“MANDIBULAR IMPLANT RETAINED OVERDENTURE

USING DIFFERENT LOADING PROTOCOLS”

BY

Dr. PRITEE R PANDEY

Dissertation submitted to

Dr.BhimRaoAmbedkar University, Agra, Uttar Pradesh

in partial fulfillment
of the requirements for the degree of

MASTER OF DENTAL SURGERY

In the speciality of

ORAL AND MAXILLOFACIAL SURGERY

Under the guidance of

DR. ANKUR MITTAL
PROFESSOR & HOD

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DEPARTMENT OF ORAL AND MAXILLOFACIAL SURGERY

D.J COLLEGE OF DENTAL SCIENCES AND RESEARCH
MODINAGAR -201204, UTTAR PRADESH, INDIA
(2017-2020)
 Dr. Bhim Rao Ambedkar University, Agra, Uttar Pradesh

DECLARATION BY THE CANDIDATE

I hereby declare that this dissertation entitled “MANDIBULAR IMPLANT

RETAINED OVERDENTURE USING DIFFERENT LOADING

PROTOCOLS” is a bonafide and genuine research work carried out by me under

the esteemed able guidance of my guide DR. ANKUR MITTAL Professor& HOD,

Department of Oral and Maxillofacial Surgery, D.J College of Dental Sciences and

Research, Modinagar, Uttar Pradesh.

Date: Signature of Candidate

Place: Dr. PRITEE R PANDEY

 CERTIFICATE BY THE GUIDE

This is to certify that the dissertation entitled “MANDIBULAR IMPLANT

RETAINED OVERDENTURE USING DIFFERENT LOADING
PROTOCOLS” is a bonafide genuine research work carried out by Dr. PRITEE R
PANDEY as partial fulfillment of the requirement for the degree of MASTER OF
DENTAL SURGERY in the speciality of ORAL & MAXILLOFACIAL
SURGERY.

GUIDE CO-GUIDE

DR. ANKUR MITTAL DR. SMITI JASSAR

Professor& HOD
Department of Oral and Maxillofacial
Surgery
D.J. College of Dental Sciences and
Research, Modinagar (U.P.)
Professor
Department of Oral and Maxillofacial
Surgery
D.J. College of Dental Sciences and
Research, Modinagar (U.P.)

Date:

Place:
 ENDORSEMENT BY HEAD OF DEPARTMENT/
PRINCIPAL OF THE INSTITUTION

This is to certify that the dissertation entitled “MANDIBULAR IMPLANT

RETAINED OVERDENTURE USING DIFFERENT LOADING

PROTOCOLS” under the esteemed guidance of DR. ANKUR MITTAL, Professor

& HOD, Department of Oral and Maxillofacial Surgery, D.J. College of Dental

Sciences and Research,Modinagar, Uttar Pradesh.

Dr. ANKUR MITTAL Dr. REENA R. KUMAR

Professor and Head
Department of Oral and Maxillofacial
Surgery
D.J. College of Dental Sciences &
Research,Modinagar (U.P.)
Principal
D.J. College of Dental Sciences &
Research,Modinagar (U.P.)

Date: Date:

Place: Place:
 COPYRIGHT

DECLARATION BY THE CANDIDATE

I hereby declare that Dr. BHIM RAO AMBEDKAR UNIVERSITY,

AGRA, UTTAR PRADESH shall have the rights to preserve, use and disseminate

this dissertation/thesis in print or electronic format for academic/research purpose.

Date: Signature of Candidate

Place: Dr. PRITEE R PANDEY

© Dr. Bhim Rao Ambedkar University, Agra, Uttar Pradesh, India

 Dedicated
To My
Beloved Parents
 ACKNOWLEDGEMENT

“ I thank my parents before God for all their great favours and blessings”

Perhaps the most difficult task in a dissertation is to find the appropriate words to thank
each and every person whose help has made this work possible. The debt is enormous and
the words are inadequate.

Though only my name appears on the cover of this dissertation, a great many people have
contributed to its production. I owe my gratitude to all those people who have made this
dissertation possible and because of whom my postgraduate experience has been one that
I will cherish forever.

First of all, I would like to thank my family for encouraging me in all of my pursuits and
inspiring me to follow my dreams. I bow my head in gratitude to my parents Mr.
RAJKUMAR D. PANDEY AND Mrs. SUSHILA R PANDEY, My brother, ER.
PANKAJ R PANDEY, My Sister, MRS. NITU TRIPATHI, My brother in law Mr.
RISHIKESH TRIPATHI and off course love to my lovely niece AGASTYA
TRIPATHI, for guiding and encouraging me as a person and for offering me their
expertise throughout this process. Thank you for teaching me that my job in life was to
learn, to be happy, and to know and understand myself; only then could I know and
understand others.

I am thankful to my Maternal Grandparents Mr. Sabhajit Pandey and Mrs. Prabhawati

Devi and my Paternal Grandparents Mr. Devraj Pandey and Mrs. Prabhadevi
Pandey. I am obliged to Mr. Pramod Pandey and Mrs. Sunita Pandey for their
immense support. I thank to my brother Dr. Shrikant for his constant suggestions,
guidance and moral support.

With reverence and profound gratitude, I acknowledge the guidance and help so often and
so generously given to me by my esteemed teacher and guide, Dr. ANKUR MITTAL,
Professor & Head, Department of Oral and Maxillofacial Surgery, D. J College of Dental
Sciences & Research, Modinagar, I have been fortunate to have an advisor who gave me
the freedom to explore on my own and at the same time the guidance to recover when my
steps faltered. He taught me how to question thoughts and express ideas. His patience and

i
support helped me overcome many critical situations and finish this dissertation. It has
been my proud privilege to have an opportunity to work under his guidance and his
affection shall remain a source of an inspiration and creativity in my life. I thank him
profoundly and heartily for his guidance and inspiration. I will remain indebted for his
constant motivation and encouragement rendered by him in all my endeavours.

I am thankful to Prof. (Dr.) REENA R. KUMAR (Principal and Dean, Head of

Department, Department of Orthodontics & Dentofacial Orthopaedics) for her support,
She has given immense support time to time that has helped me accomplish this project. I
thank her for guidance and moral support. I am highly indebted to her for her keen
interest, critical advice and above all the incessant inspiring attitude, without which the
present study could not have assumed the present shape.

I Find myself extremely short of words to my veneration towards my esteemed teacher

Dr. SMITI JASSAR, CEO, Professor, Department of Oral and Maxillofacial Surgery,
D.J college of dental sciences and Research, Modinagar for her support, suggestions and
constant moral support. Words are too meager to express my heartfelt gratitude towards
my esteemed teacher and a true mentor for her expert guidance, valuable suggestions and
consistent encouragement, so generously given with affectionate concern and warmth
which paved me to complete this assignment .

I am obliged to Dr. SIDDHARTH SHARMA, Senior Lecturer, Department of Oral and

Maxillofacial Surgery, D,J College of Dental Sciences and Research, Modinagar, for his
valuable advice, motivation and keen evaluation of the dissertation which promoted the
completeness to the study. I am thankful for his constant, support, suggestions and moral
support.

I am thankful to Dr. Girija Dodamani and Dr. Arun Dodamani, who had revealed to
me the path I was destined to march on.

My seniors Dr. Kannu Sharma, Dr. Pankaj Kumar, Dr. Premshankar, Dr. MD
Manzer, Dr. Anita Tiwari, Dr. Gautam and Dr. Precily who deserve my gratitude for
being there when needed the most and also enriching me with more knowledge and less
doubts.

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I thank my fellow batchmates Dr. DHARMIKA JAGANI and Dr. IRENE SUZETTE
PHILLIP for the stimulating discussions, for the sleepless nights we were working
together before deadlines, and for all the fun we have had. Without whom this study was
not possible.

My loving regards and sincere thanks to my junior colleagues Dr. Abhijit Datta, Dr.
Pranendra Singh, Dr. Pankaj Kumar, Dr. Abhijeet Mehta, Dr. Nayandra Paharia
and Dr. Tapan Sharma for making my postgraduate student life less stressful by their
cheerful attitude.

I want to thank my friends Dr. Raj, Dr. Rahul, Dr. Annirudh, Dr. Soni, Dr Barkha,
Dr. Shrimukhi, Dr. Shraddha, Dr. Prerna and Ms. Preeti that I have made till here
with their support throughout my life. Thank you for helping me in a very crucial
moments. I am thankful for listening, offering me advice and supporting me through this
entire process.

I wish to acknowledge my statistician Dr. Ashish Singla for his valuable and untiring
help and my computer professional Mr. Gaurav Jain, for all the timely help given to me.

“ I am a learner of everything and teacher of Nothing”

Dr. PRITEE R. PANDEY

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 TABLE OF CONTENTS

S.NO. TITLE PAGE NO.

1. INTRODUCTION 1-4

2. AIM AND OBJECTIVES 5-6

3. MATERIALS & METHODS 7-18

4. CASE ILLUSTRATIONS 19-48

5. RESULT 49-55

6. REVIEW OF LITERATURE 56-77

7. DISCUSSION 78-81

8. SUMMARY AND CONCLUSION 82

9. BIBLIOGRAPHY 83-90

10. ANNEXURES 91-114

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 LIST OF TABLES & GRAPHS

S.NO. TABLE PAGE NO.

1. INTERGROUP- GRID IOPA 50

2. INTRAGROUP-GRID IOPA 51

3. INTERGROUP-RFA 52

4. INTRAGROUP-RFA 53

5. INTERGROUP- PAIN 54

6. INTRAGROUP- PAIN 54

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 LIST OF FIGURES

S.NO. TABLE PAGE NO.

1. PHYSIODISPENSOR UNIT 12

2. AUTOCLAVE 12

3. SURGICAL INSTRUMENTS USED DURING 13

IMPLANT SURGERY

4. IMPLANT KIT (ALPHA BIO ) 13

5. IMPLANT 14

6. INTRA ORAL GRID 14

7. RESONANCE FREQUENCY ANALYSER 15

8. CASE-I 19

9. CASE-II 27

10. CASE-III 34

11. CASE-IV 41

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 LIST OF ANNEXURES

S.NO. ANNEXURES PAGE NO.

1. CASE HISTORY 91

2. CONSENT FORM 91

3. CRITERIA 100

4. OBSERVATION & RESULT 101

4. MASTER CHART 113

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