Dental Implants -Part - 1 by Dr

2/13/2014Dental Implants -Part - 1 by Dr. Shahid Ppt Presentation Go Prem ium | Sign Up | Sign In | Take a Tour | Help Home Browse PowerPoint Templates Upload PowerPoint Presentations Search Presentations GO Dental Implants -part - 1 by Dr. Shahid drshahidkhan Download View More Presentations Implant Simulations By: funnyside ANATOMIA DENTAL By: fmolina Los Angeles Dental Implants – What is the Cost of Dental Implants? By: drkezian Trigeminal Nerve-by dr.shahid By: aSGuest84693 Tags Implants Share Add to Flag Embed Shahid Dental Implants - Dr Arthur A. Kezian DDS By: drkezian Presentation Statistics Dental Care in India delivering the best Dental Views on authorSTREAM: 1273 Implants Views from mobile site : 240 By: Dental013 Views from Embeds: 10 Views: 1523 Category: Education License: All Rights Reserved www.facebook.com - 8 views final Others: 2 AutoimmuneDiseases byDR.SHAHID By: drshahidkhan Presentation Description My thesis topic Edmonds Dental Implants at Dayton Dental, Edmonds, WA By: hu8035 Dentist Austin TX | Dental Implants Austin TX | Dental Practice By: PerioHealthAustin Getting dental implants from the best dentists via Dental Tourism By: sheropova http://www.authorstream.com/Presentation/drshahidkhan-1834164-dental-implants-part-dr-shahid/ 1/7 PowerPoint Presentation: 1960 – Linkow developed blade Implants Late 1970s and Early 1980s .. 2013 at 8:47am Santosh Nelogi · SDM good one . Albucasis de Condue ( 936.. Strock .gold bands incorporating pontics.Cr.: History….Phoenician population – gold wire.Mayan population .Implantation of pieces of shell. Early 1980s -Tatum .Divisions & Density Diagnosis & Pt.. Rather than merely focusing on the tooth/teeth to be replaced.. The Foundation Period (1800-1910) The Endosseous Oral Implantology Truly Began In The 19 th Century. The modern era of implant dentistry most definitely began in the late1930s with the work of Venable. Neelakamal Sir Presenter: Dr.D) an Arab surgeon use ox bone to replace missing teeth described the transplantation procedures . Zygoma Implants Conclusion Future References PowerPoint Presentation: Introduction: Dental implants are designed to provide a foundation for replacement of teeth that look.com/Presentation/drshahidkhan-1834164-dental-implants-part-dr-shahid/ 2/7 .com Reply · 1 · Like · November 23.D 2. PowerPoint Presentation: THE DAWN OF THE MODERN ERA 1935-1978 A.Etruscan population .John Hunter . It remained firm & asymptomatic for nearly 17 years .Greenfield – Irridoplatinum basket soldered with 24 carat gold. Egypt great informative and educational presentation. feel. In 1950 Lee’s .com Reply · 2 · Like · December 30.raj18@gmail. PowerPoint Presentation: 1943 –Dahl -sub periosteal type of implant In 1947. Venable in 1937 developed the cast Co.com if possible.1 by Dr. Two ends of the wire were soldered together to form a post or neck. In 1939 Alvin & Strock used the Venable screw type implant . 600 AD .design i. PowerPoint Presentation: Chercheve Modified it by increasing the length of the neck & double helix out of vitallium .The Dawn Of The Modern Era (1935-1978) A.Introduced submerged implants with ball head screws.Mo alloy known as Vitallium . 300 AD . Medieval Period (1000-1799 A. PowerPoint Presentation: 500 BC . Dahl . Reconstruction with dental implants has changed considerably. .1013 A.D. 2013 at 4:45am Manar Magdy · Works at Sinai University-Faculty of Dentistry@ very good Reply · Like · December 27. the first long term endosseous implant. PowerPoint Presentation: In 1938 Stock placed the threaded vitallium implant into the extraction socket. it would be very useful as a reference.D History….Ancient Egyptians .com .it can be more helpful for me . and function like natural teeth.please send me on santrodent@rediffmail. PowerPoint Presentation: 1700 .D) 3. 2013 at 4:44am dr. please send me this presentation my e mail [email protected]) Reply · Like · December 10. Gershkoff & Goldberg .Carved Ivory teeth.authorstream. 2013 at 4:12am Facebook social plugin Presentation Transcript PowerPoint Presentation: IMPLANTS MODERATOR: Dr. Thanx Reply · Like · November 25.full Mouth implants supported. 2013 at 1:05pm Ankush Rajput · Software Developer at Graebert India Please send me this ppt at ankush. PowerPoint Presentation: History Of Implants 1.2/13/2014 Dental Implants -Part . Selection -History -Examination -Radiographic Assesment Study Models Contents: PowerPoint Presentation: Part-2 Surgical placement Ossiointegration Healing Period Prosthetic phase Implant Maintainace Implant Complications & Management Special consideration.hanan alasad (signed in using Hotmail) nice presentation please send me this ppt to my e-mail([email protected] root form implant http://www. 500 BC .Transplanting the teeth. 2013 at 7:34pm Manar Magdy · Works at Sinai University-Faculty of Dentistry@ please send me this ppt to my e-mail ( mydreams_5050@yahoo. today’s implant practitioners considers a broad and complex set of interwoven factors before formulating an implant treatment plan. Reply · Like · October 11.e central narrow post with extensions .gold ligature. 1911 .Phoenician population . Premodern Era ( 1910-1930) 5.1000 A. 2013 at 9:47am Moe Abaza Please send me this ppt abazadentalclinic@hotmail. Formiggini developed a single helix wire spiral implants made of stainless steel or tantalum.. Ancient Era . Shahid PowerPoint Presentation: Introduction History And Evolution Of Implants Terminology & Definitions Classifications & Implant Systems Ideal Properties Of Implants Indications & Contraindications Advantages & Disadvantages Evaluation Of Bone. 1937 Adams. can i have ur ppt . Shahid Ppt Presentation Comments 7 comments Add a com m ent Hassan Sadek · Cairo.Tatum .custom blade implants of Titanium alloy. 2500 BC . 4.com) Reply · Like · December 27. Surface Etching Laser Induced surface roughening Hydroxyapatite coating Depending on function Cosmetic cannot withstand masticatory forces Semifunctional can withstand along with mucoperiosteal.Based on surgical procedure Two staged Single staged Based on surface Press-fit/Non-threaded Screw type/Threaded Hollow basket implant PowerPoint Presentation: Blade vent / Plateform implants Introduced by Linkon in (1967). COVER SCREW. by fixed prosthodontics. PowerPoint Presentation: Mucosal inserts These are attachments in dentures to provide added stability and retention . Only 1 cortical plate is involve. One piece endosseous implant that uses tripodal mechanical support in the mandible (the ramii and the bony symphysis ). Classifications & Implant Systems : Classifications & Implant Systems Based on Implant placement within the tissues Epiosteal exp. Patients with knife edged ridges. Excellent education availability. Relatively simple surgery. Maxillary subperiosteal implants have higher failure rate and was not done routinely. As a single tooth replacement unless these implants are splinted to at least one and preferably two adjacent natural teeth. completely edentulous arches where four implants are used. It can be bent and shaped without difficulty.. Cronin 1970 . PowerPoint Presentation: Advantagenous for providing retention Complete maxillary dentures . PowerPoint Presentation: Transosteal implants / Mandibular Staples/ Transcortical implants A dental implant that penetrates both cortical plates and passes through entire thickness of the alveolar bone.Bladevent/plate form Implant . BRANEMARK SYSTEM COMPONENTS : BRANEMARK SYSTEM COMPONENTS FIXTURE – pure titanium with machined threads .1 by Dr. high labial muscles. PowerPoint Presentation: Contraindications: As abutments for a removable prosthesis. Indications Patients with h/o mandibular bone resorption. diagnostic. The top of the fixture has hexagonal design & threads . mucosal attachments and high convex to flat symphyseal areas with fibrous and flabby tissue. No special preoperative surgical or preprosthetic preparation Short time required with minimal armamentarium Immediate wearing of denture with early to limited function and chewing Stability adequate Adequate high success rate.Ramus frame Implant Transosteal / Transosseus /Transmandibular/Staple bone implant Mucosal Inserts Epiosteal Implant: Epiosteal Implant It is a dental implant structure that covers almost the entire crestal surface of the maxillary and mandibular residual alveolar bone under the soft tissue periosteum. Large areas of bone lost when these blades are to be removed. A substance that is placed into or / & upon the jaw bone to support a fixed or removable dental prosthesis. Inc Advantages ADA full acceptance (edentulous) and provisional acceptance for all other uses. Disadvantages Some sponsors do not allow general practitioners to take surgery course . Osseointegration: The apparent direct attachment or connection of osseous tissue to an inert. PowerPoint Presentation: Implantology: Term historically coined as the study or science of planning and restoring dental implants. Disadvantages Bone necrosis due to large amount of bed preparation. PowerPoint Presentation: Ramus frame implants Developed by HD Roberts and RA Roberts in 1965. Fibrous ankylosis of implant due to base necrosis from high temperature during implant bed preparation and immediate loading. Distal extension partial dentures. In long inter tooth span. with the four to six posts protruding out through gingiva and on it the complete denture will be attached . PowerPoint Presentation: Endosteal Implant: In 1930 Strock placed first. except in complete arch overdenture. In 1973 Wein & Judy introduced a newly designed mucosal inserts that had more satisfactory design and health . Types of root form implants. It consists of the necessary parts and instruments to complete the implant body placement and abutment components. Trainin 1962. PowerPoint Presentation: ROOT FORM IMPLANTS Advantages: Adaptability to multiple intra oral location.Subperiosteal Endosteal . Indication: In distal extension cases that offer sufficient depth of bone to avoid damage to maxillary Sinus and the mandibular canal.Screw vent implant .com/Presentation/drshahidkhan-1834164-dental-implants-part-dr-shahid/ 3/7 . cement retained PowerPoint Presentation: PARTS: Various Implant Systems: Various Implant Systems Branemark system Developed from the pioneering work of Prof.. Has only pure titanium implants.sprayed Coating Sand Blasting. which are not restorable. prosthetic or experimental purposes. So new bone will grow around the implant. Large bulb obturator. Shahid Ppt Presentation 1978 – Bren mark in North America started 2 stage threaded implant placement. where root form implants further compromises the strength of the jaw. Functional can withstand masticatory load and transfer to bone PowerPoint Presentation: Based on Faundation : Implant supported Implant assisted Based on Retention of prosthesis: Removable Fixed. Usually 14 inserts are used for dentures. http://www. alloplastic material without intervening connective tissue. for atrophic mandible. This form of implant uses a horizontal dimension of base and is flat and narrow in faciolingual dimension. Difficulty to prepare a precise slot for blade placement.Izikowitz 1961. Dental Implant : A prosthetic device made of alloplastic material implanted into the oral tissues beneath the mucosal or/ & periosteal layer &/or within the bone to provide retention & support for a fixed or removable dental prosthesis. covers the almost entire crestal surface of ridge. Implant system (GPT. Patients inability to wear dentures. Uniform precise Implant site preparation. After PowerPoint Presentation: 1980s –hollow basket Core vent implant . Inc: 33 Branemark USA .Root form Implants .seals the coronal potion of fixture during the interim period. ( 1960) Branemark USA.2/13/2014 Dental Implants -Part . Longest documented research. Per-Ingvar Branemark who introduced the term osteointegration . indicated in atropic anterior mandible.modified by Lew 1957. These are one stage system. Example. Disadvantages Retention is not adequate Soreness due to ridge resorption PowerPoint Presentation: Other Classifications Based on Surface characteristics: Titanium plasma. 1993): Dental implant components that are designed mate together and can represent a specific concept & inventor.screw retained.authorstream. It is a dental implant that receives its primary bone support by resting on the bone. Most expensive system. -used for horizontal column of bone which is flat and narrow facial lingual direction. Root form Plate form Used over a vertical column of bone. PowerPoint Presentation: Advantages: Stock implants usually fits all mandibles. which is partially or completely inserted or grafted into the body for therapeutic. The apical portion tapered with four vertical notches. This technique was introduced by Dahl in 1943 .Subperiosteal Implant PowerPoint Presentation: SUBPERIOSTEAL IMPLANTS first placement Goldberg and Gershkoff (1949). Used to aid in retention and stability of mandibular full dentures.Screw vent implant with Hydroxyapatite -coating implant with titanium plasma spray PowerPoint Presentation: TERMINOLOGY: Implant (GPT 8 ) Any object or material such as an alloplastic substance or other tissue. It is a dental implant that extends into the basal bone for support. FRIALIT Implant system: FRIALIT Implant system 1n 1974 Dr. Pd. 2006. Unrestored teeth and poor oral hygiene.-Mandibular 1 st pre-molar Minimum bone height – long term survival . 1969 & Brunski. Shahid Ppt Presentation PowerPoint Presentation: ABUTMENT . (Wolfhardt et al 1996) PowerPoint Presentation: Smoking. 33. Hollow screw Solid screw Single stage and 2 stage versions Advantages: The microgap between the primary and secondary components is supragingival – good peri -implant hygiene.) Advantages Extensive implant options Extensive Prosthodontics options Simple surgery Lower cost Good education High popularity Sells "Branemark" clone at lower cost Disadvantages Complexity of options (both surgical and prosthodontic) requires good organization Interpore IMZ: 40 Interpore IMZ Advantages ADA provisional acceptance for all uses. ABUTMENT SCREW – insert through the abutment & threads into the fixture to connect the two components. Inserted with atraumatic surgical technique. If the patient stops smoking during the healing period. . Vol. Other popular cylindrical endosseous dental implant systems : 38 Other popular cylindrical endosseous dental implant systems Core-Vent (CORE-VENT Corp. This may necessitate bone grafting and additional expense. Granstrom 1992) Reports have indicated a lower risk for failures if the preoperative irradiation has been less than 40 Gy and carried out two years or more prior to the implant placement.Maxillary canine Min. PowerPoint Presentation: Disadvantages A surgical procedure is necessary for implant placement. Uncontrolled infections. can get higher rpm if desired Stryker Precision Stryker Inc: 42 Stryker Precision Stryker Inc Advantages Moderate cost Relatively simple surgery Hand auger ostectomy is kind biologically Mechanical retention good Disadvantages Fair prosthodontic acceptability Education availability fair Prosthodontic esthetics can be difficult because of some head designs Lacks ADA acceptance Ideal Properties of implants: Ideal Properties of implants According to Branemark. Anti-rotational connection between the abutment and the implant. There may be insufficient bone for implant placement.): 39 Core -Vent (CORE-VENT Corp. While implant fixtures (roots) have a 95% success rate. PowerPoint Presentation: Advantages Reduce the stress on the remaining teeth by offering independent support and retention. It would be ideal for the implant to be integrated with surrounding bone and soft tissues. Cranio and maxillofacial defects either. Painful / loose dentures. Pathologic alterations of Oral mucosa. Chemotherapy. Disorders involving erythrocytes – Anemia. Pathologic conditions in alveolar bone. Posterior edentulism where FPD is not possible. It is machined to fit the coronal portion of the abutment. Cardiac diseases – patients with heart valve replacements and recent infarcts. Xerostomia. Willi Schulte developed Frialit 1 also known as Tubingen Implants World’s first root analog system. Orthodontic skeletal anchorage( micro /mini implants). Relative Contraindications: Relative Contraindications Diabetes. PowerPoint Presentation: Available bone width : once adequate height is available for implants – width is the primary criteria width – facial & lingual plates at the crest Can be measured directly using bone callipers.authorstream. including periodontal inflammation should be treated. It becomes integral part of final prosthesis. INT J ORAL MAXILLOFAC IMPLANTS 2002. Complete or partial edentulism . Initial implant expense may be costly but in the longterm is actually more cost-effective PowerPoint Presentation: Evaluation of Bone Divisons & density BONE EVALUATION : BONE EVALUATION Available bone : is the amount of bone in the edentulous area considered for implantation. Even HIV positive patients should not to be considered.10 mm Height requirement depends on bone density . Should be sterilizable . Indications : Indications Patients who are unable to wear removable dentures and have adequate bone for replacement of dental implants. the failure rate can be reduced from 60% to about 5% . (Sennerby & Rasmusson 2001. Max. 2003) Hyperbaric oxygen treatment preceding implant therapy.-made of titanium in a cylinder shape. ( Cochrane Library. GOLD CYLINDER. Jaffin.Specifically if the jaw has been exposed to irradiation over the level of 50 Gy .IMZ) if desired Pioneer in research on hydroxylapatite coating for faster integration Tissue recession on HA coating leaves polished surface Disadvantages Intramobile element (IMZ) requires replacement on annual basis Steri OSS Denar Corp: 41 Steri OSS Denar Corp Advantages Prosthodontics acceptability good Company will replace implants that fail Simple surgery Good education Moderate cost Disadvantages Suggests very low hand piece rpm (300 rpm). –’ridge mapping’ By http://www. the apical portion has hexagonal shape to fit the coronal portion of fixture. Minimum risk of soft tissue perforation. Preserve bone that results in loss of jaw height and the appearance of aging. Psychological diseases may carry potential risks. Implants will allow to chew better and speak more clearly. Pl. Long-term data suggests that implants last longer than conventional bridgework. 1988 : It should be biocompatible (Not produce foreign body reaction / response).2/13/2014 Dental Implants -Part . The construction of the implant body is such that no second stage surgery for uncovering it is required. Non-allergenic.Congenital Acquired General Medical Contraindications : General Medical Contraindications Absolute Contraindications : Systemic diseases such as developing cancer and Aids. Bone resorption leading to lack of stability of denture.made of Au . Robert A. Deficient hemostasis and blood dyscrasias. It should be able to moulded to specifically required forms. a porcelain crown placed on the implant may still fracture with time. Resistant to strain. Lekholm Periodontology 2000. All Oral lesions.com/Presentation/drshahidkhan-1834164-dental-implants-part-dr-shahid/ 4/7 .reduced salivary flow rate is a relative contraindication for oral implantology. GOLD SCREW –inserted through the gold cylinder & threads into the abutment screw to connect the gold cylinder & abutment. Relatively simple surgery Moderate cost Good education Provides simulated periodontal ligament intramobile eIement . If the implants are placed during medication or if the chemotherapy is given in combination with irradiation higher failure rates have been indicated. No possibility of screw breaking or loosening. Irradiation of the Jaws. Implant restorations are very natural appearing and easy to clean and maintain. Anticoagulant medication or any medication leading to impaired hemostasis. Advantages Optimum stabilization of the implant abutment interface.17:816–819) Friberg et al Clinical Implant Dentistry and Related Research. Preserve natural teeth by avoiding the need to cut down adjacent teeth for conventional bridgework. (Matukas 1998) Macroglossia. implants survival rate may improve. Clear and secure positioning of the abutment on the implant. (Bain 1996) Misuse of alcohol and drugs patients suffering from severe osteoporosis have been treated with implants without developing any negative results in the long term. Non-carcinogenic.1 by Dr. Unfavorable intermaxillary relationships.January2001. it is measured in : width height length angulation crown : implant PowerPoint Presentation: Available bone height : crest of edentulous ridge to opposing landmarks .Sennerby & Rasmusson 2001 Intraoral Contraindications: Intraoral Contraindications No Pathologic conditions should be present. ITI Implant System: ITI Implant System International team of implantology Types – Hollow cylinder. Issue 1. Placed with initial stability Not functionally loaded during the healing period of 4 to 6 months. Time period of healing . Ensures excellent bone stability even after trauma. contour of the alveolar process and thickness of mucosa. Premolar region-10* 1 st Molar -15* 2 nd Molar20-25* For Wider ridge 30* is acceptable. condition following osteoplasty of D3 Bone. PowerPoint Presentation: Reduced implant bone interface. Extended gradual loading should be done. Site: Anterior and posterior segment of the mandible. PowerPoint Presentation: Diagnosis & Patient Evaluation PowerPoint Presentation: Evaluation of the patient for implant therapy: -Includes medical. but reduced bone width Dimensions 2. The oral examination should include routine assessment of hard & soft tissues. PowerPoint Presentation: Classification (Misch 1990) : D1 . muscles of mastication and occlusal relationships.authorstream. ( Adell 1981. Measurement of Mucosal thickness: to evaluate the width of available bone.5 – 5 mm width > 10 – 13 mm height > 12mm length < 20 degree angulation Crown / implant ratio < 1 Treatment Options Osteoplasty . 6. effective bone width can be calculated ( Spiekermann 1987). Healing time is 5 months and immediate loading can be done PowerPoint Presentation: D2 Bone : Thick porous compact bone with coarse trabecular core. Because of reduced implant bone interface. a radiographic examination and a diagnostic evaluation. Most ideal – 1 : 2 More common – 1 : 1. PowerPoint Presentation: Division D (Deficient bone): severe atrophy Dimension: Severe atrophy Basal bone loss Flat maxilla Pencil thin mandible T/t options: Augumentation BONE QUALITY: Lekholm and Zarb (1985) classified the bone quality into four classes : BONE QUALITY: Lekholm and Zarb (1985) classified the bone quality into four classes Q1: Dense homogenous cortical bone with a small trabecular bone Q2: Large. If functional disturbances of the masticatory system are present. PowerPoint Presentation: Division C (Compromised bone) Unfavourable in : Width .5 Minimum requirement – 1 : 1 PowerPoint Presentation: Divisions of available bone : By Mish & Judy ( 1990) Division A (Abundant bone) Dimension > 5mm width > 10-13 mm height > 7 mm length < 30 degree angulation Crown / implant ratio < 1 Treatment options: Division A root form implant PowerPoint Presentation: Division B (Barely sufficient bone) : Adequate bone height.Functional analyses .d : 7 mm narrower ridge – 2 / more implants of smaller diameter Available bone angulation : Ideally it is aligned with the forces of occlusion & is parallel to the long axis of prosthodontic restoration. The needle is inserted through the mucosa to the bone surface and a rubber stop marks the position of the depth.1 by Dr. recreate functional harmony by selective grinding or fabrication of night guard. PowerPoint Presentation: EXTRA ORAL EXAMINATION: . careful to avoid lateral perforations of the cortical bone. The bone site is easily distorted resulting in reduced initial stability of the implant. Difficult implant bed preparation and may require greater burr revolutions ( up to 2000 rpm). Up to 8 months of undisturbed healing is suggested. dental and diagnostic evaluation. Obtaining rigid fixation for the implant is very difficult. Progressive loading is important. Disadvantages Difficult implant bed preparation (widening). PowerPoint Presentation: D3 Bone: Thin porous compact bone with coarse trabecular core. Medical evaluation : The placement of an implant is basically a surgical procedure. Length Angulation > 30 o . dense layer of cortical bone surrounding dense trabecular core Q3: Thinner layer of cortical bone around dense trabecular core Q4: Thin cortical layer surrounding low-density trabecular bone.Smile line -Smile symmetry -Incisal edges in relation to Lower lip .com/Presentation/drshahidkhan-1834164-dental-implants-part-dr-shahid/ 5/7 . Advantages: Provides immediate stability and long term survival. Because of this use of shorter implants is possible. Demanding aesthetics Great force factors Narrow Implant Division B root form. Anterior maxillary segment ( palatal aspect). Babbush 1986) Disadvantages: Low Vascular supply compared with other bone categories and healing phase is longer. PowerPoint Presentation: D4 Bone: Fine trabecular bone Site: Maxillary tuberosity. Disadvantages: Has very little bone density and little or no crestal cortical bone.available bone mass (width). posterior segments of the mandible. The intrabony bleeding helps control over heating during preparation. more number of implants may be necessary. Division A root form Augumentation. the patients should be evaluated if she/ he is fit to undergo surgery. periodontal diseases & oral hygiene status. Condition following osteoplasty of D2 bone Advantages: Good blood supply. Osseointegration is very predictable. as the C: I increases the number of implants & / or wider implants should be inserted to counteract the increase in stress. A dental & periodontal evaluation will elicit information on the presence of caries. dense compact bone Site : Anterior segment of the atrophic edentulous mandible Thick lateral aspects of anterior mandible Advantages : Provides good primary stability for the implants. Medically compromised patients who are unfit for surgical therapy are contraindicated for implant therapy. http://www. Plate form.Thick.Mucosal situation ( such as width of attached gingiva) -Possible existence of pathological changes -Extent of bone resorption -Presence of lesions / abscess : Inter arch space : Ideal inter arch space : 7 mm – posterior 8 – 10 mm – anterior Tooth Mobility oral hygiene habits & periodontal health PowerPoint Presentation: Intraoral bidigital palpation . PowerPoint Presentation: CROWN : IMPLANT : Affects appearance of the final prosthesis & the amount of moment force on the implant & surrounding bone during occlusal loading.2/13/2014 Dental Implants -Part . so optimum usage of available bone is necessary. The excellent blood supply and rigid initial fixation permit adequate bone healing within 4 months. Bone height is often short and so crown to implant ratio is increased . PowerPoint Presentation: 5. Eg : endocrine disorder. Shahid Ppt Presentation subtracting the sum of facial and palatal mucosal thicknesses from the width of the entire alveolar ridge. 3. Height . Threaded Titanium implants when placed into D1 bone. Advantages: None. cardiovascular disorder etc PowerPoint Presentation: Factors that affect the prognosis of implant prosthesis include-: Diabetes Arteriosclerosis Renal diseases Endocrine imbalances Malnutritional effects Diseases of the CNS Smoking Age Motivation Dental evaluation:: Dental evaluation: Dental history will involve an oral examination. PowerPoint Presentation: Available bone length : length – mesio distal for bone > 5 mm wide : min m . PowerPoint Presentation: The rotations of the drill may have to be reduced to less than 1000 rpm to improve the tactile sense of the bone preparation. PowerPoint Presentation: INTRA ORAL EXAMINTION : Inspection of the oral cavity .examination of the temporomandibular joints.6 months. Site: Anterior (Facial aspect) and posterior segments of the maxilla. More implant bone interface approximately 80%. The percentage of contact at bone implant interface is 70%. Number of implants to be placed is increased. It is highly mineralized and able to withstand greater loads. proved to be very predictable over long term period with a success rate of above 94%. Crown / implant ratio > 1 T/t options: Osteoplasty / Augumentation Fixed prosthesis endosteal or ramus frame or transosteal implants. Difficult implant bed preparation. Tomographic sections produced are of best image quality due to less disturbing ghost shadows from adjacent structures. bone quality. vertical relationships placement and orientation of implants Shape of the ridge & future corrections if required. PowerPoint Presentation: Surgical guides: Partially edentulous patients: Helps to position the implants appropriately from the prosthetic point of view. bone height . with some remaining teeth. It provides the 3 rd dimension in combination with other radiographs to clarify the existence and localization of root tips. the implant axes should parallel the axes of adjacent natural teeth. Little use in depicting the spatial relationship between the critical structures and the proposed implant site PowerPoint Presentation: Occlusal radiograph: Can provide information about the cortical and cancellous bone structure in edentulous jaw segments i. quality determination of the position and orientation of dental implants. PowerPoint Presentation: Evaluation of Misch’s bone density using CT number or Hounsfield unit : Each CT image produced has 2. increase in inter alveolar distance. holes in the acrylic that guide the pilot drills are ideally located in the center of the occlusal surface of the artificial teeth. A. 3. Does not demonstrate bone quality. Newman. Surgical therapy can be precisely planned preoperatively for determination of the most favorable implant axis orientation. D1 : >1250 HU D2: 850 HU . 9 th edition. panoramic Maintenance (without problem) 13+ Periapical. Implantology – Hubertus Spiekermann Atlas of Oral Implantology. Misch. These metal spheres appear radio opaque in the film. cross sectional tomography Radiographic diagnosis: Radiographic diagnosis Peri apical radiographs: Intra oral radiographs provide valuable information concerning . Gross anatomy of the jaws and any related pathologic findings can be evaluated. Limited value in determining bone density as a lateral cortical plates prevent accurate interpretation. Helpful for evaluating the relationship of mandible to maxilla. Prognathism & Retrognathism after resorbtion. these stents can be fabricated in the form of clasp retained partial dentures or modified bridge constructions. Norman Cranin . RESTORATIVE & IMPLANT DENTISTRY 2009 PowerPoint Presentation: Stereolithography: From the available CT data a model can be created from a solid block of material by means of a computer guided milling device or with two laser beams. Magnification ranges from 6% to 15%. Holes are drilled into the acrylic at appropriate locations with proper axis orientation. The disadvantage is that it shows the widest width of the bone (at the base). It could even be the patient’s own complete denture. tumors etc. panoramic. In the future these type of 3-D reconstruction may become a mandatory aid for pre-operative planning in dental implant cases in situations where difficulties are anticipated. 3. clinical length of the prosthetic crown that will be supported by the implant. Carranza. Number of implants. 2 nd edition. panoramic. Provides information on bone availability in the region of premaxilla and symphysis of the mandible.000 pixels and each pixel has a CT number or Hounsfield unit (HU) related to the density of the tissues within the pixel Higher the CT number.. Healing 0-3 Films only for the correction of problems Remodelling 4-12 Periapical. CT. PowerPoint Presentation: Edentulous patients Surgical guide is not necessary if the treatment plan involves a complete denture retained by 2-4 implants in the anterior segment of the edentulous maxilla or mandible.60.e. Analysis of appropriate and adequate radiographs. PowerPoint Presentation: Overcoming the shortcomings – Use of diagnostic templates that have 5mm ball bearings or wires incorporated around the curvature of the dental arch when the radiograph is taken can enable the clinician to determine the amounts of magnification in the radiograph. Timing of implant radiography: Timing of implant radiography Time in months Radiographic procedures Treatment planning -1 Periapical.com/Presentation/drshahidkhan-1834164-dental-implants-part-dr-shahid/ 6/7 . Does not provide spatial relationship between the critical structures and the implant site. Location of landmarksPowerPoint Presentation: Advantages : 1. The opposing landmarks are easily identified. CT enables identification of disease. it is easy to calculate the true bone height. panoramic (follow up every three years) Problem present (any time) Periapical. The vertical height of bone can be assessed. PowerPoint Presentation: Panoramic radiograph: General view of both jaw & bone condition Jaw relationship. Analysis of mounted study models. if available bone volume is less.authorstream. : Computed tomography : CT enables differentiation of both hard tissues and soft tissues. http://www. Because their diameter is known. Disadvantages : Produces vertical magnification of up to 10 % and horizontal magnification of up to 20 %. Diagnostic casts or study model analysis: Diagnostic casts or study model analysis For edentulous patients Study models of edentulous patients mounted in an adjustable articulator using bite registration enables to determine -inter maxillary relationship. The guide is prepared from clear acrylic. cysts. But if the therapy involves rigid screw fixation prosthesis then the use of a surgical guide is required to achieve the best possible treatment result. Jan Lindhe . 2. identification of critical structures at the proposed region determination of bone quantity. Bibliography: Bibliography Contemporary Implant Dentistry. 4 th edition . PowerPoint Presentation: Disadvantages : It cannot provide information about the buccolingual dimension of the bone and whether implant treatment can be performed. 3. Carranza’s Clinical Periodontology. Takei. Before attempting any implant treatment. (Spiekermann 1987) PowerPoint Presentation: Lateral cephalometric radiograph : Demonstrates a cross sectional image of the alveolus of both the mandible and the maxilla in the midsagittal plane. Shahid Ppt Presentation Diagnostic methods: Diagnostic methods A primary determinant for the long term success of the endosteal implants is the best possible anchorage in the bone. To determine whether implant treatment can be performed after bone augmentation. (Crown-implant ratio). Any residual pathology. COSMETIC. PowerPoint Presentation: Study model analysis – partially edentulous patients The goal is to analyze balance between applied force and the implant bone segment. 2 nd edition Clinical Periodontology and Implant Dentistry.The mesiodistal dimension.2/13/2014 Dental Implants -Part . Is more accurate for bone quantity determinations unlike panoramic or periapical images. cross sectional tomography.1 by Dr. Inter arch distance In the saggital plane. denser is the tissue. PowerPoint Presentation: Advantages: Precise evaluation of the actual osseous condition. Carl E. rather than the width at the crest where diagnostic information is needed most. Cephalometry Surgery (fixture placement) 0 Films only for the correction of problems. Such models permit direct preoperative measurements as well as precise determinations of the spatial relationships between mandible and maxilla. 2.1250 HU D3: 350 HU – 850 HU D4: <400 HU PowerPoint Presentation: 3-D reconstruction from CT data : 3-dimensional anatomical models of the jaws and skulls can be fabricated using CT data. Procedure is performed with convenience and speed. 2. All rights reserved. 8 AM to 6 PM EST View and Share Fun Presentations on Facebook Go to Application © 2013 authorSTREAM.1 by Dr.com/Presentation/drshahidkhan-1834164-dental-implants-part-dr-shahid/ 7/7 . Shahid Ppt Presentation Account Join Now Sign In Premium Education Specials RSS Featured Featured Audio Featured Animated Latest Uploads Most Liked Most View ed Featured Lessons Browse Podcast Featured Featured Audio Featured Animated Latest Uploads Most Liked Most View ed Categories Facebook App Developers Get your Widget Channels Latest Members Pow erPoint Templates NEW Help & Info About Us Help API FAQ Contact Us Terms and Conditions Privacy Policy Blog Julia's Blog Forum What's new ? Careers Webinars Why authorSTREAM Feature Tour How it Works Pow erPoint to Video & iPod Pow erPoint on Blogs Pow erPoint to Flash Share Presentations Online Present Live Presentations on iPad Presentation Analytics Branded Channels Video in PPT Greeting Cards Referral authorSTREAM Desktop Buzz on authorSTREAM Follow us on: Have a question? Call us at US 210-787-1860 Open Monday to Friday.authorstream. http://www.2/13/2014 Dental Implants -Part .