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Pinnacle Dental Seminars ,[object Object],[object Object],[object Object],[object Object],[object Object]
Select Clinical Decision Making Topics  in Implant Dentistry Edward Brant DDS, MS St. James, NY
Proper Design How Many Implants? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Proper Design ,[object Object],[object Object],[object Object]
Long term failure
Proper Design Occlusal Considerations
Proper Design ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Maximize the Number of Implants ,[object Object],[object Object],[object Object],[object Object]
 
 
Maximize the Number of Implants ,[object Object],[object Object],[object Object]
[object Object],[object Object]
Occlusion Issues and Schemes ,[object Object]
Avoid Cantilevers Whenever Possible ,[object Object]
 
Avoid Cantilevers As Much As Possible Example of mesial and distal cantilevers
Common Use of a Mesial Cantilever
 
Maximize the Number of Implants ,[object Object],[object Object],[object Object]
Occlusion Issues and Schemes “Food is a Weapon” ,[object Object],[object Object],[object Object],[object Object]
OCCLUSION ISSUES AND SCHEMES ,[object Object],[object Object]
OCCLUSION ISSUES AND SCHEMES NO PDL = NO CUSHION ,[object Object],[object Object],[object Object],[object Object]
OCCLUSION ISSUES AND SCHEMES ,[object Object],[object Object],[object Object],[object Object],[object Object]
Anterior fixed bridge including canine, use group function ,[object Object]
[object Object],Posterior FPD w/ natural anterior teeth, use a mutually protected/cuspid guided occlusion.
 
 
Single tooth restorations should avoid contact in excursive movements whenever possible.
Single tooth restorations should avoid contact in excursive movements whenever possible.
 
Protrusive movement results in excessive contact
OCCLUSION SHOULD BE CHECKED BEFORE AND AFTER CEMENTATION AND AGAIN AT POST-INSERTION VISIITS.
CEMENTATION ISSUES ,[object Object],[object Object],[object Object],[object Object]
BEST WAYS TO AVOID BIOMECHANICAL DIFFICULTIES ,[object Object],[object Object],[object Object]
AUGMENT BONE WHEN NEEDED
PRE-OP BUCCAL AND FACIAL BONE FINDINGS
 
 
“ IMPLANTATION SURGERY DAMAGES AND SOMETIMES KILLS BONE, EVEN WHEN THE GENTLEST  PROCEDURES ARE USED.”   Brunski et al.  JOMI 2000;15:15-46
LOSS OF 2-4 MM CAN BE EXPECTED WITHOUT PROPER TECHNIQUE AND GRAFTING MATERIALS AT THE TIME OF EXTRACTION
 
ATRAUMATIC REMOVAL OF TEETH AND ROOT FRAGMENTS IN DENTAL IMPLANTOLOGY.  Quayle, Alan JOMI 1990; 5:293-296
TOOLS NEEDED FOR ATRAUMATIC TOOTH EXTRACTION
Example of Atraumatic Tooth Removal
 
Techniques Employed  During Extraction ,[object Object]
Examples of good and bad ex of immed implant sites
Techniques Employed  Before Extraction
Techniques Employed Before or During Extraction ,[object Object]
Techniques Employed Before or During Extraction ,[object Object]
Techniques Employed Before or During Extraction ,[object Object]
Techniques Employed Before or During Extraction ,[object Object]
Techniques Employed Before or During Extraction ,[object Object]
CHOICES OF TOOTH REPLACEMENT  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object],[object Object]
DISADVANTAGES OF  ESSEX APPLIANCE ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object],[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object],[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object],[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object]
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object],[object Object]
[object Object],[object Object],CHOICES OF TOOTH REPLACEMENT
CHOICES OF TOOTH REPLACEMENT
CHOICES OF TOOTH REPLACEMENT ,[object Object],[object Object],[object Object],[object Object],[object Object]
OVERDENTURE CONSIDERATIONS ,[object Object],[object Object],[object Object]
[object Object],OVERDENTURE CONSIDERATIONS
OVERDENTURE CONSIDERATIONS
OVERDENTURE CONSIDERATIONS
OVERDENTURE CONSIDERATIONS ,[object Object]
OVERDENTURE CONSIDERATIONS ,[object Object]
Concluding Remarks
 
 
 
 
 
 
 
 
 
 
 
 
 
Techniques Employed Before or During Extraction

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Long Island Dental Implant Surgeon presents "Select Dental Implant Clinical Decision Making Topics"

Notas del editor

  1. Mike kluse case
  2. Welcome why i wanted to give this lecture Use the benefit of my experience and others take care of some of the more common questions that come up help avoid pitfalls in tx planning and execution(how many, how to temporize, what do i tell the lab occ scheme, advance your learning curve so you will be more comfortable and exude more confidence before the patient gets to me
  3. First big question Two things kill implants in the early going surgical error, idiopathic Long term usually occlusal overload and lack of adequate bone quality
  4. Make sure you have a good reason to entertain cantilevers and it is just not for the sake of cutting down on the number of implants far better to place an implant in the distal position here Lateral forces concentrate the force at the crest Incidentally, the allowance of shorter implants much unlike the days when we wanted to place 15 and 18 mm implants because we know the stress/force is concentrated mostly at the crest. That is why even Branemark says we only need 5 mm. center of rotation is different for a tooth then it is for an implant. Go to blackboard ankylosed implant vs tooth with PDL Cantilevers are “allowed” up to certain point. Good rule of thumb after one tooth cantilever in either direction start to get real nervous Able to go around the arch then two teeth can start to think about. In general, if you are entertaining cantilevers you may not be treatment planning enough implants.
  5. Force of natural tooth Ideal force transmitted to implant is through the long axis
  6. Mostly surgical positioning challenge/error will see this.
  7. Did everything right 1996, sinus lift, harvested bone from chin, place 15 and 18 mm implants Combo of things wrong = bone quality, smoking. Implants placed to lingual and pt would not consent to setting the case up in cross bite to avoid a buccal cantilever. This failure took about a year. Bad experience stuck with me
  8. In case you want to know what you are looking at this person took impressions of the screw hole and casted up some post and cores. This was my old boss who was doing this, so I had to find an easy implant to restore because I did not want him doing this to my 3i implants.
  9. Bruce Benjamin
  10. Need photo of
  11. Fighting for every mm I can get.
  12. Lucky because of the wide interradicular bone If you are faced with extraction just respect the buccal plate try not to luxate towards the buccal too much
  13. I haven’t had to lay flaps and grind buccal and lingual bone for a very long while now.
  14. Over the foramen, pap, molar sites difficult No pathology, premolars, canines, max incisor
  15. Lose a good opportunity to grow bone and tissue
  16. You see the sinus and say it can’t be done, I see it and say let me just get that tooth out of there and I have access to graft