Torquing Implant Surgery

Total joint replacements are very common in the United States, and are becoming even more common with increasing obesity rates and an increase in life expectancy. Long-lasting and high-performance implants are needed for the younger, active population that receives them. The Agency for Healthcare Research and Quality states more than 285,000 total hip arthroplasties (THA) and 600,000 total knee arthroplasties (TKA) are performed in the United States alone each year (2). Longevity of these joint replacements is dependent on several factors: the durability of the fixation of the implant surface to the bone, the bearing surface’s wear rate, and the accuracy of the surgeon in implantation of the total joint (2). Of these total joint replacements, periprosthetic osteolysis and aseptic loosening occurs in about twenty percent of cases, and aseptic loosening is responsible for about seventy-five percent of total joint replacement failures (2). This is

The implant-retained overdenture is a treatment option for edentulous patients in the following situations: poorly retained and unstable mandibular dentures, poor bone quality or insufficient available bone to accommodate 4 or more implants, as the original Branemark protocol suggests, and to aid patients with financial constraints. When compared to the fixed implant-supported restoration, the removable implant-retained overdenture offers several advantages including enhanced access for oral hygiene, easy modification of prosthesis base, and the provision of a labial flange to improve esthetics in situations of unfavorable jaw relationship.

Pillar Implants for sleep apnea and snoring are one of the more recent techniques for treating symptoms associated by sleep apnea. For individuals suffering with snoring or who have been diagnosed with obstructive sleep apnea on a mild to moderate level, this unique treatment with Pillar Implants for sleep apnea and snoring may be an alternative approach to other methods. Developed by Restore Medical Pillar Implants for sleep apnea and snoring is basically a treatment to alleviate the vibration of the soft palate that causes snoring. Three tiny Pillar Implants are placed in the soft palate in an attempt to stiffen the palate and reduce the collapse of the soft palate to reduce the palate vibration that causes snoring (www.pillarimplants.com).

absence of retention and stability. Among implant rehabi¬litations, some authors consider overdentures the first treatment option for patients with a completely eden¬tulous mandible , .

Accidents on the road happen daily. Reducing the likelihood of an accident requires the enforcement of necessary traffic laws and the use of appropriate safety measures. On occasion, however, certain safety measures are not taken or enforced when they should be. One such place that has great need for such measures is the intersection of Eglin Pkwy and 12th Ave in Shalimar Florida.

As mentioned above, for the past three years I have been volunteering in underserved communities and working as an executive assistant in an Oral and Maxillofacial Surgery Office in which I process oral x-rays such as panoramic and cone-bean radiography, take impressions, manage and maintain patient's accounts and scheduling, financial reconciliation, treatment coordinator and surgical assistant. I am fortunate to be in charge of the implant program implemented by Dr. Robert G. Hale, where I maintain patient's records, developed implant recall system, I ensure that patients are property identified and receive the best care by preparing them for surgeries and having all instruments and parts ready when needed. Therefore, I have the desire and

Many years back one may have not of thought that a joint could be replaced with an implant, the implant also being man made. Between the years 1960 and 1970 there were a number of materials that were tried as joint implants. Some materials that were tired were; stainless steel, cobalt-chromium, and Teflon. While between 1980-1990 cobalt-chromium and polyethylene was the choice material for implants. Many materials are tired because of the problem with ear and friction. As small particles from the implant are shed into the surrounding joint cavity, it causes and aggressive inflammatory response and possible osteolysis. The many types of materials are tested and studied for solution. The best research comes from clinical results of patients who have had a joint replaced by an implant.

Surgery may also be required in the case of infection, shifting of the implant, and formation of calcium in surrounding tissues.

- Rogers examined the response from a patient who suffered from athetoid cerebral palsy towards the implantological treatment necessary to place a mandibular implant overdenture. The patient was 64 years old and her bone quality and quantity was sufficient for implant surgery. Her dental hygiene was good but she exhibited involuntary movements of the mandible, tongue and lips which led to incapability to wear the prostheses. 4 implants were positioned in the canine and premolar regions of the mandible with the benefit of general anesthesia to control involuntary movements. Finally, the prostheses was located over two implants, leaving the other two submucous, and obtaining very positive results because of the improvement in speech and

To further compare Algeria to America, Underhill employs the image of legal practices in both countries. He demonstrates that in Algiers in terms of justice, “instant decision relieved the anxiety and saved the purses of the parties” and shows how in America’s judicial system, “the long bill of cost, [and] the law’s delay . . . had taught [him] to view the judicial proceedings of our country with a jaundiced eye” (Tyler, 200). Through showing this difference, he believes that change may be elicited in the United States as well. “I present it to my fellow citizens. If it is generally pleasing, it may be easily introduced among us” (Tyler, 202).

In osseointegrated implants, macroscopic analysis shows that crack initiation tends to occur near the bores (holes) on the side surface. Thus although bores promote osseointegration, they also act as stress intensifiers, which aids the fatigue process. Another region of stress concentration on the implant is the interface between the screw and the abutment so during stress intensification, the portion of the implant that is under tensile strength is more likely to initiate a crack when the applied load is cyclic and high. Shear stresses also reach a maximum at this interface and can rotate the whole implant along its long axis (Felli, F

Clinical data was gathered based upon mistakes students made when dealing with patients. This is important because patient safety is always the priority in any healthcare field. The purpose of this study was to evaluate data collected in University of Illinois at Chicago College of Dentistry (UIC COD) laboratory quality assurance (QA) forms, analyze the collected data, and create a report of the findings. The goals of the study were to (1) identify the most common mistakes occurring during laboratory and clinical procedures when performing prosthodontic treatment, (2) note the incidence and trends of mistakes made by D3, D4, and IDDP2 students, and (3) observe any differences in the types of mistakes made by D3, D4, and IDDP2. In Mr. Campbell’s view as advocates we must remember “dentistry must not abdicate its responsibilities in dental technology as it pursues a path away from rehabilitation services toward a projected future of prevention service.” By utilizing the rapidly changing technology we can seize the future by not forgetting the past shifting from fixing problems to stopping them from occurring. He felt that this could be applied to teaching students, who are exposed to new methods every

An ethical dilemma happens in the workplace more often then we expect. World Class Bull, written by John Humphreys, Zafar U. Ahmed and Mildred Pryor, is a prime example of how sales personnel can manipulate a potential client into a contract. Christopher Knox, a stellar sales employee at Specialty Fleet Services (SFS), just landed the Armadillo Gas & Power account. Samantha Williams, Human Resources Vice President of SFS, was now filing a breach of the company code of ethics against Christopher and the Vice President of Sales, Jeremy Silva for “deceptive business practices” used to make the sale (Humphreys, Ahmed & Pryor, 2009). Disrupting personal space of the client, starting a dishonorable relationship, and

The advancement in materials science has paralleled with human ability to make improvements in the fields of engineering, manufacturing and medical fields. Specifically in the medical field, as major joints or sometimes organs begin to fail, foreign materials must be introduced into the body to perform the functions of the failing component. Not all materials can be used in the human body however, therefore materials science is directly correlated to the success of implants. This report discusses some of the challenges faced when selecting the most ideal material for an operation, and investigates many of the material properties of common joint replacement/implant materials. Understanding further the certain requirements of proper implant materials used in practice will permit greater advancement in the field of medical implants and joint replacement once other materials are created to better fit those requirements.

With my increasing interest of studying oral health, I have started to become a pre-dental student and finishing some prerequisite courses at the North Seattle Community College. With a better understanding of how dentist works in our community, I have begun shadowing at Smile Now Dental Clinic. Dr. Anwar has showed me many dental procedures and I have learned that how important is perceptional skills on a successful dentist. Simply from examining X-rays to the implant procedures, these works required a dentist to pay attention on the position of implant, predict bone growth rate, and then move on to the final step by fitting a modeled crown on the implant. I learned that