Selection of healing abutment:
A periodontal probe determines ST
thickness
• Connection of healing
abutment using a screw driver
Abutments have to be fully seated
Cover screw exposure
Abutments emerge from
ST by about 1-2 mm
22. One-Stage Versus Two-Stage
Things to consider:
• Primary stability
• Interim prosthesis (can it
be modified without
weakening)
• Patient compliance
• Placement of implants &
simultaneous grafting e.g.
guided bone regeneration
(GBR)
Implant placed
as a two-stage
Implant placed
as a one-stage
23. One-Stage Versus Two-Stage
When to consider one-stage placement?
1. The implant has good primary stability
2. The interim prosthesis can be modified to
accommodate the healing abutment
3. Implant placement is associated with no
grafting or minimal grafting
24. Extraction & Immediate Implant Placement
Evaluation at the time of C/S
1.
Smile line (SL)
Ø
2.
Gingival Biotype (GB)
Ø
3.
4.
5.
Avoid in thin scalloped GB as it
is usually associated with thin
labial bone plate
Infection-free site
Inflammation-free site
Check radiographically for
proximity of apex of socket to
vital structures e.g. IAN,
Maxillary sinus &Nasal cavity
Ø
6.
Avoid in high SL
Avoid if there is proximity
Look for features that lead to
good primary stability e.g.
short and small roots, wide
inter-radicular bone, small
tooth size (molars vs. bicuspids
vs. incisors)
Thin Scalloped
Thick Blunted
25. Extraction & Immediate Implant Placement
Evaluation at the time of
extraction
1. Atraumatic extraction
2. Check height & thickness
of labial or buccal plate of
bone
3. Check morphology of
socket and gap between
implant & socket wall
(<2mm no grafting, >2mm
graft)
4. Primary stability
Ø
Avoid if you cannot get
good primary stability
27. v Visit ffofr.org for hundreds of additional
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