Dennis F Flanagan

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Penetration of the mandibular cortex during dental implant surgery may damage 3 important arteries and could lead to life-threatening circumstances. To lessen the likelihood of lateral angulations and cortical perforations, dental implants of less than 14 mm may be considered for the mandible. The courses of the inferior alveolar, facial, and lingual(More)
Very small diameter (1.8-3.3 mm) dental implants may be successfully used to support fixed partial dentures in edentulous sites of compromised bone width or length. Very small implants can be successfully used in highly selected sites where there is adequate bone density and bone volume for immediate implant stability. Adequate or augmentable attached(More)
Surgical placement of dental implants requires an osteotomy. There is suspicion that osseous drilling may generate detrimental heat in the site that may cause localized bone necrosis and, subsequently, failure of the dental implant to osseointegrate. Cooling aqueous irrigation has been advocated to prevent such overheating. However, irrigation can interfere(More)
The construction of a complete restoration of the dentition by the surgical placement of endosseous titanium implants that support a fixed prosthesis in each jaw is possible. The positionings of the implants and teeth in the prostheses are important factors for a successful long-term result. Distribution of the occlusal biting forces over as many implants(More)
The fatigue life of mini or small-diameter dental implants is of particular interest because these implants are used to retain and support fixed and removable dental prostheses. The fatigue life of an implant depends on both the implant itself as well as on the physical properties of the bone. However, the capability to predict the fatigue life of a newly(More)
Dental implants subjected to traumatic forces can survive. Cortical bone seems to provide a protective energy-absorbing mechanism in the collagen polymer that helps to prevent microcracking and fracture of bone. The collagen polymer has cross-linking bonds that break and absorb the energy of a traumatic impact so as not to cause damage to the main polymer(More)
Dental implant treatment can restore oral function to edentulous patients. Recently, mini implants have been shown to be successful in minimally invasive treatment. There are initial reports of mini implants retaining removable prostheses and supporting fixed partial and complete dentures. This article reviews the treatment of edentulous patients with(More)
Four percent articaine local anesthetic has been successfully used to attain local anesthesia for dental procedures. Mandibular block anesthesia may consume longer time to attain and have a higher failure of local anesthesia compared to infiltration. Mandibular facial infiltration has been reported to successfully attain effective local anesthesia for(More)
Frictional heat can be generated during seating of dental implants into a drill-prepared osteotomy. This in vitro study tested the heat generated by implant seating in dense bovine mandible ramus. A thermocouple was placed approximately 0.5 mm from the rim of the osteotomy during seating of each dental implant. Four diameters of implants were tested. The(More)