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INDIAN DENTAL ACADEMY

Leader in continuing dental education
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IMPLANTS & ANCHORAGE
To preserve what is normal

To prevent the undesired movement

To get the desired movement

To keep it as intra oral as possible




THE BIGGEST CHALLENGE
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Innumerable attempts and
innovations
Success very subjective
Dogmatic following
The latest in the inventory
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Versatility in providing anchorage


Helping in bringing about tooth movements
which have been of a great challenge to the
orthodontist like intrusion of upper and
lower molars



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Being as intraoral as possible

Less invasive though it is a surgical
procedure
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SKELETAL ANCHORAGE

SYSTEM
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For Orthopedic correction

Transverse
Vertical
Sagittal



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For Orthodontic correction

Aligning
Leveling
Retraction
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Pre-Christian era - Artificial materials

~1945, Vitallium screws

~1970, Linkow-Endosseous blade implants
Carbon implants (Osseointegration ?)

~1975, Kawahara et al Bioglass coated ceramic
implants

~1977, Branemark et al-Osseointegration
Hydroxy apatite
crystals


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~1983, Creekmore possibility of skeletal
anchorage

~1989, Roberts titanium implants

~1991, Higuchi & J ames Titanium fixtures

~1998, Costa et al Miniscrews

~1999, Umemori et al SAS for open bite

~2003, Giuliano Maino
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CLASSIFICATION

~Based on position

Sub-periosteal

Transosseous

Endosseous






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SPECIFICITY

~Maximum load >< quantity of

Osseointegration dependent on surface area

& tissue contact


TIME OF LOADING

~4-6 months after fixation



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THE DIMENSIONS OF THE IMPLANT SHOULD
BE CONGRUENT WITH THE AMOUNT OF
BONE AVAILABLE AT THE POINT OF
INSERTION

~3-4mm in diameter

~6-10mm in length

~Length >< 1/ Diameter
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MINIPLATES
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TYPES OF MINIPLATES

L shaped Titanium

Y-shaped Ti

Straight Ti


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ANATOMICAL SITES


Mandibular body- intrusion

Retromolar pad- distal movement

Key ridge- distalization

Anterior ridge of piriform opening- intrusion
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SURGERY & HEALING TIME

Local anesthesia
Elevate mucoperiosteal flap
Bone exposed
Plates fixed
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Application of FORCE ?



Wound healing !



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Prophylaxis

~Antibiotics
~Antiseptic mouthrinses
~Oral hygiene
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MECHANICS


A rectangular archwire to conserve torque

Elastic thread (3-4 weeks)

Steel ligatures

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Thank you

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