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Anatomy Presentation

Orbicilaris Oris

BuccinatorMuscle

MasseterMuscle

Parotid Duct

Parotid Gland

External CarotidArtery

FacialArtery

TemporalArtery

External Jugular

Posterior Auricular

Posterior Facial Vein

Facial Vein

BuccinatorMuscle

MasseterMuscle

Sterno-mastoidMuscle

TrapeziusMuscle

Maxillary Nerve

Palatal Nerve

Posterior Superior Dental Nerves

Anterior Superior Dental Nerves

Infra-orbital Nerve

The Trigeminal

The Trigeminal Nerve

The Ophthalmic Nerve

The Maxillary Nerve

The MandibularNerve

The Maxillary Nerve BranchesThe Maxillary

Nerve Branches

Infra-orbital Nerve

Posterior Superior Alveolar

The Maxillary Nerve Branches

Middle Superior Alveolar

Anterior Superior Alveolar

The MandibularNerve

The MandibularNerve Branches

BuccalNerve

Buccal Nerve

The MandibularNerve Branches

LingualNerve

Lingual Nerve

Inferior Dental Nerve

Mental Nerve

The Auriculo-temporal Nerve

View from the Lingual

Medial Pterygoid MuscleMedial Pterygoid Muscle

Trigeminal NerveTrigeminal Nerve

Ophthalmic NerveOphthalmic Nerve

Maxillary NerveMaxillary Nerve

Mandibular NerveMandibular Nerve

Inferior Dental NerveInferior Dental Nerve

Lingual NerveLingual Nerve

Auriculo-temporal NerveAuriculo-temporal Nerve

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Head of the CondyleHead of the Condyle

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Medial Pterygoid Muscle removedMedial Pterygoid Muscle removed

Lingula

Sphenomandibular LigamentSphenomandibular Ligament

Inferior Dental NerveInferior Dental Nerve

Lingual NerveLingual Nerve

Mandibular NerveMandibular Nerve

Buccal Nerve

Maxillary NerveMaxillary Nerve

Trigeminal NerveTrigeminal Nerve

Lingula

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Maxillary ArteryMaxillary Artery

Maxillary Artery

Greater (Descending) Palatine ArteryGreater (Descending) Palatine Artery

Posterior Superior Alveolar Arteries

Anterior Superior Alveolar Arteries

Infra-orbital Artery

External Carotid ArteryExternal Carotid Artery

Deep Auricular ArteryDeep Auricular Artery

Anterior Tympanic ArteryAnterior Tympanic Artery

Inferior Dental ArteryInferior Dental Artery

Accessory Meningeal ArteryAccessory Meningeal Artery

Middle Meningeal ArteryMiddle Meningeal Artery

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Medial Pterygoid Muscle removed

Lingula

Sphenomandibular LigamentSphenomandibular Ligament

External Carotid ArteryExternal Carotid Artery

Deep Auricular ArteryDeep Auricular Artery

Inferior Dental ArteryInferior Dental Artery

Middle Meningeal ArteryMiddle Meningeal Artery

Lingula

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Maxillary Vein

Infra-orbital Vein

Sub-LingualGland

<Menu?

Glossopharyngeal Nerve Glossopharyngeal Nerve

Lingual Nerve

Submandibular Duct

Wharton’s Duct

Crossing over the

Lingual Nerve

Lingual Artery

Middle Meningeal

Artery

Spheno-Mandibular Ligament

Stylo-Hyoid Raphae

Buccal Nerve

MandibularNerve

Lingual Nerve

Inferior DentalNerve

CordaTympani

Middle Meningeal

Artery

Mental Nerve

Inferior Dental Nerve

MandibularNerve

Trigeminal Nerve

Mental Bundle Dissection

Incision LineIncision Line

In the Attached Gingiva

In the Sulcus

Relieving Incision

Initial Flap Elevation just below the Mucogingival Margin

Keeping above the Mental Foramen

Finally elevating the Attached Gingiva

Relieving Incision

Elevation Distal to the Mental Foramen

Further Elevation using a Small Piece of Gauze

Or a 3rd of a Cotton Roll

This allows Gentle and Safe Exposure

of the Mental Bundle

The Mental Bundle Exposed

Blunt Dissection under the Mental Bundle

Inferior Dental Nerve Repositioning

A Resorbed Mandible A Resorbed Mandible

The Mental Foramen is on the Crest of the RidgeThe Mental Foramen is

on the Crest of the Ridge

Inferior Dental Bundle Dissection

Initial Incision Anterior to the Mental ForamenInitial Incision Anterior to the Mental Foramen

Flap Elevation Lingual to the Ridge

This avoids Damage to the Mental BundleThis avoids Damage to the Mental Bundle

The Flap is then elevated upwards and over the Ridge

to the Buccal

The Flap is then elevated upwards and over the Ridge

to the Buccal

The Incision is extended Distally

above the Mental Bundle

The Incision is extended Distally

above the Mental Bundle

Further Elevation Distally above the Mental Bundle

Exposing the Mental BundleExposing the Mental Bundle

The Mental Bundle exposedThe Mental Bundle exposed

Exposing the Incisal Bundle Exposing the Incisal Bundle

Incisal Bundle Exposed Incisal Bundle Exposed

Cutting the Incisal Bundle Cutting the Incisal Bundle

Incisal Branch cut Incisal Branch cut

Protecting the Inferior Dental Bundle

with a Curved Periodontal Probe

Protecting the Inferior Dental Bundle

with a Curved Periodontal Probe

Removing Bone over the Inferior Dental Canal

Exposing the Inferior Dental Canal Exposing the Inferior Dental Canal

Inferior Dental Canal exposed Inferior Dental Canal exposed

Lifting the Inferior Dental Bundle out of the Canal

Inferior Dental Bundle Lifted out of the Canal Inferior Dental Bundle Lifted out of the Canal

The Empty Inferior Dental CanalThe Empty Inferior Dental Canal

Drilling the New Mental Foramen Drilling the New Mental Foramen

The New Mental Foramen The New Mental Foramen

<MenuInferior Alveolar Nerve Bundle

Buccal Cortical Plate removed

Dissection of the

Side of the Face

Dissection of the

Side of the Face

Blunt Dissection using MetzenbaumScissors

Parotid Gland

The Parotid Duct

Parotid DuctParotid Duct

Parotid Duct piercing BuccinatorMuscle

Facial Artery

Buccal branch of Facial Nerve Buccal branch of Facial Nerve

Anterior Superior Alveolar Nerve

Dissection of the InfraorbitalNerve using Intra-Oral Approach

Intra-Oral Approach to Infraorbital Nerve

Thin Wall of Maxillary Sinus

The Infraorbital Bundle

Cutting a Window in the Sinus Wall

Maxillary Sinus Cavity Maxillary Sinus Cavity

The EndThe End

Anatomy Presentation 2 - stuartortonjonesinstitute.co.ukstuartortonjonesinstitute.co.uk/PDFs/Implantology/... · Anatomy Presentation 2 Anatomy Presentation 2. Menu

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