All-on-4
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All-on-4
The term All-on-4, also known as All‐on‐Four and All‐in‐Four, refers to 'all' teeth being supported 'on four' dental implants, a prosthodontics procedure for total rehabilitation of the edentulous (toothless) patient, or for patients with badly broken down teeth, decayed teeth, or compromised teeth due to gum disease. It consists of the rehabilitation of either edentulous or dentate maxilla and / or mandible with fixed prosthesis by placing four implants in the anterior maxilla, where bone density is higher. The four implants support a fixed prosthesis with 10 to 14 teeth, and it is placed immediately, typically within 24 hours of surgery. The All-On-Bar solution, with the latest technology, computer aid design/Mill (cad/cam) the all-on-4 has evolved including the All-on-bar concept, which is adding a milled titanium bar structure to the dental implants which helps keep them working together. Protecting the implants from failures even after the hybrid bridge is broken. ...
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Paulo Maló
Paulo Maló is a Portuguese dentist and businessman. Early life and career Paulo Maló was born in Portuguese Angola (an overseas territory of Portugal until 1975) and moved to mainland Portugal in the 1960s in order to study dental medicine in Lisbon. He received his graduate degree at the Faculty of Dental Medicine from the University of Lisbon in 1989. In 1993, together with his medical and clinical research team, he began the development of the All-on-4 technique. Implemented in 1998, this innovative approach is recognised by the medical community as one of the most significant advances in the field of Implant Dentistry. In 1995, he founded the Malo Clinic in Portugal. Success in the years that followed led to exponential growth, giving rise to one of the most international healthcare groups today: ''Malo Clinic Health & Wellness'', a healthcare and wellness business with presence in Portugal, Colombia, China, Israel, and USA The United States of America (U.S ...
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Prosthodontics
Prosthodontics, also known as dental prosthetics or prosthetic dentistry, is the area of dentistry that focuses on dental prostheses. It is one of 12 dental specialties recognized by the American Dental Association (ADA), Royal College of Surgeons of England, Royal College of Surgeons of Edinburgh, Royal College of Surgeons of Ireland, Royal College of Surgeons of Glasgow, Royal College of Dentists of Canada, and Royal Australasian College of Dental Surgeons. The ADA defines it as "the dental specialty pertaining to the diagnosis, treatment planning, rehabilitation and maintenance of the oral function, comfort, appearance and health of patients with clinical conditions associated with missing or deficient teeth or oral and maxillofacial tissues using biocompatible substitutes." History Dental prostheory was pioneered by French surgeon Pierre Fauchard during the late 17th and early 18th century. Despite the limitations of the primitive surgical instruments, Fauchard discovered ...
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Prosthodontic
Prosthodontics, also known as dental prosthetics or prosthetic dentistry, is the area of dentistry that focuses on dental prostheses. It is one of 12 dental specialties recognized by the American Dental Association (ADA), Royal College of Surgeons of England, Royal College of Surgeons of Edinburgh, Royal College of Surgeons of Ireland, Royal College of Surgeons of Glasgow, Royal College of Dentists of Canada, and Royal Australasian College of Dental Surgeons. The ADA defines it as "the dental specialty pertaining to the diagnosis, treatment planning, rehabilitation and maintenance of the oral function, comfort, appearance and health of patients with clinical conditions associated with missing or deficient teeth or oral and maxillofacial tissues using biocompatible substitutes." History Dental prostheory was pioneered by French surgeon Pierre Fauchard during the late 17th and early 18th century. Despite the limitations of the primitive surgical instruments, Fauchard discovere ...
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Dental Bridge
A bridge is a fixed dental restoration (a fixed dental prosthesis) used to replace one or more missing teeth by joining an artificial tooth definitively to adjacent teeth or dental implants. Definitions Fixed bridge: A dental prosthesis that is definitively attached to natural teeth and replaces missing teeth. Abutment: The tooth that supports and retains a dental prosthesis. Pontic: The artificial tooth that replaces a missing natural tooth. Retainer: The component attached to the abutment for retention of the prosthesis. Retainers can be major or minor. Unit: Pontics and abutment teeth are referred to as units. The total number of units in a bridge is equal to the number of pontics plus the number of abutment teeth. Saddle: The area on the alveolar ridge which is edentulous where at least one missing tooth is to be reinstated. Connector: Joins the pontic to the retainer or two retainers together. Connectors may be fixed or movable. Span: The length of the alveolar rid ...
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Restorative Dentistry
Restorative dentistry is the study, diagnosis and integrated management of diseases of the teeth and their supporting structures and the rehabilitation of the dentition to functional and aesthetic requirements of the individual. Restorative dentistry encompasses the dental specialties of endodontics, periodontics and prosthodontics and its foundation is based upon how these interact in cases requiring multifaceted care. This may require the close input from other dental specialties such as orthodontics, paediatric dentistry and special care dentistry, as well as surgical specialties such as oral and maxillofacial surgery. Restorative dentistry aims to treat the teeth and their supporting structures. Many conditions and their consequences may be assessed and treated by a restorative dentist. Environmental causes may include as caries or maxillofacial trauma. Developmental issues may lead to the restorative dentist treating hypodontia, amelogenesis imperfecta, dentogenesis imperf ...
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Dentistry
Dentistry, also known as dental medicine and oral medicine, is the branch of medicine focused on the teeth, gums, and mouth. It consists of the study, diagnosis, prevention, management, and treatment of diseases, disorders, and conditions of the mouth, most commonly focused on dentition (the development and arrangement of teeth) as well as the oral mucosa. Dentistry may also encompass other aspects of the craniofacial complex including the temporomandibular joint. The practitioner is called a dentist. The history of dentistry is almost as ancient as the history of humanity and civilization with the earliest evidence dating from 7000 BC to 5500 BC. Dentistry is thought to have been the first specialization in medicine which have gone on to develop its own accredited degree with its own specializations. Dentistry is often also understood to subsume the now largely defunct medical specialty of stomatology (the study of the mouth and its disorders and diseases) for which reas ...
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Premolar
The premolars, also called premolar teeth, or bicuspids, are transitional teeth located between the canine and molar teeth. In humans, there are two premolars per quadrant in the permanent set of teeth, making eight premolars total in the mouth. They have at least two cusps. Premolars can be considered transitional teeth during chewing, or mastication. They have properties of both the canines, that lie anterior and molars that lie posterior, and so food can be transferred from the canines to the premolars and finally to the molars for grinding, instead of directly from the canines to the molars. Human anatomy The premolars in humans are the maxillary first premolar, maxillary second premolar, mandibular first premolar, and the mandibular second premolar. Premolar teeth by definition are permanent teeth distal to the canines, preceded by deciduous molars. Morphology There is always one large buccal cusp, especially so in the mandibular first premolar. The lower second ...
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Maxillary Sinus
The pyramid-shaped maxillary sinus (or antrum of Highmore) is the largest of the paranasal sinuses, and drains into the middle meatus of the nose through the osteomeatal complex.Human Anatomy, Jacobs, Elsevier, 2008, page 209-210 Structure It is the largest air sinus in the body. Found in the body of the maxilla, this sinus has three recesses: an alveolar recess pointed inferiorly, bounded by the alveolar process of the maxilla; a zygomatic recess pointed laterally, bounded by the zygomatic bone; and an infraorbital recess pointed superiorly, bounded by the inferior orbital surface of the maxilla. The medial wall is composed primarily of cartilage. The ostia for drainage are located high on the medial wall and open into the semilunar hiatus of the lateral nasal cavity; because of the position of the ostia, gravity cannot drain the maxillary sinus contents when the head is erect (see pathology). The ostium of the maxillary sinus is high up on the medial wall and on average is 2. ...
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Occlusion (dentistry)
Occlusion, in a dental context, means simply the contact between teeth. More technically, it is the relationship between the maxillary (upper) and mandibular (lower) teeth when they approach each other, as occurs during chewing or at rest. Static occlusion refers to contact between teeth when the jaw is closed and stationary, while dynamic occlusion refers to occlusal contacts made when the jaw is moving. The masticatory system also involves the periodontium, the TMJ (and other skeletal components) and the neuromusculature, therefore the tooth contacts should not be looked at in isolation, but in relation to the overall masticatory system. Anatomy of Masticatory System One cannot fully understand occlusion without an in depth understanding of the anatomy including that of the teeth, TMJ, musculature surrounding this and the skeletal components. The Dentition and Surrounding Structures The human dentition consists of 32 permanent teeth and these are distributed between the ...
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Cone Beam Computed Tomography
Cone beam computed tomography (or CBCT, also referred to as C-arm CT, cone beam volume CT, flat panel CT or Digital Volume Tomography (DVT)) is a medical imaging technique consisting of X-ray computed tomography where the X-rays are divergent, forming a cone. CBCT has become increasingly important in treatment planning and diagnosis in implant dentistry, ENT, orthopedics, and interventional radiology (IR), among other things. Perhaps because of the increased access to such technology, CBCT scanners are now finding many uses in dentistry, such as in the fields of oral surgery, endodontics and orthodontics. Integrated CBCT is also an important tool for patient positioning and verification in image-guided radiation therapy (IGRT). During dental/orthodontic imaging, the CBCT scanner rotates around the patient's head, obtaining up to nearly 600 distinct images. For interventional radiology, the patient is positioned offset to the table so that the region of interest is centered in ...
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Sinus (anatomy)
A sinus is a sac or cavity in any organ or tissue, or an abnormal cavity or passage caused by the destruction of tissue. In common usage, "sinus" usually refers to the paranasal sinuses, which are air cavities in the cranial bones, especially those near the nose and connecting to it. Most individuals have four paired cavities located in the cranial bone or skull. Etymology ''Sinus'' is Latin for "bay", "pocket", "curve", or "bosom". In anatomy, the term is used in various contexts. The word "sinusitis" is used to indicate that one or more of the membrane linings found in the sinus cavities has become inflamed or infected. It is however distinct from a fistula, which is a tract connecting two epithelial surfaces. If left untreated, infections occurring in the sinus cavities can affect the chest and lungs. Sinuses in the body * Paranasal sinuses ** Maxillary ** Ethmoid ** Sphenoid ** Frontal * Dural venous sinuses ** Anterior midline *** Cavernous *** Superior petrosal *** I ...
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Bone Graft
Bone grafting is a surgical procedure that replaces missing bone in order to repair bone fractures that are extremely complex, pose a significant health risk to the patient, or fail to heal properly. Some small or acute fractures can be cured without bone grafting, but the risk is greater for large fractures like compound fractures. Bone generally has the ability to regenerate completely but requires a very small fracture space or some sort of scaffold to do so. Bone grafts may be autologous (bone harvested from the patient's own body, often from the iliac crest), allograft (cadaveric bone usually obtained from a bone bank), or synthetic (often made of hydroxyapatite or other naturally occurring and biocompatible substances) with similar mechanical properties to bone. Most bone grafts are expected to be resorbed and replaced as the natural bone heals over a few months' time. The principles involved in successful bone grafts include osteoconduction (guiding the reparative growth ...
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