Dental Implants Prosthetic...

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Mohammed Alfarsi BDS, MDSc(Pros), PhD www.DrMohdAlfarsi.com Dental Implants Prosthetic Superstructures Tuesday 29 October 13

Transcript of Dental Implants Prosthetic...

Page 1: Dental Implants Prosthetic Superstructuresdrmohdalfarsi.com/for-my-students/dental-implants...Prosthetic Options FP-1 FP-2 FP-3 RP-4 RP-5 Classification Replaces crown only Replaces

Mohammed AlfarsiBDS, MDSc(Pros), PhD

www.DrMohdAlfarsi.com

Dental Implants Prosthetic Superstructures

Tuesday 29 October 13

http://www.DrMohdAlfarsi.com
http://www.DrMohdAlfarsi.com
Page 2: Dental Implants Prosthetic Superstructuresdrmohdalfarsi.com/for-my-students/dental-implants...Prosthetic Options FP-1 FP-2 FP-3 RP-4 RP-5 Classification Replaces crown only Replaces

Dental Implants Prosthetic SuperstructuresOverview

Surgical Prosthetic

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Dental Implants Prosthetic SuperstructuresOverview

Surgical Prosthetic

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IntroductionProsthetic Options

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IntroductionProsthetic Options

Fixed Removable

Titanium framework

Zirconia framework

Acrylic teeth

Porcelain teeth

Attachment type

Crown retention

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Prosthetic OptionsClassification

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Prosthetic OptionsClassification

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Prosthetic Options

FP-1

Classification

Replaces crown only

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Prosthetic Options

FP-1

FP-2

Classification

Replaces crown only

Replaces crown & root

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Prosthetic Options

FP-1

FP-2

FP-3

Classification

Replaces crown only

Replaces crown & root

Replaces crown, root & gingiva

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Prosthetic Options

FP-1

FP-2

FP-3

RP-4

RP-5

Classification

Replaces crown only

Replaces crown & root

Replaces crown, root & gingiva

Implant-supported

Tissue & implant-supported

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Prosthetic Options

FP-1

FP-2

FP-3

RP-4

RP-5

Classification

Replaces crown only

Replaces crown & root

Replaces crown, root & gingiva

Implant-supported

Tissue & implant-supported

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FP-1Classification Replaces crown only

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Pros Options FP-1 Replaces crown only

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Pros Options FP-1 Replaces crown only

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Pros Options

Definition Fixed prostheses that replace the anatomical crown only

FP-1 Replaces crown only

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Pros Options

Definition

Indications

Fixed prostheses that replace the anatomical crown only

- Minimal loss of soft/hard tissue- Implant can be placed in ideal position

- Crown can be made with natural size & contour

FP-1 Replaces crown only

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Pros Options

Definition

Indications

Contra-indications

Fixed prostheses that replace the anatomical crown only

- Minimal loss of soft/hard tissue- Implant can be placed in ideal position

- Crown can be made with natural size & contour

- Considerable loss of soft/hard tissue- Implant can NOT be placed in ideal position

- Crown can NOT be made with natural size & contour

FP-1 Replaces crown only

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Pros Options

Definition

Indications

Contra-indications

Fixed prostheses that replace the anatomical crown only

- Minimal loss of soft/hard tissue- Implant can be placed in ideal position

- Crown can be made with natural size & contour

- Considerable loss of soft/hard tissue- Implant can NOT be placed in ideal position

- Crown can NOT be made with natural size & contour

Material of choice

Framework: - Titanium - Zirconia

Veneer: - Porcelain

FP-1 Replaces crown only

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Abutment SelectionPros

Options

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Abutment Selection

Titanium Vs Zirconia

Pros Options

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Abutment Selection

Titanium Vs Zirconia

Pros Options

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Abutment Selection

Titanium Vs Zirconia

Advantages- Strong

- Long-term documented success

- Aesthetic

Pros Options

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Abutment Selection

Titanium Vs Zirconia

Advantages

Dis-advantages

- Strong- Long-term documented

success

- Aesthetic

- Aesthetic

- Prone to stressed fracture- Expensive

- Technique sensitive

Pros Options

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Crown RetentionPros

Options

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Crown Retention

Cement Vs Screw

Pros Options

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Crown Retention

Cement Vs Screw

Pros Options

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Crown Retention

Cement Vs Screw

Advantages Aesthetic Retrievability

Pros Options

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Crown Retention

Cement Vs Screw

Advantages

Dis-advantages

Aesthetic

Cement removal issues

Retrievability

Aesthetic

Pros Options

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Prosthetic Options

FP-1

FP-2

FP-3

RP-4

RP-5

Replaces crown only

Replaces crown & root

Replaces crown, root & gingiva

Implant-supported

Tissue & implant-supported

Classification

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FP-2 Replaces crown & rootClassification

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Pros Options FP-2 Replaces crown & root

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DefinitionFixed prostheses that replace the anatomical crown & a

portion of the root

Pros Options FP-2 Replaces crown & root

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Definition

Indications

Fixed prostheses that replace the anatomical crown & a portion of the root

- Minimal-moderate loss of soft/hard tissue- Implant can be placed in correct facial-lingual position

- Patient accepts the longer crown (low lip line)

Pros Options FP-2 Replaces crown & root

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Definition

Indications

Contra-indications

Fixed prostheses that replace the anatomical crown & a portion of the root

- Minimal-moderate loss of soft/hard tissue- Implant can be placed in correct facial-lingual position

- Patient accepts the longer crown (low lip line)

- Considerable loss of soft/hard tissue- High lip line (high aesthetic demand)

- Un-hygienic implant position

Pros Options FP-2 Replaces crown & root

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Page 36: Dental Implants Prosthetic Superstructuresdrmohdalfarsi.com/for-my-students/dental-implants...Prosthetic Options FP-1 FP-2 FP-3 RP-4 RP-5 Classification Replaces crown only Replaces

Definition

Indications

Contra-indications

Fixed prostheses that replace the anatomical crown & a portion of the root

- Minimal-moderate loss of soft/hard tissue- Implant can be placed in correct facial-lingual position

- Patient accepts the longer crown (low lip line)

- Considerable loss of soft/hard tissue- High lip line (high aesthetic demand)

- Un-hygienic implant position

Material of choice

Framework: - Titanium - Zirconia

Veneer: - Porcelain

Pros Options FP-2 Replaces crown & root

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Page 37: Dental Implants Prosthetic Superstructuresdrmohdalfarsi.com/for-my-students/dental-implants...Prosthetic Options FP-1 FP-2 FP-3 RP-4 RP-5 Classification Replaces crown only Replaces

Prosthetic Options

FP-1

FP-2

FP-3

RP-4

RP-5

Replaces crown only

Replaces crown & root

Replaces crown, root & gingiva

Implant-supported

Tissue & implant-supported

Classification

Tuesday 29 October 13

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FP-3 Replaces crown, root & gingivaClassification

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Pros Options FP-3 Replaces crown, root & gingiva

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Definition Fixed prostheses that replace the crown, gingiva & ridge

Pros Options FP-3 Replaces crown, root & gingiva

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Definition

Indications

Fixed prostheses that replace the crown, gingiva & ridge

- Moderate-severe loss of soft/hard tissue- High aesthetic demands

Pros Options FP-3 Replaces crown, root & gingiva

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Definition

Indications

Contra-indications

Fixed prostheses that replace the crown, gingiva & ridge

- Moderate-severe loss of soft/hard tissue- High aesthetic demands

- Inability to control hygiene- Inability to fine tune phonetics

Pros Options FP-3 Replaces crown, root & gingiva

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Definition

Indications

Contra-indications

Fixed prostheses that replace the crown, gingiva & ridge

- Moderate-severe loss of soft/hard tissue- High aesthetic demands

- Inability to control hygiene- Inability to fine tune phonetics

Pros Options FP-3 Replaces crown, root & gingiva

Tuesday 29 October 13

Page 44: Dental Implants Prosthetic Superstructuresdrmohdalfarsi.com/for-my-students/dental-implants...Prosthetic Options FP-1 FP-2 FP-3 RP-4 RP-5 Classification Replaces crown only Replaces

Definition

Indications

Contra-indications

Fixed prostheses that replace the crown, gingiva & ridge

- Moderate-severe loss of soft/hard tissue- High aesthetic demands

- Inability to control hygiene- Inability to fine tune phonetics

Pros Options FP-3 Replaces crown, root & gingiva

Tuesday 29 October 13

Page 45: Dental Implants Prosthetic Superstructuresdrmohdalfarsi.com/for-my-students/dental-implants...Prosthetic Options FP-1 FP-2 FP-3 RP-4 RP-5 Classification Replaces crown only Replaces

Definition

Indications

Contra-indications

Fixed prostheses that replace the crown, gingiva & ridge

- Moderate-severe loss of soft/hard tissue- High aesthetic demands

- Inability to control hygiene- Inability to fine tune phonetics

Material of choice

Framework: - Titanium - Zirconia

Veneer: - Porcelain - Acrylic Hybrid denture

Pros Options FP-3 Replaces crown, root & gingiva

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Prosthetic Options

FP-1

FP-2

FP-3

RP-4

RP-5

Replaces crown only

Replaces crown & root

Replaces crown, root & gingiva

Implant-supported

Tissue & implant-supported

Classification

Tuesday 29 October 13

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RP-4 Implant-supportedClassification

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Pros Options RP-4 Implant-supported

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DefinitionRemovable prostheses that are supported completely by the

implants

Pros Options RP-4 Implant-supported

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Definition

Indications

Removable prostheses that are supported completely by the implants

- Enough alveolar bone to hold (Mand. 4-6 & Max. 6-8) implants

Pros Options RP-4 Implant-supported

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Definition

Indications

Contra-indications

Removable prostheses that are supported completely by the implants

- Enough alveolar bone to hold (Mand. 4-6 & Max. 6-8) implants

- Inability to place enough implants

Pros Options RP-4 Implant-supported

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Definition

Indications

Contra-indications

Removable prostheses that are supported completely by the implants

- Enough alveolar bone to hold (Mand. 4-6 & Max. 6-8) implants

- Inability to place enough implants

Material of choice

Teeth: - Porcelain - Acrylic

Framework: - Titanium

Pros Options RP-4 Implant-supported

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Teeth SelectionPros

Options

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Teeth Selection

Porcelain Vs acrylic

Pros Options

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Teeth Selection

Porcelain Vs acrylic

Advantages- Strong

- Aesthetic

Pros Options

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Teeth Selection

Porcelain Vs acrylic

Advantages

Dis-advantages

- Strong- Aesthetic

- Very technique sensitive- Expensive to make/repair

Pros Options

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Teeth Selection

Porcelain Vs acrylic

Advantages

Dis-advantages

- Strong- Aesthetic

- Very technique sensitive- Expensive to make/repair

- Cheaper- Easier to make-repair

Pros Options

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Teeth Selection

Porcelain Vs acrylic

Advantages

Dis-advantages

- Strong- Aesthetic

- Very technique sensitive- Expensive to make/repair

- Cheaper- Easier to make-repair

- Wear off- Not as aesthetic

Pros Options

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Denture RetentionPros

Options

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Denture Retention

Attachments

Pros Options

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Denture Retention

Attachments

Bar & clips

Pros Options

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Denture Retention

Attachments

Advantages - The bar splints the implants

Bar & clips

Pros Options

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Denture Retention

Attachments

Advantages

Dis-advantages

- The bar splints the implants

- Technique sensitive- Clips fractures

Bar & clips

Pros Options

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Denture Retention

Attachments

Advantages

Dis-advantages

- The bar splints the implants

- Technique sensitive- Clips fractures

Bar & clips Balls

Pros Options

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Denture Retention

Attachments

Advantages

Dis-advantages

- The bar splints the implants

- Technique sensitive- Clips fractures

- Less technique sensitive- More angulation

- Bulky- Housing fractures

Bar & clips Balls

Pros Options

Tuesday 29 October 13

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Denture Retention

Attachments

Advantages

Dis-advantages

- The bar splints the implants

- Technique sensitive- Clips fractures

- Less technique sensitive- More angulation

- Bulky- Housing fractures

Bar & clips Balls Locators

Pros Options

Tuesday 29 October 13

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Denture Retention

Attachments

Advantages

Dis-advantages

- The bar splints the implants

- Technique sensitive- Clips fractures

- Less technique sensitive- More angulation

- Bulky- Housing fractures

Bar & clips Balls Locators

- Less bulky- More angulation

- Less housing fractures

- Expensive

Pros Options

Tuesday 29 October 13

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Denture Retention

Attachments

Advantages

Dis-advantages

- The bar splints the implants

- Technique sensitive- Clips fractures

- Less technique sensitive- More angulation

- Bulky- Housing fractures

Bar & clips Balls Locators

- Less bulky- More angulation

- Less housing fractures

- Expensive

Pros Options

Tuesday 29 October 13

Page 69: Dental Implants Prosthetic Superstructuresdrmohdalfarsi.com/for-my-students/dental-implants...Prosthetic Options FP-1 FP-2 FP-3 RP-4 RP-5 Classification Replaces crown only Replaces

Prosthetic Options

FP-1

FP-2

FP-3

RP-4

RP-5

Replaces crown only

Replaces crown & root

Replaces crown, root & gingiva

Implant-supported

Tissue & implant-supported

Classification

Tuesday 29 October 13

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RP-5 Tissue & implant-supportedClassification

Tuesday 29 October 13

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Pros Options RP-5 Tissue & implant-supported

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DefinitionRemovable prostheses that are supported by both the

implants and the alveolar ridge

Pros Options RP-5 Tissue & implant-supported

Tuesday 29 October 13

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Definition

Indications- Inability to place enough implants for the implant-

supported denture

Removable prostheses that are supported by both the implants and the alveolar ridge

Pros Options RP-5 Tissue & implant-supported

Tuesday 29 October 13

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Definition

Indications

Contra-indications

- Inability to place enough implants for the implant-supported denture

- Young patients due to high bone resorption

Removable prostheses that are supported by both the implants and the alveolar ridge

Pros Options RP-5 Tissue & implant-supported

Tuesday 29 October 13

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Definition

Indications

Contra-indications

- Inability to place enough implants for the implant-supported denture

- Young patients due to high bone resorption

Material of choice

Framework: - Titanium

Removable prostheses that are supported by both the implants and the alveolar ridge

Pros Options RP-5 Tissue & implant-supported

Teeth: - Porcelain - Acrylic

Tuesday 29 October 13

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The End

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The End

Reference

Tuesday 29 October 13


Prosthetic cover

Prosthetic cover

PROSTHETIC COURSE

PROSTHETIC COURSE

Prosthetic Treatment

Prosthetic Treatment

FP-488 FP-547H FP-594 FP-647H(min X Bov,Ck,GP,Gt,Hms,Hrs,Hu,Ms,Rb,Shp Sr Prot) 0,5mg FP-SA6120 FP-SB6120 FP-SD6120 FP-SC6120 185,00 155,00 Goat IgG Anti-Rat IgG (H+L) 1mg FP-SA6000

FP-488 FP-547H FP-594 FP-647H(min X Bov,Ck,GP,Gt,Hms,Hrs,Hu,Ms,Rb,Shp Sr Prot) 0,5mg FP-SA6120 FP-SB6120 FP-SD6120 FP-SC6120 185,00 155,00 Goat IgG Anti-Rat IgG (H+L) 1mg FP-SA6000

FP-1 FP-2 FP-3 FP-3.5 FP-5 FP-6 FP-9 49 4 ... - PemadamApi.id€¦ · FIRE EXTINGUISHER THERMATIC Type Fire Class Media Detection Working Pressure Capacity Height Width Protection

FP-1 FP-2 FP-3 FP-3.5 FP-5 FP-6 FP-9 49 4 ... - PemadamApi.id€¦ · FIRE EXTINGUISHER THERMATIC Type Fire Class Media Detection Working Pressure Capacity Height Width Protection

Clinical Screws, Abutment Screws, and Prosthetic Screws ... · Clinical screws, abutment screws and prosthetic screws are part of a multi-component system that replaces teeth and

Clinical Screws, Abutment Screws, and Prosthetic Screws ... · Clinical screws, abutment screws and prosthetic screws are part of a multi-component system that replaces teeth and

PROSTHETIC PROCEDURES

PROSTHETIC PROCEDURES

Prosthetic covers

Prosthetic covers

Ghc. prosthetic

Ghc. prosthetic

Prosthetic Hysteria

Prosthetic Hysteria

The Australian Orthotic Prosthetic Association Inc. · The Australian Orthotic Prosthetic Association Inc. ... The Australian Orthotic Prosthetic Association ... overarching guidance

The Australian Orthotic Prosthetic Association Inc. · The Australian Orthotic Prosthetic Association Inc. ... The Australian Orthotic Prosthetic Association ... overarching guidance

OVERVIEW OF THE PROSTHETIC ARM CHALLENGE 2 · Prosthetic Arm Challenge Overview The Prosthetic Arm Challenge 2.0 involves the development of a low-cost prosthetic device with integrated

OVERVIEW OF THE PROSTHETIC ARM CHALLENGE 2 · Prosthetic Arm Challenge Overview The Prosthetic Arm Challenge 2.0 involves the development of a low-cost prosthetic device with integrated

DEVELOPMENT OF PROSTHETIC LEG USING MAGNETORHEOLOGICAL DAMPEReprints.utem.edu.my/16711/1/Development Of Prosthetic Leg Using...development of prosthetic leg using magnetorheological

DEVELOPMENT OF PROSTHETIC LEG USING MAGNETORHEOLOGICAL DAMPEReprints.utem.edu.my/16711/1/Development Of Prosthetic Leg Using...development of prosthetic leg using magnetorheological

Partial Knee Replacement - WordPress.com · knee and replaces it with prosthetic implants. Unlike a total knee replacement, which removes all of the cartilage, a partial knee replacement

Partial Knee Replacement - WordPress.com · knee and replaces it with prosthetic implants. Unlike a total knee replacement, which removes all of the cartilage, a partial knee replacement

Prosthetic Technology Enabling Accessibility...Prosthetic Technology Enabling Accessibility Dino Christodoulou - Prosthetic Manager Josephine Herriott -Occupational Therapy Sharon

Prosthetic Technology Enabling Accessibility...Prosthetic Technology Enabling Accessibility Dino Christodoulou - Prosthetic Manager Josephine Herriott -Occupational Therapy Sharon

Prosthetic Management

Prosthetic Management

June 17, 2010 · 2018. 4. 18. · 2,933 2,905 2,978 2,964 3,032 2,967 0 1,000 2,000 3,000 1st FP 2nd FP 3rd FP 4th FP 5th FP 6th FP 7th FP 8th FP 9th FP(Forcast) 10th FP(Forcast)

June 17, 2010 · 2018. 4. 18. · 2,933 2,905 2,978 2,964 3,032 2,967 0 1,000 2,000 3,000 1st FP 2nd FP 3rd FP 4th FP 5th FP 6th FP 7th FP 8th FP 9th FP(Forcast) 10th FP(Forcast)

Inclusive Prosthetic Components Catalog - Dental CEglidewelldental.com/.../uploads/...prosthetic-components-catalog.pdf · PROSTHETIC COMPONENTS. Product Catalog August 2016. 2. 3.

Inclusive Prosthetic Components Catalog - Dental CEglidewelldental.com/.../uploads/...prosthetic-components-catalog.pdf · PROSTHETIC COMPONENTS. Product Catalog August 2016. 2. 3.

Prosthetic Limbs

Prosthetic Limbs

Prosthetic & Orthotics

Prosthetic & Orthotics