R. Balakrishnan

Determination of Implant Length in Maxillary Anterior Region

The placement of dental implants in the anterior maxilla is a challenging for the clinicians because of patients exacting esthetic demands and difficult pre existing anatomy. Esthetic implant therapy in the anterior maxilla is dependent on multiple factors including the lip drape, the implant position and the available peri implant soft tissue . The dental implants provide a realistic treatment alternative for rehabilation of patients with lost teeth. The length of the implant plays a vital role in successful outcome of placement of implant in the anterior maxillary region.

Esthetics Evaluation of Scar Between Subciliary Incision and Infraorbital Incision for Inferior Orbital Rim Fracture

The oral and maxillofacial surgeon is constantly facing changes involving orbital trauma, pathology, reconstruction and aesthetics. Orbital fractures account for 40% of craniofacial injuries; of the four walls of the orbit. Orbital floor fractures can be broadly classified as pure or impure blowout fractures; the first are isolated orbital floor fractures, and the second are also associated with an orbital rim fracture, involving other skeletal elements: zygomatic, frontal, nasoethmoidal, or maxillary bones. Conventional approaches to the infraorbital rim/orbital floor have been cutaneous infraciliary incisions namely the subciliary, mid lower eyelid or subtarsal and infraorbital incisions. These approaches leave behind a scar which may be cosmetically disfiguring at times. The first reports in the literature of open reduction of infraorbital rim and floor fractures through use of a subciliary incision was first described by Converse in 1944. The increasing emphasis on open reduction in the management of orbital fractures has led to an extensive debate as to which approach provides adequate exposure for these fractures. Scarophobic patient and history of keloid formation are considered relative contraindications to the subciliary incision.

A Comparision Between Intra Oral and Extra Oral Approaches for Reduction of Mandibular Angle Fracture.

The mandible is the strongest of all the facial bones it is the only mobile bone of facial skeleton. It is roughly horseshoe shaped with the symphysis being the most prominent part. It has thick cortical plates.the main causes would be road traffic accident, assaults and sports injury. Treatment modalities and complication varies according to the fracture that occurs at the posterior portion of the mandible.so the fracture of the mandibular angle is quite challengeable and difficult. most of the fracture of angle of the mandible are due to the indirect and direct hit to the bone. The third molars are located in the angle region and when they are impacted they occupy lot of space in the bone and undermine it. This abrupt change in the course of bone grain also makes the bone weak .all those factors makes the mandible vulnerable for fracture at this sites.open reduction and internal fixation of mandibular angle fracture can be performed by two approaches , gingiva buccal approaches intra and Risdon’s extra oral approaches both the approaches have their own advantages and dis advantages The aim of the study is to compare post operative results of intraoral and extraoral approaches for management of angle fracture of mandible.

Immediate Vs Delayed Implants: comparative study of 100 cases

In recent years, immediate or early implant placement after tooth extraction has becoming more common. Placement of an implant immediately after tooth extraction seems to offer several advantages without compromising the quality of results achieved by the conventional delayed implants. The present review focuses on the clinical outcome of immediate or early implant placement in 100 clinical cases. The study focuses on the success rates, stability, and bone augmentation procedures with immediate placed implants in fresh extraction sockets.

Surgical Retreival of Displaced Implant from Maxillary Sinus: A Case Report

Dental implant place-ment is not without its complications. Implant migration into the maxillary sinuses is one of the rare complications. In this case implant had been surgically retrieved from the sinus by Caldwell -luc technique.