Dr.Manoj Kumar.S BDS, MDS-Prosthodontics, FICOI, MICOI, Board Certified Dentist-Canada

Case 48: All on 4 Maxillary implants+ Immediate loading+ Defintive Malo bridge Another case of an immediate loading All on 4 maxillary prosthesis and after 6 months went ahead with a malo bridge made of milled Ti frame with PFM crowns. This patient had fixed prosthesis in the upper arch with multiple root caries which required extraction of all the maxillary arch teeth. The patient requested for an immediate denture or fixed prosthesis on the same day of extraction due to esthetic concerns. Phase 1: Involved a diagnostic impression and mounting & articulation along with cast modification in the maxillary arch for the fabrication of an interim immediate acrylic denture. This denture is used as an index and used for splinting the impression and conversion of the provisional denture into a fixed prosthesis. The entire surgery was done under local anesthesia. Total extraction was carried out followed by placement of two axial implants in the maxillary anteriors and angulated impl

Case 47: Occlusal stamp technique for direct composite restoration As the name indicates, a stamp is a preformed contour which impresses or creates a replica when placed on an object. With regards to dentistry, in the field of composite restorations any pit and fissure decay which requires a restoration and has not covitated the tooth structur externally is an ideal candidate for this occlusal stamp technique. Here in this case its a simple GV Blacks class 1 situation of dental caries on tooth no 2.7. Ther sequence of stemps involved are as follows: 1. After the initial diagnosis and confirmation with a radiograph, The fissures and the occlusal table is cleansed and a very thin coat of vaseline is optional, followed by application of flowable composite on the occlusal table creating a small mound. Before curing it place a small plastic applicator tip and then light cure it. Once done just tease the composite with a sharp tip of an explorer and it will easily pop out. Now the occlu

Guest Speaker 3: Course on Direct Composites anterior and Posteriors 15th October 2017 SMAK academy was proud in conducting its second course on Direct composite restorations. I was a guest speaker and my talk was completely on "Finishing and Polishing of Composite restorations" This program was sponsored by Tokuyama and the entire program was done with their composites. However, the finishing and polishing protocols involved all the other various techniques in achieving the best esthetics. The program had lectures involving Material Sciences in Composites- by Dr.Shameem, Anterior Direct composite restorations by Dr.Mahadevan and Posterior direct composites by Dr.Kamakshi and concluded with Finishing and Polishing protocols for composites by me. Post lunch we did an extensive hands on on different layering techniques till the final finishing and polishing.

Case 46: Complete surgical phase: Maxillary arch 4 implants and Mandibular arch- Guided Bone regeneration with Titanium mesh and Autogenous bone graft and collagen membrane  Here is a case which is affected by generalised periodontitis in both maxillary and mandibular arch along with failed implants in the lower anteriors with severe bone defects. All the teeth were mobile and the plan was to go in for a total extraction followed by a wait period of 2-3 weeks before going ahead with implants in the maxillary arch ( 4 numbers) and a bar supported hybrid prosthesis with shortened arch. In the lower arch Guided bone regeneration at the lower anterior defect site extending from 4.3 to 3.4. Since the plan is to place implants in the sites of A to E (According to Misch) and a lower hybrid prosthesis with shortened arch over 5 implants. The first phase or the surgical phase was handed over to me to place the implants and the guided bone regeneration procedure. After a span of