Abutment screw fracture from a heavy biter

A dental implant case by some other guy with metal crown perforation and custom-made abutment screw fracture. The redoing of commercial abutment with new PC crown was performed and kept it continous follow-up O.K. about one year.Open discussion:
Which type of Ti material for abutment should we use in dental implant prosthesis?
Should we rule out the heavy chewing patient from the dental implant list?
When we had done the dental implant for a heavy chewing patient, what should prevent the overload?
Occlusal Considerations for Implant Restorations in the Partially Edentulous Patient (Free download this article! )
By Donald A. Curtis, DMD, Arun Sharma, BDS, MS; Fredrick C. Finzen, DDS; and Richard T. Kao, DDS, PhD (Copyright 2000 Journal of the California Dental Association.)

The type and frequency of complications associated with dental implants has changed during the past decade. As more-successful rates of osseointegration have resulted from improved surgical protocols and materials, the major complications have become restorative-related rather than surgery-related. Recent studies indicate that restorative complications with implant-retained restorations occur at rates of 10 percent to 77 percent over a three-year period. Many of the restorative complications can be minimized with careful treatment planning and coordination of care. However, because implants lack the stress release associated with a periodontal ligament, impact loading to restorative materials and the crestal bone remains potentially more damaging with implant-supported restorations. This article discusses the biomechanical implications of implant restorations and outlines occlusal considerations designed to decrease restorative complications.

HUGE DENTAL CAMP AT KOOVATHUR HIGH SCHOOL

Over 1650 pupils attended the dental camp arranged by JRDT on the 16th June 2006. Many thanks to Dr. Chandra Gupta and his team and a respectful thank you to the Headmaster of Koovathur High School, also to all the staff and children for their co-operation.

Useful instructions were given on proper dental care and maintenance as well as oral hygiene and proper diet. There was dental screening and free brushes and paste were given.

The event was held in the open air in the school playground. A public address system was set up and the children were divided into two groups to attend the sessions.

Everyone enjoyed the day which was very useful and which we hope will be a step towards reducing the large amount of dental problems, usually unattended, which are prevalent in the area. We will now follow up with treatment, where appropriate, with the cooperation of the Mobile Clinic from Ragaas Dental Collage.

Congratulations and thanks to Raj for so competently managing the smooth running of such a large event. Thanks again to Dr. Gupta for his useful and dedicated work. Thank you to Banyan Branch for contributions towards incidental expenses.

Follow up work, treatment, is now needed. We have a good relationship with Ragaas Dental Collage who offer their time and Mobile Clinic freely. We do, however, need to pay for medicines, anesthetics, transport costs, and lunch for the team of dentists. If you would like to sponsor such a camp ( £30 - £50 ) do please contact us. It is money very well spent.

White Coat Ceremony

Today I participated in the white coat ceremony for the UDM dental class of 2009. The white coat ceremony is basically a formal ceremony in which the entering hygiene and dental classes receive their white clinic coats and recite an ethical and professional oath. The ceremony started with a few speeches from people like Dean Steiman and the alumni association president. I am proud to say that my family remembered to turn OFF their cell phones, thus avoiding the embarrassment of a ringing cell phone during the speeches. Next, we walked across the stage and Dean Steiman presented us with our white coats. The students and their families headed to the adjoining ballroom after the ceremony, where an assortment of fruit, veggies, cheeses, chicken and tuna salad sandwiches, cookies and punch was served. J made sure to take advantage of the free food, downing about 4 sandwiches, cheese and crackers, cookies and fruit. Finally, we took a class photograph with everyone in their white coats on the steps of the administration building. The photograph is a nice gesture. Four years down the road on graduation day, we take the exact same photograph wearing our caps and gowns instead.


Class photos

Tonight I went to the big Welcome Party, intended for everyone in the dental school. The dental school had the whole second floor of 5th Avenue in Royal Oak rented out. The place was packed. There was a band, a DJ, 8 billiard tables, a huge bar, food and a dance floor. Whoever planned the bash knew how to throw a good party. I kicked some major ass in pool and had some good conversation. The majority of my class was at the party, along with a big chunk of each of the three classes above me.