Implant surgery in mandibular anterior region may turn from an easy minor surgery into a complicated one for the surgeon, due to inadequate knowledge of the anatomy of the surgical area and/or ignorance toward the required surgical protocol. Hence, the purpose of this article is to present an overview on the: (a) Incidence of massive bleeding and its consequences after implant placement in mandibular anterior region. (b) Its etiology, the precautionary measures to be taken to avoid such an incidence in clinical practice and management of such a hemorrhage if at all happens. An inclusion criterion for selection of article was defined, and an electronic Medline search through different database using different keywords and manual search in journals and books was executed. Relevant articles were selected based upon inclusion criteria to form the valid protocols for implant surgery in the anterior mandible. Further, from the selected articles, 21 articles describing case reports were summarized separately in a table to alert the dental surgeons about the morbidity they could come across while operating in this region. If all the required adequate measures for diagnosis and treatment planning are taken and appropriate surgical protocol is followed, mandibular anterior region is no doubt a preferable area for implant placement.
An accurate facial moulage helps in understanding the orientation and proper position of the facial prosthesis relative to other facial landmarks even in the absence of the patient. To make impression for fabricating facial moulage previously described techniques in literature made use of elastomeric impression material, alginate, and dental plaster directly over the patient's face to obtain the moulage which have their own disadvantages. Taking these into consideration a novel clinical technique is described herein to fabricate an acrylic stock tray for making accurate impression and to support the impression material while setting and pouring.
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