text:
|Publication number
|Publication type
|Application number
|Publication date
|Mar 15, 2011
|Filing date
|Oct 10, 2007
|Priority date
|Oct 10, 2006
|Fee status
|Also published as
|Publication number
|Lambert J. STUMPEL
|Original Assignee
|Stumpel Lambert J
|Export Citation
|BiBTeX, EndNote, RefMan
|Patent Citations (25), Non-Patent Citations (10), Referenced by (30), Classifications (7), Legal Events (1)
|External Links: USPTO, USPTO Assignment, Espacenet
This application claims priority to U.S. Provisional Patent Application No. 60/850,605 filed Oct. 10, 2006, entitled Implant Positioning System Model Based, the entire contents of which application is incorporated herein by this reference.
1. Field of the Invention
The present invention relates to a method of positioning a dental implant at an implant site. More particularly, the present invention relates to method of positioning a dental implant utilizing a dental cast, preparing a surgical guide, using the surgical guide as is, or in conjunction with the drilling of a model osteotomy, allowing pre-fabrication of an abutment and/or a temporary crown, and intra-oral placement of the dental implant.
2. Description of Related Art
Dental implants are an increasingly popular option for patients with missing teeth due to excessive decay, bone or gum damage, or accidents causing physical displacement and the like. Dental implants provide an attractive alternative to dentures because they look natural and require less maintenance. Implants further provide a stronger biting surface and allow patients to resume their normal diets.
In comparison to dentures and the like, however, dental implant procedures involve costly and complex surgical work. More accurately, dental implant procedures generally involve the placement of a dental implant or abutment in the underlying jawbone as a foundation, and the subsequent attachment of a prosthetic to the implant above the gum line. Generally, a dental osteotomy must be performed to prepare the bone for placement of the implant in order to place the implant. The implant is then inserted and fixed into the bone where it serves to hold the dental prosthetic. Accordingly, the osteotomy and implant placement must be precise.
The most difficult and skill intensive part of the implant procedure is generally positioning the drill to create the hole in the jawbone that will receive the implant. The hole must be formed at the precise location relative to adjacent teeth for a natural, attractive look. The hole must also be positioned in the proper location in the bone to ensure a solid base for the prosthetic. Inaccuracies in placing the hole can damage nearby vital structures such as nerves, blood vessels, sinus and neighboring teeth.
Improper placement of the hole for the implant also presents problems for the surgeon during the implant procedure. If the hole is not placed in the proper position in the jawbone, further drilling may be necessary. Even more troublesome, if bone has been mistakenly removed, new bone may have to be grafted or added to the site and let to heal for 3-6 months before a new attempt can be made.
For these reasons, implant procedures typically require the expertise of oral surgeons and usually are avoided by general dentists. Even some oral surgeons hesitate to do implant procedures because of the unique skills and experience required.
Positioning mistakes also require additional office visits by the patient, additional time to completion, and unnecessary discomfort. For this reason, it is highly desirable to reduce the risk of mistakenly drilling in an incorrect position.
Many tools and methods exist for increasing the accuracy, reliability, and ease with which a surgeon can perform the drilling operation. The most popular technique remains free-hand alignment. In the case of free-hand drilling, a surgeon draws upon his or her experience to determine the proper trajectory and final location of the implant. Not only does this require a steady hand, but the surgeon must also make a judgment as to where the bone is located below gum surface. Because the bone is masked under the gum tissue and because it is difficult to fully inspect the site, the surgeon typically has great difficulty in determining the proper position in this initial step.
The flap method is the typical method for overcoming the problem of determining bone position below the gum line. The flap method involves physically cutting a flap of skin near the site and surveying the implant site to determine the position of the jawbone. This method increases the risk of infection and provides further discomfort for the patient.
Free-hand drilling also presents safety hazards and accuracy problems. Although the surgeon can initially determine where to drill, during the drilling procedure, the drill bit can "jump" or slip. The drill bit can also "walk" or move before the tip of the bit grabs or digs into the bone. Additionally, free-hand drilling requires the surgeon to act without a complete view of the mouth interior and implant site.
Model-based or lab-based methods allow improved positioning by allowing less invasive surveying of the implant site. This method also provides for transferring of the measurements from the cast to the actual site. An exemplar of the prior art is U.S. Pat. No. 7,086,860 to Schuman et al. The Schuman method involves using tools to determine the size, angles, and positions for the dental implant on a model cast. The cast is cut to determine the bone position. A graphic is then drawn on the model and tools are used to transfer the placement information of the graphic to the implant site. In the laboratory, the buccal-lingual ("BL") volume of bone is derived from the subtraction of the tissue depth as measured in the mouth through bone sounding. If the anatomy is followed, an accurate reflection of the available bone volume for implant placement may be determined. The mesio-distal ("MD") positioning of the implant is derived from the transpositioning or translation of information from a radiograph onto the cast.
The above method has several limitations. The MD positioning in the lab is only an estimate and is not verifiable until transferred to a model and the mouth. Also, this method only allows the surgeon to practice drilling on a model and does not assist with transferring or accurately mapping the determined drilling position from the model back to the implant site. Cast models also do not overcome the drilling problems mentioned above.
U.S. Pat. No. 5,556,278 to Meitner is directed to a template to allow a surgeon to more accurately transfer the drilling location determined on the model to the implant site in the mouth. Meitner describes a tooth setup molded around the implant site and then placed on a cast model. The surgeon then drills through the setup. A guide post is inserted through the hole, and a sleeve is inserted over the guide post. A resin is then placed over the entire site with a separating medium between the resin and model. Once the resin dries, the resin is removed and can be used as a template to transfer the exact location from the model to the implant site. Further, the guide sleeve may act as a radiographic marker so the surgeon can determine the location and trajectory of the hole to be made in the bone by taking an X-ray with the template in place in the mouth.
Although the Meitner apparatus allows for relatively precise transfer of a drill location from a model to the implant site, errors still arise due to variations between the model and implant site. Further, the surgeon may decide on a position using the model and later reconsider when the template and sleeve are filmed at the implant site. In this case, the template must be formed again from the start and the patient will be required to make extra visits to the office and wait longer.
Another technique is based upon determining a trajectory for the drill using tools and aids and then translating the trajectory information to the implant site. An exemplar of such a technique is U.S. Pat. No. 5,015,183 to Fenick. Using X-rays, the surgeon determines where the implant should be positioned in the bone and then uses bushings to help guide the drill bit. Fenick also creates a radiology stent that includes a opaque grid. The stent, without any drill bushings, is X-rayed while in the patient's mouth. The stent is then placed over a model of the patient's jaw where the grid provides a frame of reference that helps in manually positioning a drill bit relative to the model jaw. A hole is drilled into the model, and the resulting hole helps align a drill bushing relative to the model. Next, a cast is created over the model to capture the drill bushing. The cast, with the drill bushing, is then placed in the patient's mouth to help guide the drill bit that drills a hole into the patient's jawbone. With the Fenick system, some positional accuracy may be sacrificed because the drill bushing is aligned to a model rather than being aligned directly to the patient's actual jaw.
In more recent years, computers and sophisticated peripheral imaging equipment have caused the positioning of implant systems to become far more sophisticated. Using radiographic and visual images of the mouth, one can construct detailed computer models such as computer aided drafting (CAD/CAM) drawings. The computer allows technicians and surgeons to experiment with many different positions and trajectories in three-dimensional computer space. A computer also allows a user to input various variables into the procedure and calculate the exact trajectory for the drill. Moreover, once the model is constructed and trajectory calculated, the data can be used to prototype a surgical guide for the drill.
Thus, computers in combination with many of the above procedures allow surgeons and technicians great flexibility in preparing for the osteotomy and implant procedure. These tools also allow the accurate translation of the data from the model to the implant site. However, such equipment can be extremely costly. Also, sophisticated equipment requires sophisticated technical skills and may be beyond the reach of those with limited technology skills.
Another method for performing implant osteotomies provides a method for readjusting the drill trajectory directly in the mouth. U.S. Pat. No. 7,097,451 to Tang describes a thermoplastic surgical template that allows adjustment after initially setting a drill position. The Tang template includes a base and a drill guide. The alignment of the drill guide may be determined using conventional methods. Alternatively, the template may be fastened in the mouth without setting an initial drill position.
The Tang template is constructed of a thermoplastic chosen with thermo-properties such that it can be heated to a state whereupon it can be molded. The thermoplastic then hardens when it cools. Thus, the surgeon can place the template, heat the template, readjust the drill guide with a specified tool, and then allow it to harden at the determined position. This process minimizes the number of office visits and steps in the osteotomy procedure. Surgeons can easily adjust the template at will without going through lots of steps or fabricating procedures.
Although the Tang template allows a surgeon to combine modeling with relatively accurate translation of the data to the implant site, such templates and methods lack readjustment control. The surgeon can readjust the template at the mouth site, but readjustment amounts to free-hand alignment. Once the thermoplastic is heated to a moldable state, the template flows freely in all directions. Essentially, the surgeon must reposition the drill guide in free space, meaning, in three dimensions with 360� of rotation. Additionally, the abutment and temporary crown can only be made after the surgical guide has been approved clinically because of the liberal readjustment procedure. Similar to the other methods described, the Tang method does not provide a controllable and quantifiable method of positioning relative to a dental cast.
In light of the forgoing, it would be beneficial to have a method and apparatus for aligning a dental implant which overcomes the above and other disadvantages of known implant positioning systems and methods. What is needed is an improved method and apparatus for controllably and quantifiably determining and adjusting a desired drilling trajectory that would allow accurately and repeatably performing a dental implant osteotomy and placing of a laboratory analog of an implant.
In summary, one aspect of the present invention is directed to a method of preparing a surgical guide for positioning a dental implant relative to an implant site, said method including one or more of the following steps: providing an alignment assembly, said alignment assembly including a mounting member configured to mount to one or more teeth adjacent to an edentulous area of the implant site, a base connected to the mounting member and dimensioned to extend over the edentulous area, a translation member adjustable with respect to the base, and a rotation member adjustable with respect to the translation member, said rotation member including an aperture configured to receive a radiographic marker or a drill; inserting the radiographic marker through the rotational member; placing the alignment assembly at the edentulous area where the dental implant is to be placed; adjusting the mesio-distal (MD) rotational alignment of the radiographic marker while holding the buccal-lingual (BL) rotational alignment mechanically fixed; and adjusting the MD translational alignment of the radiographic marker while holding the BL rotational alignment mechanically fixed.
The method may further include the steps of: placing the alignment assembly on a model of the edentulous area; adjusting the BL rotational alignment of the radiographic marker while holding the MD rotational alignment mechanically fixed; and adjusting BL translational alignment of the radiographic marker while holding the MD translational alignment mechanically fixed. The method may further include the steps of: inserting a guide member in place of the radiographic marker; modeling drilling of a jaw bone on a model of the implant site using the alignment assembly; and evaluating the position of the guide member relative to the implant site. The method may further include the steps of: fabricating a surgical guide based on the alignment assembly whereby the guide member in the alignment assembly may be used to guide a drill in a mouth; and placing the surgical guide at the implant site.
The mounting member may be formed of an impression material spatially setting the base relative to the edentulous area. The base and the translation member may be configured such that the translation member can adjustably translate in a longitudinal direction relative to the base member for adjustment of MD translational alignment.
The translation member may be selected from a set of translation members having incremental MD offsets, wherein MD translational alignment may be adjusted by selecting a respective one of said set having a desired MD offset. The set of translation members may be reversible such that turning a respective one of said set upside-down provides a negative MD offset. The translation member and the rotation member may be configured such that the rotation member can adjustably translate in a lateral direction relative to the translation member for adjustment of BL translational alignment.
The rotation member may be rotationally fixed when laterally adjusted within the translation member. The rotation member may be selected from a set of rotation members having incremental MD and BL rotational offsets. The set of rotation members may include an array of MD and BL angles allowing adjustment of one of the MD and BL rotational alignments while holding the other of the MD and BL rotational alignments. The set of rotation members may include an array of 0�, 3�, and 7� MD angles, and 0�, 4�, and 10� BL angles.
The method may further include the step of preparing a temporary crown based on the surgical guide alignment. The base may be metal. The translation member may be injection molded plastic. The rotation member may be injection molded plastic.
Another aspect of the present invention is directed to a surgical guide assembly for positioning a drill bit during a dental implant procedure, the guide assembly including: a mounting member configured to mount to one or more teeth adjacent to an edentulous area; a base connected to the mounting member and dimensioned to extend over the edentulous area; a translation member adjustable with respect to the base; and a rotation member adjustable with respect to the translation member, said rotation member including an aperture configured to receive a radiographic marker or a drill. The translation and rotation members may be configured to adjust one of the mesio-distal (MD) rotational alignment and the buccal-lingual (BL) rotational alignment of the radiographic marker inserted in the aperture while holding the other of the MD and BL rotational alignment mechanically fixed. Also, the translation and rotation members may be configured to adjust the other of the MD and BL translational alignment of the radiographic marker while holding said one of the MD and BL translational alignment mechanically fixed.
The base, translation member and rotation member may be configured to adjust one of the MD translational alignment and the BL translational alignment of the radiographic marker while holding the other of the MD and BL rotational alignment mechanically fixed, and may be configured to adjusting the other of the MD and BL translational alignment of the radiographic marker while holding said one of the MD and BL translational alignment mechanically fixed.
The mounting member may be formed of an impression material spatially setting the base relative to the edentulous area. The base and the translation member may be configured such that the translation member can adjustably translate in a longitudinal direction relative to the base member for adjustment of MD translational alignment.
The translation member may be selected from a set of translation members having incremental MD offsets, wherein MD translational alignment may be adjusted by selecting a respective one of said set having a desired MD offset. The set of translation members may be reversible such that turning a respective one of said set upside-down provides a negative MD offset. The translation member and the rotation member may be configured such that the rotation member can adjustably translate in a lateral direction relative to the translation member for adjustment of BL translational alignment.
The rotation member may be selected from a set of rotation members having incremental MD and BL rotational offsets. The set of rotation members may include an array of MD and BL angles allowing adjustment of one of the MD and BL rotational alignments while holding the other of the MD and BL rotational alignments. The set of rotation members may include an array of 0�, 3�, and 7� MD angles, and 0�, 4�, and 10� BL angles. The set of rotational members may be reversible such that turning a respective one of said set upside-down provides a negative MD and/or BL angle.
The base may be metal. The translation member may be injection molded plastic. The rotation member may be injection molded plastic.
The alignment method and guide of the present invention have other features and advantages which will be apparent from or are set forth in more detail in the accompanying drawings, which are incorporated in and form a part of this specification, and the following Detailed Description of the Invention, which together serve to explain the principles of the present invention.
Reference will now be made in detail to various embodiments of the present invention, examples of which are illustrated in the accompanying drawings and described below. While the invention will be described in conjunction with exemplary embodiments, it will be understood that present description is not intended to limit the invention to those exemplary embodiments. On the contrary, the invention is/are intended to cover not only the exemplary embodiments, but also various alternatives, modifications, equivalents and other embodiments, which may be included within the spirit and scope of the invention as defined by the appended claims.
For the purposes of the present discussion, an implant site is defined as a region around an edentulous area where a dental prosthetic is to be placed, or a region around an area that is designed to become an edentulous area when the study is done while the tooth to be replaced is still present. The implant site also includes the adjacent gum tissue and underlying jawbone. The edentulous area is defined by a gap formed by an absence of a tooth. The edentulous area lies above the site where the implant abutment is. The prosthetic tooth eventually resides in and takes up the edentulous area.
In accordance with the present invention, an alignment template is configured to be placed within a patient's mouth and provide guidance for controllably and quantifiably adjusting the necessary drill trajectory. For example, the present invention allows for controllable and quantifiable mesio-distal alignment and buccal-lingual alignment of a drill guide which establishes the desired drill trajectory. For the purpose of clarity, the mesio-distal (MD) direction is the direction from the front of the mouth to the back, and the buccal-lingual (BL) direction is the direction extending from the cheek to the tongue.
Turning now to the drawings, wherein like components are designated by like reference numerals throughout the various figures, attention is directed to
The mounting member may be in the form of a mostly conventional custom-molded template fitting at least a portion of the patient's dental arch 49. Preferably, the mounting member may be a monolithically formed member closely conforming to the shape of at least a portion of the dental arch in a relatively conventional manner. For example, mounting member 40 may be a custom-molded plastic template 51 corresponding to the patient's entire dental arch, as shown in phantom in
Base member 40 is a relatively rigid member that is secured to the mounting member and is dimensioned to bridge the edentulous area. Suitable materials for the base member include metals, alloys, acrylics, thermoplastics and other relatively rigid materials. Preferably the base member is set in mounting member 39. For example, custom-molded plastic template 51 may be formed in situ about the base member. Alternatively, the base member may be adhered or otherwise fastened to the mounting member by otherwise conventional means. Regardless the method of securing the base member to the mounting member, the base member is securely affixed to the mounting member such that the base member also provides a stable platform relative to the patient's teeth as well as the model thereof. Alternatively, the mounting member may be a fabricated from a vacuum formed sheet, formed of a rigid bite registration material, or formed by other suitable means.
In one embodiment, the mounting member is formed of a rigid bite registration or impression material. In this embodiment, base member 40 is manually positioned, by eye, over the edentulous area 32 in a desired initial position. A suitable material such as BLU-MOUSSE� (Parkell, Inc.) is injected over the adjacent teeth and around the base member. During application, the mousse-like consistency of BLU-MOUSSE� allows the material to surround and conform with the adjacent teeth as well as the shape of the base member. Once applied, the material hardens to a plaster-like hardness providing a relatively rigid member solidly positioning the base member with respect to adjacent teeth 53 and, in turn, with respect to edentulous area 32.
With reference to
With reference to
In an exemplary embodiment, translation member 42 is a U-shaped member that slideably receives rotation member 44 to allow BL movement of the rotation member. In the exemplary embodiment, the translation member includes grooves 60 within the U-shape which are dimensioned and configured to receive corresponding tongues 61 of the rotation member. The rotation member is adjustable in the BL direction with respect to the translation member such that the rotation member may be set at a specific position. For example, stiff polyvinyl siloxane (PVS) resin my be used to affix the rotation member relative to the translation member and thus set the rotation member's position. Positioning of the rotation member will be discussed in more detail below.
With reference to
Other means may be used to adjust the position of the translation frame relative to the base member. For example, the translation member and/or the base member may have has indexing holes to allow the adjustability of the MD. Preferably, the indexing holes are equidistantly arranged and located at discrete, known positions.
Turning now to the rotation member, rotation member 44 includes a bore 63 extending from a top end to a bottom end of the rotation member as shown in
Bore 63 is also configured to receive and guide a drill bit 65 during the osteotomy (see
With reference to
In the exemplary embodiment, the translation members and rotation members are made of injection molded plastic. One will appreciate that these members may be formed of other suitable materials such as metals and alloys. Also, the translation members and rotation members may be marked, such as by color-coding or other suitable indicia 67, to easily identify the incremental translations and incremental angles and avoid the risk of confusion. For example and with reference to
The method of positioning the implant abutment and prosthetic can now be described. Preferably, the angle and translation of the desired trajectory is determined first within the MD plane, that is, a substantially vertical plane extending in the MD (i.e., front-to-back) direction (e.g., the plane formed by the intersection of MD axis andVaxis in
Preferably, the desired height of the implant are determined after the MD and BL settings are determined. In particular, the vertical position of the implant platform in relation to the osseous crest is generally determined after the MD and BL translations and rotations have been set.
The method of preparing the surgical guide for placing a dental implant may start with preparing model 35 of a site where a dental implant is to be placed. The model may be fabricated in a conventional manner. For example, an ACCU-TRAC� model base (Colt�ne/Whaledent Inc.), a pindexed cast, or other suitable three-dimensional model may be fabricated. Once the model is prepared, soft tissue depth measurements may be obtained and transferred to the model and the model is reduced and/or marked accordingly.
Concurrently, a custom-molded template 51 of the patient's dental arch may be prepared with base member 40 affixed thereto. As noted above, the custom-molded template may be formed in-situ about the base member, or the base member may be affixed thereto by in a suitable manner.
During the initial patient visit, the alignment assembly 30 may also be prepared as shown in
Once the alignment assembly has been prepared and the initial desired trajectory set, the surgeon, dentist or technician surveys the implant site and determines an initial desired trajectory (see
Once MD translation and rotation are set, the alignment assembly may be fitted to the patient's teeth and the user may take an X-ray or radiograph with the RIR in place in order to verify MD translation and rotation are appropriate. The user may then evaluate whether the MD direction should be further adjusted and, if necessary, repeat one or more steps of the above process.
After the MD direction is verified, alignment assembly 30 may be mounted on model 35 in order to set the BL translation and rotation. As noted above, soft tissue depth measurements may be transferred to the transversely cut model and the model is reduced and/or marked accordingly to illustrate the approximate depth and orientation of the underlying jawbone. One will appreciate that other suitable means may be utilized to determine the approximate location of the jawbone including, but limited to, the use of a CT scan.
Knowing the general location and cross-section of the jawbone underlying the edentulous area, the user may then adjust the BL rotation as necessary to substantially align the RIR with modeled jaw bone. For example, the clinician may adjust the BL angle of the RIR by removing the 7� MD/0� BD rotation member and substituting therefor an appropriate rotation member, for example, a 7� MD/4� BD rotation member. It should be noted that the BL rotational adjustment selection is thus preferably made independently of the distinct MD adjustment as was clinically determined to be the correct MD correction. In this regard, "subsets" of rotation members are appropriately identified by color and/or by other suitable indicia. For example, one may quickly identify the exemplary 7� MD subset by its red color (indicated by the letter "R" in
In any event, the BL translation may be adjusted one or more times before and/or between BL rotation adjustments, or vise versa. As such, the user may rotate or translate the RIR in a single direction within the BL plane at any one time, thus providing controlled and quantifiable adjustment of the RIR within the BL plane.
For the purpose of clarity, the respective translations and rotations are illustrated in
The RIR may be removed from rotation block 44 and replaced with drill guide 47. One will appreciate that the drill guide may be configured to set the drill depth in an otherwise conventional fashion. The alignment assembly is then placed back on the model as shown in
If the hole is determined to be in a suitable position, the next step is to move to the patient's mouth. Now that the alignment assembly has been suitably aligned in the MD and BD directions, both rotationally and translationally, the alignment assembly, with the drill guide in place, may be used as a surgical guide.
The alignment assembly or surgical guide is then fitted within the patient's mouth. The template is then placed on the neighboring teeth in the same manner and position as on the model. The surgeon may make a final evaluation surveying the site and trajectory of the alignment assembly. Alternatively, the surgeon may replace the drill guide with the RIR and take an X-ray or radiograph again.
In comparison to conventional methods, the implant position determined by the alignment assembly may be readjusted with greater ease and flexibility. In order to readjust the alignment, the surgeon only needs to substitute the translation and/or rotation member and select a new alignment as described above. This alignment process can all be done while the patient waits in the chair.
Once the surgeon verifies that the alignment is correct and the drill guide 47 is in place, the surgeon may place a drill bit through the drill guide without damage the template. Based on the fixed MD and BL orientation, the alignment assembly will guide the drill bit into the jawbone in the exact position desired.
After the hole is drilled, an abutment and/or temporary crown may be implanted in an otherwise conventional fashion. If desired, the drill guide may further be used to guide in the abutment assembly.
In other embodiments, the alignment assembly may include various indexed positioning mechanisms fixed to the base. The positioning mechanisms may include tracks, linkages, or the like to incrementally translate or rotate the RIR in one degree of freedom while holding fast the remaining degrees of freedom. Such mechanisms allow the user to controllably and quantifiably incrementally adjust the RIR and thus ultimately align a drill guide along a desired trajectory.
For example, an alternative alignment assembly 30 a is illustrated in
In operation and use, alignment assembly 30 a is used in substantially the same manner as alignment assembly 30 discussed above. As rotation members 44 a and 44 a′ allow for almost infinite adjustment of the BL rotation only one subset of rotation members are necessary. In this embodiment, one or more subsets of MD angle adjustment may be provided for adjustment of the MD angle (e.g., green "G", yellow "Y" and red "R" subsets, see
The method and surgical guide of the present inventions has many advantages over conventional techniques. The surgical guide of the present invention provides a alignment assembly of relatively simple design which allows incremental, accurate, quantifiable and repeatable adjustments of drill trajectory. In part because each alignment direction is set in incremental individual steps, the above alignment method provides greater control and repeatability over conventional methods. The positional data is initially set on the cast model and directly transferred in each step. At each step in the process, the alignment is further refined. Most advantageously, MD alignment, MD rotation, BL alignment, and BL rotations adjustments are independently executed, thus preventing accidental change of one while adjusting another.
The use of a rotation member with indexed or fixed positions provides quantifiable positional information. Thus, the user will always know the last position and have the ability to return to that position if desired. This also allows the user to move in discrete increments. Instead of aligning the guide in free space each and every time, the above apparatus and method allows the user to move in small steps with finer adjustment. Instead of forcing the user to start with a clean-slate each time the alignment is modified, the alignment assembly in accordance with the present invention allows the user to adjust alignment in only the desired direction while holding alignment fixed in all other directions.
The method in accordance with the present invention provides for deliberate adjustments rather than haphazard movement resulting of poor control. If the user wants to adjust the rotation to 3 degrees from −3 degrees, the user need only remove the rotation member and flip it over. In contrast, with conventional methods, the user would have to carefully rotate the guide visually to an estimated −3 degrees and hope that the guide is positioned correctly at −3 degrees and has not further moved in any other direction in the process.
The use of parts with known alignment positions or index data provides the user with exact positioning and feedback on alignment. If a surgeon moves the rotation member in the MD direction laterally, he or she will know exactly how far it has been moved and the new location relative to the edentulous site.
Moreover, the above apparatus and method allows accurate translation or mapping of positioning information to the implant site. The final alignment of the surgical guide is the exact position desired. The implant, abutment, and provisional crown can be placed confidently during just the second patient visit. Complex instruments are further eliminated. Because of the accurate planning, all implants and components can be preordered, eliminating the need for inventory.
For convenience in explanation and accurate definition in the appended claims, the terms "up" or "upper", "down" or "lower", "inside" and "outside" are used to describe features of the present invention with reference to the positions of such features as displayed in the figures.
The foregoing descriptions of specific exemplary embodiments of the present invention have been presented for purposes of illustration and description. They are not intended to be exhaustive or to limit the invention to the precise forms disclosed, and obviously many modifications and variations are possible in light of the above teachings. The exemplary embodiments were chosen and described in order to explain certain principles of the invention and their practical application, to thereby enable others skilled in the art to make and utilize various exemplary embodiments of the present invention, as well as various alternatives and modifications thereof. It is intended that the scope of the invention be defined by the Claims appended hereto and their equivalents.
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|"Materialise Dental-Tooth Supported SurgiGuide", 2006, Materialise Group, Leuven, Belgium.
|"NobelGuide(TM) Options", 2008, http://www.nobelbiocare.com/global/en/ClinicalProcedures/NobelGuide/options.htm.
|"CADImplant—Implanting with Ease™", 2004, CADImplant, Inc., Champfeuillet, France.
|"iDent—ImplantMaster", 2007, http://www.ident-surgical.com/tec—01.htm.
|"Iit—Innovative Implant Technology", 2006, http://www.iitweb.com/product/description/IGS.
|"Materialise Dental—Tooth Supported SurgiGuide", 2006, Materialise Group, Leuven, Belgium.
|"NobelGuide™ Options", 2008, http://www.nobelbiocare.com/global/en/ClinicalProcedures/NobelGuide/options.htm.
|Citing Patent
|Filing date
|Publication date
|Jun 2, 2009
|May 15, 2012
|Krasner Paul R
|Device and method for locating a pulp chamber in a tooth
|Dec 21, 2009
|Jul 31, 2012
|Paul Hertz
|Tooth-implant method and appliance
|Feb 2, 2010
|Feb 4, 2014
|Viax Dental Technologies, LLC
|Method of preparation for restoring tooth structure
|Dec 21, 2010
|May 6, 2014
|Lambert J. STUMPEL
|Surgical guide and method
|Apr 2, 2012
|May 13, 2014
|Paul R. Krasner
|Device and method for locating a pulp chamber in a tooth
|Jun 18, 2010
|Jul 1, 2014
|Guided Surgery Solutions, Llc
|Method for realizing an axial trajectory in a surgical drilling process
|Jun 18, 2010
|Aug 5, 2014
|Guided Surgery Solutions, Llc
|Computer-aided design of a drill guide with a window
|Jun 15, 2012
|Apr 21, 2015
|Viax Dental Technologies, LLC
|Dentist tool
|Apr 17, 2014
|Aug 25, 2015
|GRS Guide System, Inc.
|Positioning and installing surgical drilling devices and related devices and systems
|Apr 6, 2015
|Dec 15, 2015
|GRS Guide System, Inc.
|Positioning and installing surgical drilling devices and related devices and systems
|Aug 21, 2015
|Mar 15, 2016
|FPJ Enterprises, LLC
|Method for establishing drill trajectory for dental implants
|May 5, 2014
|Dec 13, 2016
|Lambert J. STUMPEL
|Surgical guide and method
|Jun 2, 2014
|Feb 21, 2017
|Lloyd T. Anderson
|Impression coping spacer and method of dental casting
|Feb 25, 2016
|Jun 13, 2017
|Benjamin D. Oppenheimer
|Apparatus for aligning a dental drill
|Dec 21, 2009
|Jul 29, 2010
|Paul Hertz
|Tooth-implant method and appliance
|Feb 2, 2009
|Aug 5, 2010
|Remedent Nv
|Method for producing a dentist tool
|Feb 2, 2010
|Aug 5, 2010
|Remedent Nv
|Method for producing a dentist tool
|Jun 2, 2009
|Dec 2, 2010
|Krasner Paul R
|Device and method for locating a pulp chamber in a tooth
|Jun 16, 2010
|May 12, 2011
|Jerome Haber
|Surgical guides
|Jun 18, 2010
|May 12, 2011
|Jerome Haber
|Method for realizing an axial trajectory in a surgical drilling process
|Jun 18, 2010
|May 12, 2011
|Jerome Haber
|Computer-aided design of a drill guide with a window
|Jun 18, 2010
|May 12, 2011
|Jerome Haber
|Computer-aided design of a thin-layer drill guide
|Jun 18, 2010
|May 12, 2011
|Jerome Haber
|Surgical guide with tapered holes
|Dec 21, 2010
|Jun 30, 2011
|Stumpel Lambert J
|Surgical guide and method
|Jan 3, 2013
|Aug 15, 2013
|Mid Corp.
|System, method and apparatus for implementing dental implants
|Mar 14, 2014
|Mar 24, 2016
|Gst Ltd.
|A precision surical guidance tool system and delivery method for implementing dental implants
|May 22, 2015
|Jun 30, 2016
|Ingram Chodorow
|Disposable surgical intervention guides, methods, and kits
|Jan 18, 2012
|Aug 16, 2012
|Megagen Implant Co., Ltd.
|Method for manufacturing an operation guide for a dental implant
|Jan 18, 2012
|Dec 13, 2012
|Megagen Implant Co., Ltd.
|Method for manufacturing an operation guide for a dental implant
|Aug 25, 2014
|Mar 5, 2015
|Navident Medical Device Ltd
|Lockable device, system and method for in-situ drill guide sleeve orientation
|U.S. Classification
|433/75, 433/215, 433/196
|International Classification
|Cooperative Classification
|European Classification


text:
I've been working with the sequel for a couple of months now. And, as it always happens, I've encountered a brick wall. Not writer's block per-se. I still have a billion ideas.
No… this is different. I have too many ideas. I know I want Brodie to do X, and Jamie to be at Y, with Phil [censored]. But there are a thousand ways to skin a cat, and probably more for getting everyone where they need to be.
The problem comes in when I try to execute the plan. My brain can't decide which path would be the most fun to write about, and to read after I'm done. In one path, Brodie never gets back to the police station. But in another path, he has to be there within 15 minutes of the major event. In each case, there is it's own drama, conflict and plot.
But which one is best?
And now you see my problem. I'm a perfectionist. I want the perfect scenario to get the job done, and there really are several very good options.
So, tonight I'll go home and put a list of pros and cons on paper and try to make a decision. Wish me luck.
P.S. OH… and don't forget to check out my goodreads giveaway at: http://www.goodreads.com/giveaway/show/8402-death-has-a-name
I'm giving away an autographed copy of the paperback!!

subset: commoncrawl


text:
"The sun did not shine, it was too wet to play, so we sat in the house all that cold, cold wet day. I sat there with Sally. We sat here we two and we said 'How we wish we had something to do."Alice was beginning to get very tired of sitting by her sister on the bank, and of having nothing to do: once or twice she had peeped into the book her sister was reading, but it had no pictures or conversations in it, "and what is the use of a book," thought Alice 'without pictures or conversation?'"
"The first place that I can well remember was a large pleasant meadow with a pond of clear water in it.
All children, except one, grow up."
"It was seven o'clock of a very warm evening in the Seeonee hills when Father Wolf woke up from his day's rest, scratched himself, yawned, and spread out his paws one after the other to get rid of the sleepy feeling in their tips.
"The night Max wore his wolf suit and made mischief of one kind and another his mother called him 'WILD THING!' and Max said 'I'LL EAT YOU UP!' so he was sent to bed without eating anything."
"Once on a dark winter's day, when the yellow fog hung so thick and heavy in the streets of London that the lamps were lighted and the shop windows blazed with gas as they do at night, an odd-looking little girl sat in a cab with her father and was driven rather slowly through the big thoroughfares."
"Mr. and Mrs. Brown first met Paddington on a railway platform. In fact, that was how he came to have such an unusual name for a bear, for Paddington was the name of the station."
"Everybody knows the story of the Three Little Pigs. Or at least they think they do. But I'll let you in on a little secret. Nobody knows the real story, because nobody has ever heard my side of the story. I'm the Wolf.
"It was so glorious out in the country; it was summer; the cornfields were yellow, the oats were green, the hay had been put up in stacks in the green meadows, and the stork went about on his long red legs, and chattered Egyptian, for this was the language he had learned from his good mother."
"The primroses were over. Toward the edge of the wood where the ground became open and sloped down to an old fence and a brambly ditch beyond, only a few fading patches of pale yellow still showed among the dog's mercury and oak-tree roots. On the other side of the fence, the upper part of the field was full of rabbit holes."
"Mr and Mrs Dursley, of number four Privet Drive, were proud to say that they were perfectly normal, thank you very much."
They were not railway children to begin with. I don't suppose they had ever thought about railways except as a means of getting to Maskelyne and Cook's, the Pantomime, Zoological Gardens, and Madame Tussaud's. They were just ordinary suburban children, and they lived with their Father and Mother in an ordinary red-brick-fronted villa, with coloured glass in the front door, a tiled passage that was called a hall, a bath-room with hot and cold water, electric bells, French windows, and a good deal of white paint, and 'every modern convenience', as the house-agents say."
"Once there was a little girl called Sophie. She was having tea with her mummy in the kitchen. Suddenly there was a ring at the door. Sophie's mummy said 'I wonder who that could be?
"The Iron Man came to the top of the cliff. How far had he walked? Nobody knows. Where had he come from? Nobody knows. Taller than a house, the Iron Man stood at the top of the cliff, on the very brink, in the darkness."
"'Yes,' said Tom bluntly, on opening the front door. 'What d'you want?' A harassed middle-aged woman in a green coat and felt hat stood on his step.
"Mrs. Rachel Lynde lived just where the Avonlea main road dipped down into a little hollow, fringed with alders and ladies' eardrops and traversed by a brook that had its source away back in the woods of the old Cuthbert place"
Anna was walking home from school with Elsbeth, a girl in her class. A lot of snow had fallen in Berlin that winter. It did not melt, so the street cleaners had swept it to the edge of the pavement, and there it had lain for weeks in sad, greying heaps.
"The animals of Farthing Wood were facing their first winter in their new home in the Nature Reserve of White Deer Park."
"Carrie had often dreamed about coming back. In her dreams she was twelve years old again; short, scratched legs in red socks and scuffed, brown sandals, walking along the narrow, dirt path at the side of the railway line to where it plunged down, off the high ridge, through the Druid's Grove."
"Roger, aged seven, and no longer the youngest of the family, ran in wide zigzags, to and fro, across the steep field that sloped up from the lake to Holly Howe, the farm where they were staying for part of the summer holidays."
"The pretty little Swiss town of Mayenfield lies at the foot of a mountain range, whose grim rigged peaks tower high above the valley below."
"It was Monday morning, it was pouring with rain, and it was everyone's first day back at St Barty's Primary School after the Christmas holidays."
"Thumbelina is content to spend her days rowing in a boat made from a tulip petal and sleeping in a cradle made from a polished walnut shell."
Mr Sherlock Holmes, who was usually very late in the mornings, save upon those not infrequent occasions when he stayed up all night, was seated at the breakfast table."
At dawn one still October day in the long ago of the world, across the hill of Alderley, a farmer from Mobberley was riding to Macclesfield fair
"Harmony and Rex Ruff Monty sat side by side in the old chicken house at the bottom of the garden."
"It's a funny thing about mothers and fathers. Even when their own child is the most disgusting little blister you could ever imagine, they still think that he or she is wonderful."


text:
Cavendish Astrophysics
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Several groups do research in astronomy at Cambridge. For more information about these groups follow this link.
Follow this link to find more about our research projects and research activities at the Astrophysics Group.
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Our First Close Look at another Solar System
On the scientific importance of the detection of gravitational waves
ALMA detects [CII] emission from a primeval galaxy at z~7
International Year of Light and Light-based Technologies
In this page we provide information about our main contact details and directions to both the Battcock Centre for Experimental Astrophysics and the Mullard Radio Astronomy Observatory at Lord's Bridge.
The RAPID portable interferometer deploys its first units
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Phillips Community College computer programs
Think about what career is best suited for you, and where you want to study. Request more information now.
Think about what career is best suited for you, and where you want to study. Request more information now.
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Learn about Phillips Community College computer programs, and registering for elective discussion sections and seminars. Which college degrees give you the best chances of finding employment after graduation? You can start working in a high-paying business field with just an associates, or a bachelors degree. To begin, browse accredited business degree programs and certificate courses online. Concentrating on Phillips Community College computer programs, for example, you may gain an advantage in corporate recruiting being done on-campus. Check with the software development department for course registration deadlines, and software programming program requirements. Please use the form above to request admissions info for Phillips Community College.
Businesses of all types have a profound need for talented software specialists. Programmers often start out with a bachelor's degree in computer science or software engineering, followed by intensive on-the-job training. Computer science (CS) degree programs may cover diverse programming languages, depending on the application involved. For example, the C# language combines the robustness of C++ with the advanced features of JAVA programming. The C# language is most easily compiled within Visual Studio IDE, a rapid-development platform. If you are writing a web-based application in ASP.NET, you will be required to code in C# or Visual Basic for the backend.
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text:
The Agricultural Dyes and Pigments Market deals with the development of chemicals which have the ability to impart color. A pigment is a chemical concoction, which adjusts the shade of reflected or transmitted light because of wavelength-particular ingestion.
Pigmentation is altogether not quite the same as fluorescence, brightness, and different types of iridescence, where materials radiate light. Agricultural dye is a substance which is normally pigmented and has a partiality to the substrate with which it is being connected.
Agricultural pigments can be considered as natural or inorganic solids which can be hued, dark and white or fluorescent particulate. They are unaffected physically or artificially by the substrate in which they are consolidated. Additionally, they can alter appearance by scrambling of light.
Organic pigments are for the most part spread in vehicles or substrates to be utilized as a part of utilizations, for example, produce of inks, paints, and so forth. The years of R&D undertaken by the Agricultural Dyes and Pigments Market has led to some interesting applications.
Scope & Regional Forecast of the Agricultural Dyes and Pigments Market:
Some key growth drivers for the Agricultural Dyes and Pigments Market are: developing interest from end-client businesses like manures and colors and colors; expanding applications of industrial dye which incorporate the utilization of colors and colors in seed treatment and yield increases and purchaser inclination for eco-accommodating items.
Request Sample Brochure @ http://industryarc.com/pdfdownload.php?id=15150
Chemical dyes and organic pigments have turned into a vital instrument relating to an assortment of ventures. Pigments suppliers have ensured that pigments can go about as a fundamental piece in rural ventures and discover its utilization in various applications, for example, seed covering, manures. The opportunities are limitless for pigment manufacturers.
The Asia-Pacific region is currently the biggest and the quickest developing region in the Agricultural Dyes and Pigments Market with China driving the main charge. Over the last few years, China has transformed into the main worldwide maker, dealer, and purchaser of dyestuffs. Asian countries are expected to register the most noteworthy developments during the forecast period. Agricultural Dyes and Pigments Market will keep on being focusing on the Asia-Pacific region, where the dominant part of rural operations happen.
Inquiry Before Buying @ http://industryarc.com/inquiry-before-buying.php?id=15150
Segmentations & Key Players Involved in the Agricultural Dyes and Pigments Market:
According to IndustryARC findings, the Agricultural Dyes and Pigments Market can be broken down into various segmentations on the basis of –
- Type: Dyes (Acid Dyes, Basic Dyes, Direct Dyes, Disperse Dyes, Fiber Reactive Dyes, Vat Dyes, Others) and Pigments (Organic, Inorganic).
- Application: Seed Coating, Turf & Ornamental, Fertilizers, Crop Protection, Pond/Lake Colour and Others.
- Geography: Americas, Europe, Asia and Rest of the World.
Direct Purchase For Report @ http://industryarc.com/purchasereport.php?id=15150
Some of the key players involved in the Agricultural Dyes and Pigments Market according to IndustryARC are as follows:
- Blue Nano, Inc.
- Sun Chemical
- Shanghai Caison Color Material Chem.co.
- Medichem kimya sanayi Ticaret Limited
- Sirma Dyes and Chemicals Co.


text: Events @ NM Productions, Inc., Performing Arts. Serving the Washington DC Metro Area. North and South; Crossing Borders Stacy C. Sherwood Community CenterFairfax, VA Share this event: Get Tickets There are no active dates for this event. Powered by Thank you so much for attending North and South; Crossing Borders, and may the tango remain in your heart for many days to come. Until next time! The Team @ NM Productions, Inc. Not Available Event North and South; Crossing Borders Important Note! Tickets will be available at the door, after on line ticket sales have ended. Cash or credit accepted; credit payments will carry a small service fee.Uplifting, hopeful and romantic, North & South; Crossing Borders is the music of the Americas. Just minutes from old town Fairfax, it is a sublime and sexy date night. Join guitarist Kevin Burnes, tenor, Daniel DeVera, and guests, for an inspiring, musical journey through the Americas. Luxuriate in the sensual rhythms of the tango, samba and mambo, and the surprising ways that contemporary american styles blend these roots with traditional jazz, gospel, and folk.Guitar Concert and Vocal Cabaret, May 6, 2017 in Fairfax, Virginia. Discussion LocationStacy C. Sherwood Community Center (View) 3740 Old Lee Hwy Fairfax, VA 22030 United States Map is loading... Categories Arts > Performance Arts > Theatre Music > Folk Music > World Kid Friendly: Yes! Dog Friendly: No Non-Smoking: Yes! Wheelchair Accessible: Yes! Contact Email:email@example.com Events @ NM Productions, Inc., Performing Arts. Serving the Washington DC Metro Area.


text:
Lonesome Onry and Mean: Lying Liars and the Songs Written About Them
After South Carolina representative Joe Wilson's bush-league grandstander heckling of the President last night - imagine the hue and cry if Nancy Pelosi had done the same thing during one of W's inane lie-filled speeches! - what Lonesome, Onry and Mean needs is some songs about lies and liars. One of our favorite candid recorded moments is on the bootleg of Bob Dylan's historic 1966 concert at London's Royal Albert Hall when, after a heckler screams at the electric Dylan "I'm not going to listen to you anymore," Dylan snarls "You're a liar." He can then be heard instructing the Band to "play it really fucking loud" as he kicks off "Like A Rolling Stone." LOM only wishes Dylan could have been there last night to tell Representative Doofus to shut the fuck up. 1. The Castaways, "Liar Liar": LOM's teen-hood was packed with songs about lies, lying and liars. The Castaways sold over two million copies of this one. Break out the go-go cage.
2. The Knickerbockers, "Lies": Another huge '60s hit by the Knickerbockers. Every band in West Texas had to know this one if they were going to play the teen scene. One of those choruses you can't get out of your head.
3. Status Quo, "Lies": With their umpteen guitars and no fear, Status Quo took power to new levels. No less than 22 of their songs, including the oddity "Pictures of Matchstick Men," made the UK Top 10. "Lies" is just full-on fun rock 'n' roll.
4. Rolling Stones, "Lies": The Stones got in on the lying act in with this song from Some Girls (1978). This was when Jagger was augmenting that thick Stones sound with an extra electric guitar. What a smokin' track.
5. Albert King & Stevie Ray Vaughan, "Don't You Lie to Me:" Depending on who you believe, Chuck Berry stole this song from Tampa Red. And who knows if Red was even the first one to do this number, although there is no doubt that he had a 78 rpm version out. Albert and his acolyte Mr. Vaughan just singe this version.
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The Drivers Seat: How To Control News Website Reputation The Drivers Seat: How To Control News Website Reputation August 23
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98. Sometimes attempting to write a successful latest news information site is frustrating. If you educate yourself on online marketing and follow the guidelines, you will have success with your website. Use the tips weve provided as they are tried and true and will lead you to success.
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If you are seeking household staff, please remember that the majority of our Members have not posted a Household Staff Profile or Resume. This is only a small representation of The Domestic Herald membership. To reach more potential candidates, you may wish to post a job ad in our Job Classifieds section. If you would like to post a job(s) and your membership does not currently include Job Postings, please visit the Rates page for info or contact us for upgrade information.
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Please note that The Domestic Herald ™ is not a domestic employment agency, nor are we affiliated with any particular domestic placement service. The Domestic Herald ™ is an Internet community that caters to Household Employers and Staff by providing a self-service Domestic Employment Referral web site and related information for domestics and others. The Domestic Herald ™ will not be involved in any communications or subsequent employment arrangements. We have no further information other than what is provided here. We do not verify the information provided to us by anyone who is featured here, nor do we perform background checks. We offer an unbiased forum for any of our Members to advertise their skills or employment opportunities.


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I'm here in Astoria Oregon, sitting at the base of the 125-foot high Astoria Column with my laptop on my knees, plugging away on this page. There's a slight breeze in the air and the seagulls are crying out above me. All in all, a very peaceful day so far.
After I do a bit more on the web site, I'll probably take the 164-step climb to the top of the Column, just to clear my head and close my eyes for a wee bit.
If you've never been to the famous Column, you're in for a real treat. It was built in 1925 and has 14 amazing murals made in, what is called, Italian sqraffito technique (etched concrete), covering 200 years of history that scroll up the column. Once you make it to the top, you will love the 360-degree view of the entire area.
If you've never been to the famous Column, you're in for a real treat. It was built in 1925 and has 14 amazing murals made in, what is called, Italian sqraffito technique (etched concrete), covering 200 years of history that scroll up the column. Once you make it to the top, you will love the 360-degree view of the entire area.
This amazing Oregon Coast city, which has a history dating back to 1805, is the first American settlement established west of the Rockies and is the western end of the Lewis & Clark Trail. The city, full up of old Victorian homes and historic buildings, overlooks the mighty Columbia River and there are around 10,000 happy residents living here.
The city of Astoria Oregon is extremely rich in history, including Fort Stevens State Park, Fort Astoria, Heritage Center Museum, Flavel House Museum, Uppertown Fire Fighters Museum, the Oregon Film Museum, and the Columbia River Maritime Museum, home to one of the nation's finest displays of model ships and nautical artifacts.
You could fill an entire history book from studying this area of the coast alone.
Placed smack dab at the mouth of the Columbia is the Port of Astoria. At the Port's two marinas, the city welcomes commercial and recreational boaters alike. It also serves as a growing cruise ship port-of-call and marine terminal as well as operating the Astoria Regional Airport.
Sitting on a bench and watching the ships and airplanes has always been an extremely relaxing and peaceful thing for me. It must be because I enjoy travel so much. I often daydream about what exotic places those people are going off to.
For years, Astoria Oregon has been a huge Hollywood draw for it's scenic beauty. Many movies have been filmed in and around the area, including Kindergarten Cop, Free Willy, Short Circuit, The Goonies and Teenage Mutant Ninja Turtles III. I LOVE The Goonies!
I enjoy riding Old 300, the city's 1913 trolley that runs beside the Riverwalk, through town. It's really relaxing and a great way to see the many unique shops and galleries. The price of a ride is $1 or you can ride all day long for $2. Round trip is approx 45 minutes. You can catch the trolley at various places throughout the city.
Historically, the trolley had been leased from the San Antonio Art Museum since 1998 and was finally purchased outright in 2005 by the Astoria Oregon Riverfront Trolley Association (ARTA). Don't leave the city without taking a ride. If you just feel like a walk, you can stroll the waterfront and enjoy the fishing boats and docked passenger ships that fill the surrounding waters.
If you love cutting it up on your skateboard, Astoria now has a fantastic, state-of-the-art skate park facility, designed by Dreamland Skateparks, called Tapiola Park. There's always some action happening there.
There are dozens of terrific restaurants around town. After a yummy lunch, enjoy the water and rent a paddle-boat or go water skiing on the lake.
Take a yacht out on the Columbia River. Go fishing, razor clamming or crabbing along the Northern beaches. Cozy down in an old bookstore with a good piece of literature. Wander through the art galleries and tourist shops. There is so much to do, you'll have a hard time fitting it all in.
Astoria Oregon has some great annual events that they celebrate and the whole town pours into the streets for.
For example, every Sunday, from May to October, a 3-block stretch of 12th Street in the downtown area is cleared of cars and replaced by fresh fruits and vegetables vendors, varying farm and garden products, regional art, crafts, wood works, music and food of all sorts. There is well over 100 vendors that have either grown or made what they sell and are anxious to give you a smile and share their experiences with you. This is Astoria's Sunday Market.
Another favorite annual events is the Astoria-Warrenton Crab &Seafood Festival. You can chow down on succulent Dungeness crab and other seafood and then check out over 200 vendors who come to share other tastes of the city, wine, arts and crafts. It's truly a not-to-miss Astoria event.
If you are looking for a great place for vacation, consider bedding down in here for a week or so. If you're a history buff, you'll absolutely love it. For additional information, download the Astoria Oregon Visitor's Guide on the Oregon Coast Guide Books page.
For more information:
Astoria Oregon-Warrenton Area Chamber of Commerce
PO Box 176, Astoria, OR. 97103
(800) 875-6807
<< Astoria Oregon back to the Northern Oregon Coast page
<< Back to Romantic Oregon Coast Vacations home


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Salvation Army pilot no-interest loan scheme arrives in Napier
Hawke's Bay has been selected to trial a new pilot loan scheme to help support people living on low incomes.
The no-interest loans (NILS) and low interest loans (StepUP) are administered by The Salvation Army as an alternative for people who may otherwise turn to loan sharks or high interest options to borrow money.
Ellen-Marie Carpenter is the community finance caseworker managing the project from the Salvation Army's Napier office.
She said that behind the scheme was a pool of community money which could be recycled to support people to build assets.
RsEAD MORE:
* Salvation Army brings Christmas cheer to needy families
* Salvation Army taps into housing dream for homelessness fundraiser
* BNZ offers no interest loans for poor
NILS loans are interest free and for an amount up to $1000 paid back over 12 months.
StepUP loans are from $1000 to $5000 with an interest rate of 6.99 per cent per annum, paid back over three years.
Ten centres in New Zealand offer the StepUP scheme and 19 offer the NILS scheme, however the Napier Salvation Army will offer both and service the wider Hawke's Bay region.
The scheme was launched in December and will run as a three year trial, once the pilot is complete.
Carpenter said the loans were designed to help people build up assets, such as pay for a second hand car which would enable them to travel for work.
It could also be used to fund funerals, household items like white ware, car repairs, computers, house rental bonds, educations costs and medical or dental costs.
Neither can be used to pay off fines, holidays, Christmas expenses or consolidate other debts.
To qualify applicants must be eligible for a community services card, be in stable accommodation and able to attend a face-to-face interview.
Carpenter said a poor credit rating might not prevent a loan.
The initiative is a joint project backed by BNZ and Kiwibank, which have provided the capital, Good Sheppard, which accredits the programme and the Government, which funds operational costs.
- Stuff


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our mission
The trust endeavours to establish a learning center where in it will be the prime objective to foster education based on modern scientific learning; to promote a healthy mind and a vibrant body enabling facilitation of spiritual development to rejuvenate latent noble virtues in children so that their lives epitomize the values of beauty, dedication, and rationalism there by engendering a world of harmony friendship, brotherhood, peace, and prosperity.
patanjali-a path towards great mission
By the grace of God, Swamiji has taken a divine resolution to erect a grand and world's best residential centre for treatment and research in Yog, Ayurvaid and Naturopathy at Hardwar, the holy land of saints and sages.This service centre initially started on a very tiny scale, now has become a big centre of relief from various ailments and attaining moksha (salvation) for million of people.
Vedic Yajna - Performing Vedic Religious Sacrificial Ritual
From times of yore, our age old saints have not only performed, but also extensively researched the benefits or performing daily Vedic yajnas. The sound vibrations of the mantras themselves are healing, but besides that, right form inception of the Indian civilization , there has been an emphasis on organizing Yajna's like Ashvamedha. The practice of Yajnas was adopted from the humblest of homes in the villages right to the grand, ostentatious events in the palaces. The spirit of these yajnas has been cherished and promoted by the ashram to impact peace, health, prosperity, and spiritual upliftment. The ashram is on an annual basis utilizing, a minimum of 5 quintals of ghee( purified butter) and 10 quintals of samagri. Yajnas purify and in the process ensure emancipation of the individual from evils of worldly existences that ensnare him.
The Rishis of ancient India have been deeply conversant with the ayurvedic means of healing and had a profound knowledge and understanding of the ayurvedic ways of remedy. They had the accomplishments that they could meditate the properties of ayurveda and exterminate diseases of all kinds with its efficacy. Numerous treatise and documents works corroborate the contention that ayurvedic qualities were largely responsible for eradication of myriads of diseases and ensuring a relatively healthy life.
The onset of Medieval Age proved to be a detriment and the committed pursuit of Ayurveda was abandoned in favour of other systems; less effective, but more ornate thereby losing an original way of life that was based on nature and logic. It was forgotten that Ayurveda had the all pervasive effect to treat and eliminate the most recalcitrant of ailments as it followed a time tested principle-- Nature in its magnificence and bounty had provided an alternative to all ills that could be the scourge of mankind.
This being axiomatic as nature is a true and precise embodiment of the divine who has blessed its creation with deliverance from all ills -- a concept that was truly well enshrined in Ayurveda which relied heavily on organic, natural products as epitomes of the divine to evolve cures and locate ailments which otherwise seemed insurmountable.
It is these qualities otherwise scarce to find that the modern world is awakening to and is beginning to find comfort in.
It is an ailment which affects millions. In the ordinary course, allopathy has devised numerous medicines to regulate the problem. These medicines have to be taken life-long and inspite of adherence of to their regimen, Blood Pressure seldom can be cured and it can lead to lethal conditions, such as Brain Hemorrhage, Heart Attack and other equally debilitating problems. The ashram has established an Ayurvedic Research Center where herbs have been combined to evolve a miracle medicine 'MUKTAVATI' which guarantees emancipation from this deadly disease if adopted on regular and methodical basis. All concomitant problems such as Uneasiness, Anxiety, and High Cholesterol which are the inequitable fall outs of high B.P. can also be controlled and eliminated by this wonder drug.
R.A Factor in the blood is positive in the blood in 80% of rheumatoid patients. This disease affects smaller joints of the b e.g. hands but can affect bigger joints too. This advance stage known as 'Amavat' in Ayurveda can have a crippling effect on the body whereby walking, standing, even the simplest of all other physical activities are impaired, leading to despondency in life. The ashram has evolved means through Ayurveda to cure Arthritis in totality. Right from the onset, until it is in its final stages as also, all side effects this ailment may bring in its wake and there by make a person totally fit.
In this the liver can enlarge. It is a devastating disease which can lead to a total failure of the liver leading to total depression and a despairing belief in regards with the incurability of the affliction. Partaking certain juices of specified herbs available in the ashram can lead to an expeditious deliverance from the problem and it has been observed that recovery from Jaundice can be ensured within a few days !
There is treatment available in the early stages of cancer. The ashram has devised remedies for millions of cancer patients namely; 'Heera Bhasm'. Consumption of cows' urine has also proven to be effective in controlling symptoms.
The ashram through its Ayurvedic medication and practice of Yog, has provided relief and succor to thousand of Heart Patients -- even in cases where the patient's Heart Valves were damaged to the extent of 80% to 90%. There is evidence that if medicine has been taken within a specified period of six weeks, blockages in the blood circulation to the heart are dissolved and all verities of cholesterol in the blood (H.D.L., L.D.L., Lipids) are meticulously regulated. There have been cures provided even on enlargement and contraction of the heart muscles. This evidence in itself is commendable.
Apart from the lethal diseases mentioned above, there are other ailments for which cures based on Ayurveda and Yog are being conducted by the ashram. Prime among the diseases being rectified are Asthma, Diabetes, Migraine, Epilepsy, Bronchitis, Jaundice, Slipped-Disc, Paralysis, Ulcer etc. The treatment is organized through 'BRAHMKALP' and by the grace of the Almighty, more than 50,000 persons have availed the benefit from these various treatments.
Within the compounds of the ashram there is a cow pen housing several high pedigreed Indian cows. In our Vedic culture and tradition, cows milk is considered pure nectar. The cow is the form of a mother for she not only provides us with milk but has the nature and qualities of a loving and benign bother. The mere presence of a cow around shall ward off many ailments; the touch and contact of one increases our vision and betters the eyesight. Every part of the cow from its pure milk to its urine has healing and beneficial qualities. In the very near future, the gaushala will be provided with an even more extensive and expensive space and housing.
Path Of Yog
It is by the concentrated and coordinated, tireless and unending efforts of one's body and mind, senses and reason, that an individual attains the prize of inner peace and tranquility and thus fulfils the ultimate quest of the soul to meet and be in union with the Creator. This is the supreme adventure in one's life and journey, to achieve this goal, we must have a guru. Param Pujya Swami Ram Dev Ji Maharaj and Param Pujya Acharya Shri Karamveer Ji Maharaj, along with other inmates of the ashram and with the aid of the trust, have hosted yog and meditation camps throughout India without any consideration for enumeration or any other material benefits. The incumbents are taught YOG ASANS (postures), PRANAYAM (rhythmic control of breath), DHYANA (Meditation), SHATKARMA (six methods of bodily purification), MUDRA (seating postures), as well as discipline and restrain in daily life along with vegetarianism-- having a healthy, fresh, nutritious, and balanced diet.
As a result, every year, thousands of individuals gain inner harmony, peace and joy; healthy, strong and self healing bodies, and are shown a path that transcends the mundane aspects of life and elevates the soul on the course of spiritual progress.
Countless have stopped their unhealthy habits of smoking and drinking; their direction of thinking has been altered from bhog (pain and pleasure ) to yog (balance and harmony). These camps have aided all to experience and understand a higher realization of the self.
A special meditation and yog hall has been constructed on the premises where, throughout the year, camps are held for all to have the opportunity to learn. Special sessions are held also for the children.
A) YOG ASANS FOR: Heart disease , Diabetes, Weight loss, stomach problems, Cervical, spondylitis, slipped-disc, sciatica, spinal problems, sinus, asthma, and arthritis etc. are treated by means of various asanas (postures) like manduk asan, shaskh asan, uttan-pad asan, pavanmukt asan bharkya asan and bhujang asan etc. these asans are taught with precise traditional scientific knowledge and rational systems.
B) PRANAYAM (Rhythmic Control of Breath), BANDHA (a posture where certain organs of the body are contracted and controlled) and KUNDALINI JAGRAN (awakening of one's divine cosmic energy) -Via the teachings and instructions of Bhastrika Pranayam (long and short breath control ), Ujjayi Pranayam (expansion of lungs), and through different techniques like Mool Bandha, Uddhiana Bandha, Jalandhara Bandha etc,and by way of Kundalini Jagran, a disciple is able to study, experience and achieve union with the Supreme Universal Soul- Brahma.
C) Dhyana (Meditation)
First by the means of pranayam techniques, instructions are further given for meditation. Regular rhythmic breathing, Om-jaap and the Gayatri mantra are mediums given to focus and channelize the mind. Practicing very regularly and faithfully, in conjunction with scholarly knowledge, prudence, wisdom, asceticism, and respect; combined with earnest devotion, an aspirant is sure to succeed in gathering an insight into the sublime world of samadhi-- one with the object of meditation-- the supreme spirit prevading the universe, where there has a feeling of inscrutable joy and peace.
D) Hattha Yog and Shatha Karma
Through the medium of different asans and actions and via the knowledge of body purification, one can learn to cure diseases.
E) Atma Darshan (SELF REALIZATION) : Through the quest and diligent practice of yog, satsang (gathering and association of like minded good men), and Svadhyaya (Education of the self by study of the divine literature ), an individual's true inner nature, mind and spirit are awakened; whereby the incumbent experiences oneness with God at all times and is able to translate and share this subtle and sublime inner joy, tranquility, and harmony with others.
Vedic Gurukul
In Kishangarh-Ghaseda ( 8 k.m from Rewari city of Haryana, India) Trust is operating a free Vidhyateertha Gurukul equipped with modern high education and Vedic Sanskrit which help in providing good education to high class as well as middle class and poor students.Gurukul nesting in nature is away from ...
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*AIDS TO MEDITATIION* (Previous page)
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Pleased to announce we've refreshed the site somewhat by giving it a spring clean. It's been tidied up, dusted down and therefore has a newer look and feel.
We would like to think we've kept the easy navigation, but have now introduced one or two logos that we readily use on our stationery.
A new addition is our shopping cart however Worldpay, our payment processor remains the same.
Until 5pm GMT tomorrow (Thursday 16th June 2011) we are offering 25% off all purchases and thereafter 15% until the end of the month.
So if you're looking to update your glasses, or you want to change your image and add a monocle or a very stylish pair of pince-nez, now may be the time to take a look.
Reading Glasses by Daniel Cullen


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Global Environment Facility
The Global Environment Facility (GEF) is an independent financial organization that unites 182 member governments in partnership with international institutions, NGOs, and the private sector. It provides grants to developing countries and countries with economies in transition for projects that address global environmental issues and promote sustainable livelihoods. To date the GEF has granted to CTI-CFF $75 million, which generated $400M in cofinancing.
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Jeremy Grandon, Jeremy Restaurant & Bar, Keego Harbor, Mich.
4 8-oz. pieces of chicken breast
1 cup tahini
1 cup yogurt
2 Tbsp. garlic powder
as needed, assorted summer vegetables (peppers, onions, eggplant and zucchini)
to taste, salt
as needed, fresh chopped rosemary
8 oz. lemon juice
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