Ridge splitting for lateral ridge augmentation

An alternative method of augmenting a narrow ridge is by ridge splitting instead of only grafting. This technique can be applied in selected cases. It requires that the alveolar ridge has two cortical plates separated by a layer of chancellor’s bone in a preoperative CBCT image. This situation is normally confined to alveolar ridges featuring an orofacial thickness of more than 4mm.

Ridge splitting can be performed simultaneously with implant placement. This is the only way to obtain primary stability in this scenario is by engaging the bone at the apical region of the implant. In selected cases, it may be possible to stabilize the mobilized buckle plate with bone screws if required.

It is advisable to perform the splitting with minimal flap reflection to expose only the Cristal region of the ridge. A somewhat higher level of surgical skill and experience is needed for flapless ridge splitting compared to conventional bone grafting.

The main indication for ridge splitting is to expand a horizontally reduced ridge in the maxilla and take advantage of elastic and chancellors quality of this bone and its peripheral type of blood perfusion.

Splitting a narrow mandibular ridge is possible but technically more difficult due to brittle, thicker, and more cortical nature of this bone.

A flapless approach in the maxilla offers the benefits that even small bone fragments remain attached to periosteum and are contained by the intact soft-tissue envelope. On balance, ridge expansion via splitting is effective but does have its limitations.

Only bone grafting, with addition to particulated grafts and a membrane for protection, is the more versatile and widely used approach.

Dr. Rajat Sachdeva is a dentist working with a renowned Ridge splitting and he has also worked as a guest lecturer for a dental college which offers Dental Courses in Delhi.

For more details, join the next batch of Advanced Implants Continuum: www.sachdevadentalcare.com or www.dentalcoursesdelhi.com

Regards: Dr.Prof.Rajat Sachdeva

Cosmetic Dentistry Training in india

Dr.Sachdeva Dental Institute’s certified programme in Aesthetic Dentistry provides the General Dental Practitioner with an educational route to acquire the skills and knowledge required of a Dentist with special interest in the growing art of cosmetic dentistry.

The unique features of this course include:

Delivered by a team of academics, many of whom are world-leaders in their field; the course’s emphasis is placed on the clinical component with a focus on a broad spectrum of modern Cosmetic Dentistry Training in India. This programme focuses on contemporary practice, teaching evidence-based principles and systems to ensure an optimal outcome for the patient and practitioner

The unique features of this course include:

Opportunities to master advanced aesthetic techniques using a variety of contemporary materials during patient treatment. Over-the-shoulder mentoring by remarkable clinicians. Practical treatment planning of complex restorative cases

SESSIONS FOR TRAINING AND HANDS-ON ARE AS FOLLOWS:-

SESSION 1

BLEACHING

What is Bleaching? Why do we need Bleaching? History and Categories of Bleaching Types of Bleaching Mechanism of Bleaching Vital and Non-vital Bleaching Problems with Bleaching Advantages & Disadvantages of in-office Bleach Management of Sensitivity after Bleaching Prognosis after Bleaching Home applied technique Precautions and instructions

SESSION 2

COMPOSITES RESTORATION

Introduction to composites Conventional Microfilmed Hybrid Shade selection and tooth preparation for composites Designs for tooth preparation Indications and contraindication for composites Prevention of shrinkage and discoloration factor

SESSION 3

BONDING AGENTS

What are bonding agents? The classification of bonding agents based on generations How to apply bonding agents clinically

SESSION 4

DIASTEMA CLOSURE

Introduction for esthetic procedures Isolation Shade selection Usage of matrix band Polishing the restoration to prevent discoloration

SESSION 5

• REPAIR OF ELLIS FRACTURES

• Proper treatment planning

• Shade selection

• Isolation

• Tooth preparation

• Restoration

• Polishing the composite

SESSION 6

COMPOSITE RESTORATION

Class I, Class II, Class V cavity design for composite Sandwich technique in deep cavity cases Retention features in cavity Rubber dam placement Prevention from shrinkage (from light and material part)Common problem with composites Matrix band placement Polishing

SESSION 7

INLAY AND ONLAY

Introduction on appropriate treatment Cavity preparation for inlay and only Impression making Fixing the restoration Chair side inlay restoration Anterior Tooth Preparation (metal free restorations) Diagnosis and treatment planning Armamentarium required Steps in tooth preparation

Gingival retraction Techniques Materials Demonstration Impression in FPD Materials Techniques Putty wash Custom tray Demonstration Temporization in FPD Direct method Materials Demonstration Material science Discussion on ceramics CAD/CAM in dentistry Application in our clinics Shade selection Color science Latest advancements Cementation in FPD Materials Procedures Posterior Tooth Preparation Diagnosis and treatment planning Armamentarium required Steps in tooth preparation

SESSION 8

DENTAL LAMINATES/ VENEERS

History and evolution Indications/contraindications Types Direct and Indirect Armamentarium Design considerations Steps in tooth preparation Isolation and soft tissue management Impression making Shade selection Temporization Trial and looting of restorations Precaution and maintenance

SESSION 9

• SMILE DESIGNING

• INTRODUCTION

• GOALS OF SMILE DESIGNING

• COMPONENT OF AN ESTHETIC SMILE

• The basic shape of the face

• Square

• Tapering

• Square tapering

• Ovoid

• The lateral profile

• Straight

• Convex

• Concave

• Vital elements of smile designing and their role (dental composition)

• Tooth components

• Dental midline

• Incisal lengths

• Tooth dimensions

• Zenith points

• Axial inclinations

• Interdentally contact area (ICA) and point (ICP)

• Incisal embrasure

• Sex, personality and age (Dentogenic concept)

• Symmetry and balance

• Soft tissue components

• Gingival health

• Gingival levels and harmony

• Interdental embrasure

• Smile line

• Golden proportion (Lombardi),

• Recurring esthetic dental proportions (Ward),

• M proportions (Methot) and

• Chu’s esthetic gauges.

• Soft tissue component of smile design

• Gingival health

• Interdental embrasure (cervical embrasure)

SMILE MAKEOVER

“Smile” It’s the one feature that immediately tells the world how we’re doing!

With age our smile can loose its vibrancy due to discoloration, tooth loss, excessive grinding or decay leading to cavities. Yet no matter what our tooth trouble might be, there’s likely a solution for everything from a one-day bonding to whitening procedures, crowns and even gum contouring to give your patient the smile they have always dreamt of.

ADDITIONAL FEATURE: COSMETOLOGY PROCEDURES

This course curriculum will also include a combination of cosmetic medicine procedures such as:

Botulinum Toxin-A

Dermal Fillers

SESSION 10

CLINICAL STEPS

Diagnosis and treatment  planning Importance of diagnostic waxup Use of a face bow and semi-adjustable articulator anterior deprogramming devices Shade selection Tooth preparation Soft tissue management Impression making Temporization Trial and fluting of final restoration.

SESSION 11

TOOTH JEWELRY

DISCUSSION ON DENTIST –LAB RELATIONSHIP

Instruction to the lab Brief discussion on how to look out for a good lab Assessing the quality of product you get from the lab

LIVE PATIENT DEMONSTRATION AND WORKING ON PATIENTS FOR ALL THE SUBSEQUENT CASES GIVEN ABOVE

Dr. Rajat Sachdeva is a dentist working with a renowned Cosmetic Dentistry Training in India and he has also worked as a guest lecturer for a dental college which offers Dental Courses in Delhi.

More information visits our website: - http://dentalcoursesdelhi.com/

CLINICAL IMPLANT TRAINING IN INDIA

ICOI Affiliate Study Club providing ICOI Membership / Fellowship / Mastership & Diplomat. British academy of Asian Centre for conducting Courses on

IMPLANTS, ULTRASONIC PEIZOELECTRICAL BONE SURGERY, LASERS, ENDODONTICS, ORALSURGERY, COSMETIC SURGERY & GENERAL DENTISTRY

under the guidance of Prof Dr.Rajat Sachdeva, Delhi, India and his team.

The most proficient clinical training on live patients & ICOI Affiliate course

100 hours of comprehensive lectures including live surgeries, demonstrations and hands-on sessions with non commercial, non sponsored course covering the spectrum of  10 Implant systems in detail.

Certificate of Completion is awarded by the British Academy of Implantology and the sponsoring institutions.

In depth review of surgical and prosthetic protocols with flapless approach, Immediate implants, Ridge Augmentation, Bone expansion & Ridge expanders.

Guidance to select an implant system that would work in your practice

Implant prosthetics in detail from single crowns to full mouth rehabilitation, Stents for full mouth restoration

Conventional and CT based - Diagnosis & treatment Planning, Rationale for All on 4 ,All on 6 & Hybrid prosthesis

Practice management module that provides ideas to market your implant practice.

Eligibility to further pursue the requirements for Fellowship status of the ICOI.

 In several parts of the world the Associate Fellowship or Fellowship is an acknowledged credential that represents quality training in implantology and skill in the art and science of implant dentistry.

 Clinical Session Consists of 5Implant placements under guidance and Restorations with direct & indirect sinus lifts with SCA, SLA, DASK Kits + Ridge Splitting on Patients.

 Bone modification techniques, Bone condensation, Osteotome techniques & Bone graft harvesting

 Block bone using Parasymphysis & Ramus bone

 Guided bone regeneration technique, Graft materials, Grafting protocols

Implants in compromised maxilla, Zygomatic Implants, Pterygoid Implants

 Learn PRF, CGF, AFG & how to make sticky bone, Role of Growth Factorsin Implant Dentistry

Peizosurgery units for implant surgeries

 Principles of Impression making, Understanding Prosthetic components while working on live patients & Implant Over dentures

A REVIEW ON BOTOX IN DENTISTRY

 None can deny with the fact that everyone wants to look younger than one’s age. Hence one option available as BOTOX comes to the rescue to fulfill the needs in cosmetic & esthetic dentistry.

Chemically BOTOX is a toxin produced by bacterium clostridium botulinum also produced commercially for medical & cosmetic approach. There are two main commercial types: botulinum toxin type A (Botox, Dysport & Xeomin) & botulinum toxin type B (Myobloc).

Injecting Botulinum toxin type-A causes localized reduction in overactive muscle activity for some timespan by inhibiting the exocytosis of acetylcholine on cholinergic nerve endings of motor nerves preventing the vesicle where the acetylcholine is stored from binding to the membrane where the neurotransmitter can be released.

The use of Botox in Dentistry can be applied in bruxism, dental implant surgery, temporomandibular joint disorders, gummy smile, and mandibular spasm.

Botox is a safe, conservative, non surgical reversible, minimally invasive treatment modality for cosmetic needs. Training is absolutely required for dentists to administer this technique as a learning curve.

As we all know bruxism ultimately leads to periodontal trauma characterized by clenching by bracing of the mandible. Botox has shown promising results by alleviating the symptomatology of bruxism with botulinum toxin type A injections into temporalis & masseter muscles.

Post implant surgery overloading of muscles of mastication can impede osseointegration of implants. Hence the muscular relaxation is achieved with injecting botulinum toxin type A to the masticatory muscles therapeutically.

The appearance of excessive gingival tissue in the maxilla upon smiling is both an aesthetic issue as well as oral hygiene problem which require complex procedures as a cure. In such cases it is applied in small, carefully titrated doses proportionately weakening the contraction of upper lips particularly levator labii superiosis.

Botox is an emerging, latest, attractive treatment option as compared to other surgical alternatives. However there are still many dental conditions which require FDA approval to be treated by botulinum toxin. The use of BOTOX will surely progress the dentistry profession to one step ahead.