INTEGRATIING DENTAL

IMPLANTS INTO
PRACTICE: INITIAL Dr Galav Adhikari, M.D.S.

CHALLENGES Lecturer
Nepalese Army Institute of
Health Sciences
UNDERSTANDIN  OBSESSION WITH THE SURGICAL PHASE ONLY??
G DENTAL  PRESURGICAL PHASE?
IMPLANT  RESTORATIVE PHASE

TREATMENT
  FINANCIAL UNDERSTANDING
BEFORE  IS IT LUCRATIVE….INITIALLY?? DOES YOUR PRACTICE CATER
OSTEOINTEG PATIENTS WHO CAN AFFORD DENTAL IMPLANTS??
 WHICH IMPLANT SYSTEM TO CHOOSE?
RATION  CASE SELECTION…
  BUT YOU DON’T HAVE A CBCT..HOW ARE YOU GOING TO FIND THE
RIGHT SIZE OF IMPLANT.
 SIMPLE…GO BACK TO THE ERA WHERE CBCT WAS NOT
INVENTED..JUST LIKE WE DO EVERYWHERE ELSE IN NEPAL EXCEPT
FOR KATHMANDU, CHITAWAN.
 IOPA+OPG+ RIDGE MAPPING.
BEFORE  SIZE OF THE IMPLANT..ELABORATE

OSTEOINTEG  THEN SURGICAL PHASE…DO YYOU REMEMBER THE TIME WHEN U

AS A STUDENT STRUGGLED TO REMEMBER THE COLOR CODING OF
RATION ENDO FILES AND HAD TO MUG IT UP??SAME THING WORKS WITH
OSTEOTOMY DRILLS..THEY ARE COLOR CODED AND NUMBERED..U
ONLYNEED TO REMEMBER THATU NEED TO CREATE AN
OSTEOTOMY ONE SIZE SMALLER THAN THE SIZE OF THE IMPLANT
 THEN…TADAAM…OSTEOINTEGRATION HAPPENS BY SOME DIVINE
INTERVENTION WHERE GOD SENDS OSTOEBLASTS AND
OSTEOLCASTS TO REMODEL THE BONE AROUND DENTAL
IMPLANTS
  IMPLANT IMPRESSIONS DIFFER FROM THE CONVENTIONAL
FPD IMPRESSIONS
 ONE OF THE MOST IMPORTANT THINGSTO WORK ON
AFTER
 TECHNIQUES…ABUTMENT LEVEL IMPRESSION VS IMPLANT
OSTEOINTEG LEVEL IMPRESSION..ABUTMENT LEVEL…ONLY IF THE CT
RATION ATTACHMENT ISNT TOO DEEP(1 TO 1. MM)
 LAB SUPPORT….TRINING OF LAB PERSONNEL ( FB WALA FOTO)
 IMPLANT PROTECTED OCCLUSION