Tuesday, April 5, 2016

Dental Implant treatment in delhi

What are dental implants?

Dental implants are a safe, esthetic alternative to traditional crowns, bridgework, and dentures. Because implant restorations look and feel more like natural teeth, they offer new levels of comfort, security and confidence over traditional treatments. For more than two decades, Our dental team has been dedicated to provide quality of life to patients with restorative needs.

How do they work?
A dental implant is a small “anchor” made of titanium that is inserted into the jawbone to take the place of your missing tooth root. After osseointegration (when the surrounding bone has healed to the implant), a replacement tooth is secured to the top of the implant. This new tooth looks, feels and performs similar to your natural teeth.

What are the benefits?

Choosing dental implants as a treatment option can offer you a number of significant advantages.

• Maintain anatomy.

If you have missing teeth, the bone begins to shrink over time. Unhealthy bone loss can make your jaw line recede and change your facial structure. Dental implants can help prevent deterioration of the jawbone so your face retains its natural shape
.• Keep your healthy teeth.
A better long-term alternative to bridgework, dental implants eliminate the need to grind down healthy teeth when replacing one or more adjacent teeth. Your own natural healthy teeth are not compromised.
• Security.
Securely anchored dental implants do not slip or move. This eliminates some of the key problems of dentures, including poor fit, gum irritation and pain from exposed nerves. The result is superior comfort, reliability, and freedom from embarrassment.
What is involved in the implant procedure?
The dental implant process involves several steps that take place over a time period that averages from 4 to 9 months. The typical process will include:
• Pre-treatment consultation: After a careful evaluation of your dental and medical health history, we will determine if you are a good candidate for dental implants. If you are, you will then have thorough consultations before your treatment begins.

• Initial implant placement: We  will place the dental implant into your jaw while you are under either local or general anesthesia. Over the next several months, bone will heal to the surface of the implant, anchoring it into position. Depending on your particular case, an additional minor procedure creates an opening through which your artificial tooth will emerge. 
• Implant prosthetic attachment: During this phase, Dr. Malik painlessly attaches a prosthetic “post” to the implant. An impression will be taken, and soon after, an artificial replacement tooth will be created for a natural restoration.
• Proper maintenance: We will guide you on the proper care and maintenance of your new implants before, during and after the procedure. By following a regular routine of careful oral hygiene and regular checkups, your implants can look, function and feel great for many years to come.

http://www.sachdevadentalcare.com/implantology.html

Wednesday, March 23, 2016

17th batch of master implant training in india

Sinus lifting & Grafting Clinical Training

Extensive SINUS GRAFTING COURSE

1.  Diagnosis and appropriate treatment planning of the sinus lifting case & sinus grafting technique
2.  Successfully performing the lateral as well as crestal approaches in their clinical practice.
3.  Update about the appropriate graft material for sinus lift surgery
4.  Upscale by Harvesting autogenous bone for sinus grafting
5.  How to minimize the post operative complications
Duration :- 2 days
The Course workshop is aimed to
DAY 1:- Sinus Manipulation (basic to intermediate)
Ø Anatomic considerations of posterior maxilla & maxillary sinus
Ø Limitations with posterior maxilla
Ø Guidelines for successful implant therapy in posterior maxilla
Ø Sinus grafting biomaterials
Ø Indications for sinus grafting & Contraindications for sinus grafting
Ø Armamentariums required to perform sinus grafting
Ø CT planning of cases with advanced implant planning software
Ø Drugs regime for pre & post sinus graft procedure
Ø Sinus lift procedure
Ø D fin placement using nasal floor & maxillary sinus lift procedure
Ø Sinus grafting techniques with or without Implants
Ø Sinus floor immediate distraction technique
Ø Removing buttresses
Hands on: - sinus lift procedure on goats head specimen using piezosurgery unit.
DAY 2 :- Sinus lifting & grafting (intermediate to advanced)
Ø Conventional Surgical Techniques – Indirect & Direct sinus manipulation
Ø Conventional Lateral Window approach – step by step demonstration
Ø Newer modified sinus lift techniques for the lateral approach
Ø Different modalities for sinus augmentation
Ø Lateral Sinus lift technique using piezo surgery unit
Ø Lateral approach for sinus grafting using DASK
Ø Crestal (Osteotome) approach/internal sinus lift technique along with modified approach
Ø Advantages and disadvantages of the crestal Osteotome technique
Ø Bicortical engagement without sinus grafting
Ø Key facts for implant osteotomy post sinus lifting
Ø Sinus lifting with crestal approach using DASK
Ø Ballooning technique
Ø Hydraulic sinus lift technique
Ø Intra lift technique
Ø Complications associated with sinus graft surgery and their managements





ICOI Master Clinical Implant Testimonial by Dr.Karan MDS Oral Surgery

Thursday, February 18, 2016

 Edentulous Mandible: Implant – Retained Overdenture

Overdentures get support and retention from a superstructure attached to the implants. This superstructure defines the character of the denture that can be provided. We differentiate between tissue-supported, tissue/implant-supported, and mainly implant-supported overdentures.

In tissue-supported overdentures, the retentive mechanism of choice is a magnet, a ball attachment, a locator attachment, or a conical crown. Tissue/implant-supported overdentures get their retention via a superstructure consisting of two implants interconnected by a bar attached to gold caps that in turn are screwed onto the implants.

 Implant-supported overdentures rest primarily superstructure connected to the implants. The superstructure is placed on at least four implants, to interconnect them.

Patients with an edentulous mandible may experience problems with conventional dentures, such as a lack of retention and problems concerning self-esteem. Any fixed dental prosthesis on implants or implant-supported overdenture increases patient satisfaction.

Furthermore, research has shown that a one-phase implant insertion technique can achieve the same good results as a two-phase technique. This would mean that one-phase technique is more patient-friendly, because a second surgical stage is no longer required.

SURGICAL GUIDE

 A surgical guide to the edentulous mandible can be based on an existing functional denture or on a wax-up of the new dental prosthesis in the correct maxillomandible relationship in an articulator. Implants in the edentulous mandible intended to supporting an overdenture are inserted between the two mental foramina. 

They should be equidistant from the midline, and the inter-implant distance should be between 15 to 20 mm. When inserting four implants, the most distal one must be placed about 5mm mesially of the mental foramina.

TWO UNSPLINTED IMPLANTS AND AN OVERDENTURE
Two implants with ball and clip attachments should be adequate where the mandible has the height of at least 10 mm and a patient requests more stability and retention for complete denture. Two implants with ball attachments, Locater abutments, magnets or telescopic crown are most often used when the patient’s oral hygiene is a problem. 

An insufficient vertical dimension or a tapered shape alveolar ridge would lead to a bar design covering the frenulum of the tongue, thus impairing the function.

TWO SPLINTED IMPLANTS AND AN OVERDENTURE

With two implants interconnected by a bar as a treatment option, the implants are frequently placed at or mesially of the position of the canine teeth. The bar should be placed directly below the incisal edges of the lower teeth. 

This reduces the tendency of the mandibular denture to rotate around the fulcrum created between the two abutments. With a bar and clip on two implants, it is advisable not to use a round bar, since this facilitate denture rotation.

Benefits: Higher stability and retention of the overdenture
Limitation: Not applicable in the V-profile mandibles and where the residual height of the mandible is less than 10 mm. Oral hygiene is more demanding.

FOUR (OR MORE) SPLINTED IMPLANTS AND AN OVERDENTURE  

Four implants and a bar and clip mesostructure are advisable when the alveolar bone height is less than 10 mm, since the bone-to-implant surface area becomes relatively limited when shorter implants are inserted. Four interconnected implants should also be inserted if the opposing jaw has (Partial) natural dentition.

FIXED DENTAL PROSTHESIS IN THE EDENTULOUS MANDIBLE
As a patient cannot remove the FDP, oral hygiene is important. Not all edentulous patients can be considered good candidates for FDP’s as they are not capable of their oral hygiene.

An FDP can only be considered if sufficient lip support can be provided. Diagnosis treatment planning, Crossbites, maxillomandibular relations , intermaxillary space, and so on must analyzed properly. As Prosthodontics dictates the amount, site, and type of implant, a mockup is essential.






For further information join the next batch of Comprehensive Implant Training in India: www.sachdevadentalcare.com or www.dentalcoursesdelhi.com
Regards : Dr.Prof .Rajat Sachdeva
+919818894041,01142464041