socket shield technique is a modified method of implant placement where many short comings of implant placement can be solved...
it is nothing but retaining of buccal cortical plate during extraction and implant is placed immediatly
socket shield technique is a modified method of implant placement where many short comings of implant placement can be solved...
it is nothing but retaining of buccal cortical plate during extraction and implant is placed immediatly
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 presentation is all about restoration of endodontically treated teeth, prefabricated post and core, cast post and core, direct and indirect technique.
Implant Loading Protocols Journal Club-Comparative evaluation of the influenc...Partha Sarathi Adhya
This journal club deals with different loading protocols and comparative analysis among them. this basically deals with immediate and delayed loading protocols.
Fixed partial dentures transmit forces through the abutments to the periodontium. Failures are due to poor engineering, the use of improper materials, inadequate tooth preparation, and faulty fabrication. Of particular concern to prosthodontist is the selection of teeth for abutments. They must recognize the forces developed by the oral mechanism, and resistance.
Successful selection of abutments for fixed partial dentures requires sensitive diagnostic ability. Thorough knowledge of anatomy, ceramics, the chemistry and physics of dental materials, metallurgy, Periodontics, phonetics, physiology, radiology and the mechanics of oral function is fundamental.
Prosthesis is one of the most important component of an implant. There are various prosthetic factors that must be considered for a successful implant. Few of them include prosthesis type and material, the connection between abutment and prosthesis, occlusal factors, etc.
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 presentation is all about restoration of endodontically treated teeth, prefabricated post and core, cast post and core, direct and indirect technique.
Implant Loading Protocols Journal Club-Comparative evaluation of the influenc...Partha Sarathi Adhya
This journal club deals with different loading protocols and comparative analysis among them. this basically deals with immediate and delayed loading protocols.
Fixed partial dentures transmit forces through the abutments to the periodontium. Failures are due to poor engineering, the use of improper materials, inadequate tooth preparation, and faulty fabrication. Of particular concern to prosthodontist is the selection of teeth for abutments. They must recognize the forces developed by the oral mechanism, and resistance.
Successful selection of abutments for fixed partial dentures requires sensitive diagnostic ability. Thorough knowledge of anatomy, ceramics, the chemistry and physics of dental materials, metallurgy, Periodontics, phonetics, physiology, radiology and the mechanics of oral function is fundamental.
Prosthesis is one of the most important component of an implant. There are various prosthetic factors that must be considered for a successful implant. Few of them include prosthesis type and material, the connection between abutment and prosthesis, occlusal factors, etc.
Diagnosis and treatment planning in implants 2./prosthodontic 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
Diagnosis and treatment planning in implants 2. /certified fixed orthodontic ...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.
Diagnosis and treatment planning in implants 2. / dental implant courses by ...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
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.
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 implants/ 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.
Diagnosis and treatment planning in implants / esthetic dentistry coursesIndian 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.
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.
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
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.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
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
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
3. “ CSR of dental implants is generally high and that
implant location plays an important role in implant
success.CSR of implants in the mandible seems to
be slightly higher than in maxilla—about a 4%
difference. The success rate of implants in the
anterior regions seems to be higher than in the
posterior regions of the jaws, mostly due to the
quality of bone: about 12% difference between
anterior maxilla and posterior maxilla, and about 4%
difference between anterior mandible and posterior
mandible”
Tolstunov L. Implant zones of the jaws: implant location and related
success rate. J Oral Implantol. 2007;33(4):211-20
4. Treatment Planning
“If you are not planning for success, then
you are planning for failure”
treatment plan tret-mant pla˘n:
The sequence of procedures planned for the
treatment of a patient after diagnosis – GPT 8
5. Functional implant zones (FIZ)
Functional implant zones (FIZ) are the
alveolar jaw regions where dental implants
can be inserted with or without
supplemental surgical procedures for the
purpose of functional prosthetic
rehabilitation of the stomatognathic
system
6. Functional implant zones (FIZ)
• Zone 1 (FIZ-1): traumatic zone
zone of the alveolar ridge of premaxilla
• Zone 2 (FIZ-2) : sinus zone,
bilateral zone of the alveolar ridge of
posterior maxilla located at the base of
maxillary sinus from the second
premolar to pterygoid plates
7. Functional implant zones (FIZ)
• Zone 3 (FIZ-3) : interforaminal zone,
a zone of the alveolar ridge of anterior
mandible (symphyseal area)
• Zone 4 (FIZ-4): ischemic zone,
a bilateral zone of the alveolar ridge of
posterior mandible from the second
premolar to the retromolar pad.
8. FIZ 1 : Traumatic zone
• It including eight anterior teeth: 4 incisors, 2
canines and 2 first premolars
• The anterior maxilla has protruding alveolar
process with thin labial and thick palatal cortical
plates covering and protecting upper front teeth
• This prominent positioning is is responsible for
bone and soft-tissue injuries of the facial
skeleton during fall, RTA and domestic trauma
9. • Post extraction bone resorption is 3
dimensional, with the greatest loss of bone in
the bucco-palatal (the width)
• Mainly on the buccal side of the alveolar ridge
• 50% bone loss occur during the 12 months
following tooth extraction.
• 2/3rd of the horizontal bone loss occurs within 3
months and 1/3rd takes place within the
remaining 9 months of the first year post
extraction
10. • The loss of bone height is smaller,
reported to be about 1 mm within the first
6 months post extraction
• The data of healing and remodeling of
the alveolar crest after the tooth loss are
especially important in the premaxillary
area due to esthetic considerations.
• Implant rehabilitation in FIZ 1 often
entails staged hard and soft tissue
procedures to rebuild collapsed tissue
and achieve the original and natural
esthetics, function, and phonetics
11. Atleast consider 10 dynamics should be considered
during implant treatment in the anterior maxilla :
1. A detailed history of facial trauma or a tooth loss
2. A comprehensive clinical and radiographic examination
including conventional (PA, occlusal, panoramic x-rays)
and tomographic imaging.
3. Early bone augmentation procedures and bone grafting
techniques to improve and reconstruct missing or deficient
alveolar ridge and create an adequate foundation for an
endosseous implant
12. 4. Consider soft tissue grafting to increase or create a layer of
attached gingiva, treat all patients as having a high smile
line
5. Consider slightly more palatal implant placement to engage
the remaining palatal cortex with its strength needed for
primary implant stability without compromising esthetics
and function
6. Use an anatomically tapered implant design with a good
adaptation to the surrounding socket
7. Consider two-stage surgery and avoid immediate load
13. 8. If immediate provisionalization is utilized, take the
prosthesis out of occlusion, use protective occlusal
schemes; consider prosthetic remodeling techniques for
an improvement of implant emergence profile
9. Wait sufficient amount of time before fully loading of an
implant with a history of alveolar crest grafting (at least 6
months)
10. Instruct patient to avoid heavy biting for at least one year
after delivery of the final prosthesis, avoid any front facial
trauma or contact sport, and maintain meticulous oral
hygiene
14. FIZ 2 : Sinus Zone
FIZ 2 : bilateral maxillary posterior zone that extends
from the second premolar to the pterygoid plates is
located at the base of maxillary sinuses
compromised bone quality (types 3 and 4) ; increase
an implant failure rate
sinus pneumatization after
a loss of posterior
tooth/teeth necessitates
sinus lift procedure with
vertical bone augmentation
15. Guidelines for posterior teeth
• The predictability of the outcome of an
implant restoration in the posterior part of
the mouth is dependent on :
1. Available space
2. Implant number and position
3. Occlusal considerations
4. Type of prosthesis
5. Overall treatment plan
16. Available space
• Available ossesous space:
-7.5 mm of bone height is required for a 6 mm fixture
- 8.5 mm is required for a 7 mm fixture
• at least 2 mm of bone between the apical end of the implant
and neurovascular structures
• The implant should be at least 1.5 mm : the adjacent teeth
• The implant should be at least 3 mm : an adjacent implant
• A wider diameter implant should be selected for molar teeth
17. • molar implant restorations : 2.5 mm away from the adjacent
tooth to allow development of appropriate restorative contours
• 6 mm of bone (buccolingually) : 4 mm diameter implant
• Available restorative space :
- 10 mm of space : the residual ridge & the opposing occlusion
- 7 mm would be considered the bare minimum
• Minimal enameloplasy or minimal restorative therapy
may be considered to create space
18. Implant number and position
• The number of implants is dependent on bone
quantity and quality
• Maxilla : 1 implant for each tooth
• Cantilever type prostheses have been associated
with higher rates of failure
• The clinician has to decide if a bone
augmentation procedure is justified or whether a
more simple approach of cantilevering would
suffice
19. • With three implants; offset the implants and position
them for a tripod effect
• Use of a wider diameter implant provides an equivalent
benefit to the non linear configuration
• When insufficient osseous volume exists in the posterior
maxilla and the patient does not want to undergo a sinus
augmentation procedure, consideration giving implant
placement in the tuberosity area
20. Occlusal considerations
• Implant protected occlussion :
The centric contacts are adjusted with light
occlusal contact on the implants; the rationale
being the opposing natural dentition is often
compressed on firm closure
• Cuspal inclinations on implant supported
restorations should also be shallower
• Anterior disclusion is easier when posterior
occlusal anatomy is shallow
21. Type of restoration
• Cemented v/s Screw retained
• Splinted v/s Non splinted
• Abutment level v/s implant level restoration
22. Overall Rx Plan
• Decisions to use implants should be based on
prosthetically oriented risk assessment
• Prosthetically oriented risk assessment involving
comprehensive evaluation of potential abutment
teeth
• the decision should be based on risk assessment
and cost effectiveness of the procedures
23. FIZ 3 : INTERFORAMINAL ZONE
This zone of mandibular alveolar ridge is located
between mental foramen on each side or from the
first premolar tooth on one side to the first
premolar tooth on the other side
• It has thin and narrow alveolar ridge often requires an
especially careful and skilled surgical implant insertion
• A successful placement of 2 to 6 in edentulous arch
cases offer a stable foundation for a variety of implant-
retained and implant-supported removable and fixed
mandibular prostheses
24. FIZ 4: ISCHEMIC ZONE
The alveolar process of posterior mandible is
located behind the mental foramen on each side
and extends from the second premolar to the
retromolar pad
• Vascularization to the alveolar ridge and teeth
diminishes with loss of teeth, in elderly patients with
alveolar crest resorbtion other chronic conditions
results in “Relative ischemia”. Thus it called has
Ischemic Zone
25. • Decrease of blood supply to the bone and soft
tissue can compromise bone growth, repair, and
maintenance and increase failures of bone grafting
and implant integration, amplifying rate of early
implant failures
• A heavy masticatory demand during function,
especially for people with parafunctional habits
• Two to three implants : replacement of missing
second premolar, first molar occasionally second
molar
26. Posterior mandibular implants should be placed such
that the exit angle of the screw access should point
towards the inner incline of the palatal cusp
Placement of two implants in molar positions can
compensate for poor bone quality by double the
anchorage surface area
Double implants closely mimic the anatomy
•eliminates antero-posterior cantilever,
•reduction of rotational forces exerted
•reduction of screw loosening
29. Other considerations
• The use platform switched helps in the preservation
of the crestal bone
• Osteoconductive roughened implant surface
topography (acid-etched, RBM) significantly
improve an implant success rate in any zone of the
jaws by enhancing primary mechanical implant
stability and BIC
• Better Implant stabilty : immediate loading, reducing
healing time, maintaining a crestal bone level and
facilitating an implant hygiene
30. Reference
• Misch CE. Contemporary implant dentistry. Elsevier
Health Sciences; 3rd edition 2014
• Tolstunov L. Implant zones of the jaws: implant
location and related success rate. J Oral
Implantol. 2007;33(4):211-20
• Jivraj S, Chee W. Treatment planning of implants in
posterior quadrants. British dental journal. 2006 Jul
8;201(1):13-23.
• Dolanmaz D, Senel FC, Pektas ZÖ. Dental Implants in
Posterior Maxilla: Diagnostic and Treatment Aspects.
International journal of dentistry. 2012;2012.