Aralin 1Pagsusuri ng ridge: klinikal na sukat ng ridge width at height, palpation para sa cortical plates, lokasyon ng concavities o undercutsNagdedeskripsyon ng hands-on klinikal na pagsusuri ng ridge, kabilang ang sukat ng width at height, palpation ng cortical plates, at deteksyon ng concavities o undercuts, na nag-uugnay ng mga natuklasan sa imaging upang mapino ang mga plano sa grafting.
Mga teknik sa pagsukat ng crestal ridge widthPagsusuri ng vertical ridge height sa klinikalPalpation ng buccal at lingual cortical platesPagkilala sa concavities at undercuts sa pamamagitan ng hawakPag-uri ng ridge defects para sa graft planningPag-uugnay ng klinikal at radiographic findingsAralin 2Radiographic assessment ng bone quality at cortical thickness, presence ng residual socket walls, lingual undercut, at proximity sa adjacent rootsTinutukan ang radiographic evaluation ng bone quality, cortical thickness, residual socket anatomy, lingual undercuts, at root proximity, na nag-uugnay ng mga natuklasan sa primary stability, graft choice, at risk ng cortical perforation.
Pagsusuri ng trabecular bone density patternsPag-evaluate ng buccal at lingual cortical thicknessPagkilala sa residual socket walls at defectsPagdetekta ng lingual undercuts at concavitiesProximity sa adjacent roots at root morphologyImplikasyon para sa graft selection at stabilityAralin 3Dental at oral history: timing ng extraction, prior infections, periodontal status, parafunction, at previous implant/prosthetic historyNagre-review ng key elements ng dental at oral history na nakakaapekto sa mandibular posterior implant at grafting outcomes, na nagbibigay-diin sa risk identification, timing decisions, at integration ng previous restorative at surgical information.
Timing at dahilan ng tooth extractionHistory ng acute at chronic infectionsPast periodontal diagnosis at therapyParafunction, bruxism, at clenching habitsPrevious implants, failures, at complicationsExisting prostheses at occlusal schemesAralin 4Soft tissue imaging at planning: pagsukat ng keratinized tissue sa images at paggamit ng intraoral scanning o photos para sa documentationNagpapaliwanag kung paano suriin ang soft tissue gamit ang imaging, scans, at photographs, na nakatuon sa keratinized tissue width, mucosal thickness, at documentation na nagbibigay impormasyon sa flap design, grafting, at emergence profile planning.
Pagsukat ng keratinized tissue sa radiographsPaggamit ng intraoral scanners para sa soft tissue mappingStandardized clinical photography protocolsPag-evaluate ng mucosal thickness at phenotypePagpaplano ng soft tissue grafting needsPag-arkibo ng digital records para sa follow-upAralin 5Targeted klinikal na exam: extraoral exam, intraoral soft tissue assessment, vestibular depth, keratinized tissue width, frenulum attachments, at mucosal qualityNagdedetalye ng structured na klinikal na pagsusuri para sa mandibular posterior sites, na sumasaklaw sa extraoral at intraoral soft tissue assessment, vestibular depth, keratinized tissue width, frenula, at mucosal quality para sa surgical access.
Extraoral symmetry at neurosensory baselineIntraoral soft tissue inspection at palpationPagsukat ng vestibular depth at mobilityPagsusuri ng keratinized tissue width sa klinikalPag-evaluate ng frenulum position at tensionMucosal quality at scarring sa paligid ng siteAralin 6Comprehensive medical history: systemic conditions, medications, bleeding risk, smoking, alcohol, bisphosphonates, anticoagulants, at prior radiationNagbubuod ng comprehensive medical history elements na relevant sa implant at grafting safety, kabilang ang systemic disease, medications, bleeding risk, lifestyle factors, at prior radiation o antiresorptive exposure.
Cardiovascular at metabolic conditionsImmunosuppression at infection riskBleeding disorders at anticoagulant therapyBisphosphonates at iba pang antiresorptivesSmoking, alcohol, at healing capacityHistory ng head at neck radiationAralin 7Legal, consent, at referral considerations: kailan mag-refer para sa medical clearance o specialist input at documentation essentialsNag-e-explore ng medico-legal responsibilities sa implant planning, kabilang ang informed consent, documentation standards, at criteria para sa medical clearance o specialist referral upang protektahan ang patient safety at clinician liability.
Elements ng informed consent para sa implantsPagdedekumento ng risks, benefits, at alternativesKailan maghanap ng medical clearanceIndications para sa specialist referralRecord keeping at imaging documentationPag-manage ng patient expectations sa nakasulatAralin 8CBCT at radiographic planning: pag-oorder ng CBCT, expected DICOM data, slice selection, cross-sectional views, panoramic limitationsNag-o-outline ng practical CBCT use para sa mandibular posterior planning, kabilang ang prescription criteria, DICOM handling, slice selection, cross-sectional analysis, at pag-unawa sa limitations ng panoramic reconstructions.
Indications at timing para sa CBCT orderingField of view at resolution selectionPag-import at pag-manage ng DICOM datasetsPagpili ng optimal axial at cross sectionsPaggamit ng panoramic reconstructions nang maingatRadiation dose at justification principlesAralin 9Key measurements mula sa imaging: horizontal ridge width sa crest at 1–3 mm subcrestal, vertical height sa mandibular canal, distance sa inferior alveolar canal, angulation at available bone lengthNagdedetalye ng essential linear at angular measurements mula sa imaging para sa mandibular posterior sites, na nakatuon sa ridge width, vertical height, canal proximity, at angulation upang suportahan ang ligtas na implant positioning at grafting strategies.
Pagsukat ng crestal at subcrestal ridge widthPagsusuri ng vertical height sa mandibular canalPagdedesisyon ng distance sa inferior alveolar canalPag-evaluate ng implant angulation sa cross sectionsPag-estimate ng available bone length at trajectoryMeasurement calibration at error reductionAralin 10Periodontal at occlusal assessment: probing, attachment levels sa adjacent teeth, occlusal scheme, opposing dentition considerationsNakatuon sa periodontal at occlusal evaluation sa paligid ng mandibular posterior sites, kabilang ang probing, attachment levels, occlusal schemes, at opposing dentition, upang antasipahan ang biomechanical load at peri-implant risk.
Probing depths sa adjacent teethClinical attachment at bone support levelsFurcation involvement malapit sa implant sitesStatic at dynamic occlusal analysisOpposing dentition at parafunctional loadPeriodontal stability bago ang implant therapy
