Bücher von Arpit Sikri

Occlusion is the foundation for clinical success in fixed, removable, and implant prosthodontic treatment. Understanding those principles is critical when restoring a patient¿s occlusion. Many philosophies, devices, and theories of occlusion have evolved based on anecdotal clinical observations and applied geometric perceptions. The literature has reported these classic and contemporary occlusal concepts. As evidence-based dentistry emerged, it championed scrutiny of previously held beliefs, resulting in the abandonment of many pragmatic, yet beneficial occlusal procedures. The impetus toward scientific discovery, whereby factual information might be universally applied in dental education and clinical practice, has renewed interest in occlusal studies.

To achieve a successful prosthesis it is important to achieve harmony between the maxillomandibular relationship and anatomy of patient. This relationship is not simple opening or closing, but a complex relationship which exists in 3 dimensions. Variations may occur in any direction ¿ vertical, anteroposterior, or mediolateral. Thus, it is essential to record this relationship with the least possible error to obtain a successful prosthesis. However when relating the maxillary and mandibular dental casts, the ultimate accuracy depends on accuracy and dimensional stability of the material and the technique used to record the maxillomandibular relationship. To properly evaluate a patient's occlusion and to build up an artificial dynamic occlusal scheme, it is mandatory that the diagnostic casts and the final casts are placed in an articulator in approximately the same relationship to the temporomandibular joint as it exists in the patient. The ideal material-technique combination for making interocclusal records would allow the placement of indirectly fabricated prostheses in the patient's mouth with no occlusal adjustment and hence play a major role in the successful rehabilitation.

Successful restoration of the dentition requires plenty of contemporary and conventional treatment techniques and planning and attachment retained partial dentures are one such kind of treatment modality in prosthodontics. Limited space for extracoronal attachments is a serious gap in the design and the fabrication of a precision attachment Removable Partial Denture (RPD). A custom semi-precision attachment with a partial denture offers strength and improved aesthetics in cases with minimal space. This book presents a method of fabrication of semi-precision attachment to eliminate metal display and enhance aestheticity. A comprehensive evaluation, multi-disciplinary approach and a sequential treatment plan, worked out in harmony with the patient¿s aesthetic demand and perceptions are important for a long-term successful outcome. The CPA is the most conservative treatment option and offers excellent patient acceptance. Its versatility in clinical applications makes it one of the successful designs for RPD. It does not limit the patient¿s choice to have an implant-supported prosthesis, whenever they are psychologically and financially prepared.

U¿miech, zdolno¿¿ cz¿owieka do wyräania szeregu emocji za pomoc¿ struktury i ruchu z¿bów i ust, mo¿e cz¿sto okre¿li¿, jak dobrze dana osoba mo¿e funkcjonowä w spo¿ecze¿stwie. Oczywi¿cie, znaczenie nadawane pi¿knemu u¿miechowi nie jest niczym nowym. Denty¿ci staj¿ dzi¿ w obliczu ekscytuj¿cych czasów wraz z rozwojem mo¿liwo¿ci planowania leczenia metod¿ projektowania u¿miechu. Adaptacja usprawnionego procesu projektowania u¿miechu w celu zapewnienia przewidywalnej estetyki i funkcji jest rzeczywisto¿ci¿ mo¿liwo¿ci stomatologii cyfrowej. Nasi pacjenci s¿ coraz bardziej wyrafinowani ni¿ kiedykolwiek i oczekuj¿ wiarygodnych wyników leczenia, które mog¿ by¿ wizualizowane przed rozpocz¿ciem leczenia. Chociä tradycyjne, analogowe planowanie leczenia w celu kompleksowej rehabilitacji cäego usta jest przewidywalne dzi¿ki r¿cznie wykonywanemu woskowaniu diagnostycznemu, pacjenci mog¿ bardziej zaangäowä si¿ od pocz¿tku planowania leczenia za pomoc¿ cyfrowej diagnozy i przep¿ywu pracy. Jako prostodonta, tworzony przez nas u¿miech powinien by¿ estetycznie atrakcyjny i funkcjonalnie zdrowy. Naszym obowi¿zkiem jest staranne diagnozowanie, analizowanie i dostarczanie naszym pacjentom tego, co najlepsze.

Technologia cyfrowa jest si¿¿ nap¿dow¿ niezwyk¿ych zmian w praktyce protetyki. Wiele korzy¿ci p¿yn¿cych z cyfrowych technologii stomatologicznych mo¿na podsumowä w czterech szerokich kategoriach. Pierwsza z nich to lepsza komunikacja, bezb¿¿dna, komunikacja w czasie rzeczywistym, podkre¿laj¿ca skuteczno¿¿ zintegrowanej elektronicznej dokumentacji pacjenta. Post¿p w technice dentystycznej umo¿liwia pacjentom otrzymywanie nowoczesnych rozwi¿zä konwencjonalnych problemów stomatologicznych. Prostodonci mog¿ w¿¿czy¿ technologi¿ cyfrow¿ do swoich gabinetów w celu poprawy efektywno¿ci pracy i ¿atwo¿ci wspó¿pracy z laboratoriami. W tej ksi¿¿ce opisano technologie cyfrowe dost¿pne w stomatologii protetycznej, takie jak cyfrowa radiografia, elektroniczne recepty, komputerowe prezentacje przypadków, wirtualny artykulator i ¿uk twarzowy, komputerowo wspomagane projektowanie/komputerowo wspomagane wytwarzanie uzupe¿nie¿ protetycznych, cyfrowe wyciski i dobór odcieni oraz podkre¿lono zalety i ograniczenia technologii cyfrowej.

The idea of hinge rotation as related to functional jaw movements has become a bitterly contested tenet in dental literature. Indeed, the validity of rotational axes is still being contemplated in various articles published recently. The first actual kinematic location was done under the leadership of Dr. B.B.Mc Collum through the California Gnathological Society and its credit for the idea was given to Dr. Robert Harlan. Various schools of thought exists on the existence and the necessity to locate hinge axis especially in the field of dental practice when restoring lost natural teeth. So let¿s explore and identify the significance of hinge or the transverse axis and the various methods to locate the same.

Esthetic dental treatment involves artistic and subjective components design to create the illusion of beauty. Smile is a person¿s greatest beauty asset. A defective smile right be considered as a physical handicap as the mouth act as a focal point where a large share of attention is directed toward mouth and teeth. Our ultimate goal is to achieve pleasing composition in the smile by creating an arrangement of various esthetic elements. Smile design is different from tooth design, with tooth design one is concerned with contour, position and color of individual teeth ,while integration of these teeth into the face and facial features is paramount in smile design.