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Implants September 8, 2022Comments Off on Full Mouth Rehabilitation with Dental Implants

Full Mouth Rehabilitation with Dental Implants

Full mouth rehabilitation with dental implants is a comprehensive dental procedure designed to restore the entire mouth's function, aesthetics, and health by using dental implants as the primary treatment modality. This treatment approach is typically reserved for individuals with extensive dental problems, including multiple missing teeth, severe tooth decay, advanced gum disease, or a combination of these issues. Full mouth rehabilitation with dental implants aims to provide a long-lasting, stable, and natural-looking solution for such patients. Here's an overview of what this procedure entails: 1. **Assessment and Planning**: The process begins with a thorough assessment of the patient's oral health. X-rays, scans, and clinical examinations are conducted to determine the extent of dental issues and the suitability of dental implants. A detailed treatment plan is then created, outlining the number of implants required and the type of dental restorations needed. 2. **Implant Placement**: Dental implants, which are artificial tooth roots typically made of biocompatible materials like titanium, are surgically placed into the jawbone. The number of implants and their precise locations depend on the patient's individual case. Local anesthesia is used during this procedure, and sedation options may be available for anxious patients. 3. **Healing and Osseointegration**: After implant placement, a crucial healing period follows. During this time, which can last several months, the dental implants integrate with the surrounding bone through a process called osseointegration. This fusion ensures the implants are securely anchored in the jawbone, providing a stable foundation for the prosthetic teeth. 4. **Abutment Placement**: Once osseointegration is complete, small connector pieces called abutments are attached to the implant posts. These abutments serve as a link between the dental implants and the final restorations. 5. **Final Restorations**: After the gum tissues have healed around the abutments, custom-made dental restorations (such as crowns, bridges, or dentures) are fabricated. These restorations are designed to mimic the appearance and function of natural teeth, and they are securely attached to the abutments. 6. **Ongoing Maintenance**: Proper oral hygiene and regular dental check-ups are crucial for the long-term success of full mouth rehabilitation with dental implants. Patients are typically provided with guidance on how to care for their new teeth, and they should follow a strict maintenance routine to ensure the longevity of their dental implants. Advantages of Full Mouth Rehabilitation with Dental Implants: 1. **Improved Functionality**: Dental implants offer stability and strength, enabling patients to eat, speak, and chew with confidence, similar to natural teeth. 2. **Enhanced Aesthetics**: The restorations used in this procedure are customized to look and feel like natural teeth, significantly improving the appearance of the smile. 3. **Long-Term Solution**: With proper care, dental implants can last for many years, often a lifetime, making them a cost-effective option in the long run. 4. **Preservation of Jawbone**: Implants stimulate the jawbone, preventing bone loss and maintaining facial structure over time, which is a common concern with traditional dentures. 5. **Comfort and Convenience**: Unlike removable dentures, dental implants are fixed in the mouth, eliminating discomfort and inconvenience associated with removable prosthetics. 6. **Improved Oral Health**: Full mouth rehabilitation can enhance oral health by preventing the shifting of remaining natural teeth and reducing the risk of gum disease. In summary, full mouth rehabilitation with dental implants is a transformative dental procedure that provides patients with a functional, aesthetically pleasing, and long-lasting solution for complex dental issues involving multiple missing teeth or extensive dental damage. It combines advanced surgical techniques with customized dental restorations to create a healthy, confident smile. A patient reports for replacement of a few missing teeth. On Examination it was found : 1]Posterior teeth were fractured and missing. 2]Anterior teeth were mobile. 3]Patient was chewing only with the front teeth. A thorough examination was done with Extra Oral Photographs, Intra Oral Photographs, CBCT Scan, 3D Scan with 3 Shape Scanner.OPG Scan, Various measurements like Vertical Dimensions, Smile Line, etc. A treatment plan was devised based on the principles of DSD[ Digital Smile Designing]. Digital technology was used to determine the final positions and look of  Smile before actually doing it in the patient mouth. The surgery was done in just 2 visits, one for each jaw.[UPPER & LOWER]

Dental Implant
Implants September 7, 2022Comments Off on Immediate Implant in Upper Jaw Molar with Sinus Lift Surgery

Immediate Implant in Upper Jaw Molar with Sinus Lift Surgery

Immediate upper molar extraction with sinus lift surgery is a complex dental procedure that is typically performed when a patient has a compromised upper molar and there is insufficient bone height in the posterior maxilla to support dental implants. Here are some key points to consider about this procedure: 1. **Indications**: This procedure is indicated when a patient has a non-restorable upper molar and wishes to replace it with a dental implant. Additionally, there must be inadequate bone height in the maxillary sinus area to accommodate the implant. 2. **Diagnostic Imaging**: Prior to the procedure, comprehensive diagnostic imaging such as CBCT (Cone Beam Computed Tomography) scans are essential to assess the condition of the tooth, the bone quality and quantity, and the position of the maxillary sinus. 3. **Extraction**: The compromised upper molar is first extracted. This is often followed by socket preservation techniques to maintain as much bone volume as possible. 4. **Sinus Lift**: The sinus lift, also known as a sinus augmentation, is the process of elevating the sinus membrane and adding bone graft material to increase the height of the bone in the posterior maxilla. This is necessary to create enough space for the dental implant. 5. **Bone Grafting**: Various bone graft materials may be used, including autogenous bone from the patient's own body, allografts (from a donor), xenografts (from animals), or synthetic materials. The choice of graft material depends on the patient's needs and the surgeon's preference. 6. **Healing Time**: After the sinus lift and bone grafting, a healing period is required to allow the graft to integrate with the patient's natural bone. This can typically take several months. 7. **Implant Placement**: Once the graft has integrated and there is sufficient bone height, the dental implant can be placed in the augmented area. This is usually performed in a separate surgical procedure. 8. **Osseointegration**: After implant placement, a period of osseointegration is needed, during which the implant fuses with the surrounding bone. This usually takes several months. 9. **Prosthetic Phase**: Once the implant has been integrated, an abutment and a crown can be attached to the implant, restoring function and aesthetics to the patient's smile. 10. **Success Rate**: Success rates for immediate upper molar extraction with sinus lift surgery are generally high when performed by experienced oral surgeons and when patients follow post-operative care instructions diligently. 11. **Potential Complications**: Like any surgical procedure, there are potential risks and complications, including infection, graft failure, implant failure, sinusitis, and nerve damage. Patients should be informed about these risks. 12. **Patient Care**: Patients should be educated about post-operative care, including proper oral hygiene, diet restrictions, and follow-up appointments to monitor healing and ensure the long-term success of the procedure. 13. **Cost Considerations**: This procedure can be costly due to the need for multiple surgeries, graft materials, and dental implants. Patients should discuss financial aspects with their dentist or oral surgeon. It's essential for patients considering immediate upper molar extraction with sinus lift surgery to consult with a skilled oral surgeon or periodontist to determine if they are suitable candidates for the procedure and to discuss the details, risks, and potential benefits specific to their case. Immediate Implants are standard practice in our office. A patient visits us with an abscess in the upper molar. The tooth was extracted with conservative techniques. The Bone in between the roots was carefully preserved. Sinus Lift Surgery was done using Bone expansion techniques with Densah Burs; Implant was inserted at the time of extraction. Bone Augmentation was done to fill the gaps in the extraction socket. The results are just fantastic. Time, Money, and Surgery are minimized.

Dr. Ashish Shah
Implants February 15, 2022Comments Off on Replacement of Fractured Teeth with Immediate Implants

Replacement of Fractured Teeth with Immediate Implants

Replacing Fractured Teeth with Immediate Implants** Immediate dental implant placement after the removal of fractured teeth is a cutting-edge solution that offers numerous benefits for patients. Here are the key points to understand about this procedure: **1. Fast and Efficient:** - Immediate implant placement involves removing a fractured or damaged tooth and replacing it with a dental implant in a single appointment. - This streamlined approach reduces the number of dental visits and minimizes treatment time. **2. Preservation of Bone and Gum Tissue:** - Immediate implants help preserve the surrounding bone and gum tissue by filling the void left by the extracted tooth. - This prevents the bone from deteriorating, which can occur over time after tooth loss. **3. Aesthetic Benefits:** - Immediate implants are designed to closely mimic the appearance and function of natural teeth. - Patients can maintain their smile's aesthetics without the need for a gap or temporary restoration. **4. High Success Rates:** - When performed by an experienced implant dentist, immediate implant placement has shown excellent success rates. - Proper healing and osseointegration (integration with the jawbone) lead to long-term stability. **5. Reduced Treatment Time:** - Traditional implant procedures often involve a waiting period of several months between tooth extraction and implant placement. - Immediate implants streamline the process, allowing patients to enjoy their restored smile sooner. **6. Patient Convenience:** - With immediate implant placement, patients experience minimal disruption to their daily lives. - The recovery period is generally shorter, and there is less discomfort compared to traditional implant methods. **7. Candidacy:** - Not all fractured teeth are suitable candidates for immediate implant placement. - Factors such as the extent of the fracture, the condition of the surrounding bone, and overall oral health are considered in the evaluation. **8. Comprehensive Evaluation:** - The process begins with a thorough examination and assessment by a qualified implant dentist. - Dental imaging, such as X-rays and CT scans, may be used to assess bone quality and quantity. **9. Careful Planning:** - A customized treatment plan is developed, taking into account the patient's specific needs and the type of implant that will be used. **10. Post-Procedure Care:** - Patients will receive post-operative instructions, including guidelines for oral hygiene and dietary restrictions during the healing phase. - Regular follow-up appointments are crucial to monitor healing progress. In conclusion, immediate implant placement after the removal of fractured teeth offers patients a faster, more convenient, and aesthetically pleasing solution for tooth replacement. While not suitable for all cases, this procedure can provide excellent outcomes when performed by skilled implant dentists. If you have a fractured tooth and are considering immediate implants, consult with a qualified dental professional to determine if you are a suitable candidate for this efficient and effective treatment option. A patient aged 42 years came with fractured front teeth. She was embarrassed and wanted the replacement of fractured teeth immediately.  After thorough evaluation; Immediate Implants along with Computer Designed (CAD-CAM) provisional teeth protocol were adopted. Careful atraumatic extractions with specialized instruments were done. This was followed by immediate implants. Patients own blood was drawn to fabricate PRF membranes and growth factors were extracted. This was mixed with artificial bone to create a Sticky Bone.  Computer-Designed teeth were immediately fixed on the implants. The patient was extremely happy and satisfied. Immediate implantation along with immediate loading (teeth) is a regular procedure at Dr. Ashish Shah & Associates.             

Dr. Ashish Shah
Veneers February 4, 2022Comments Off on Treatment Gaps with Emax Veneer

Treatment Gaps with Emax Veneer

Treating Gaps In between Teeth with Emax Veneers ** Treating Gaps with eMax Veneers** Gaps or spaces between teeth, medically known as diastema, can be a source of self-consciousness for many individuals. Fortunately, modern cosmetic dentistry offers a range of solutions, and one highly effective method for closing gaps is through the use of eMax veneers. These ultra-thin, high-quality porcelain veneers are becoming increasingly popular for their ability to transform smiles with precision and natural-looking results. Here's a short article highlighting the treatment of gaps with eMax veneers: **1. Understanding Diastema:** - Diastema refers to the gaps or spaces that can exist between teeth, typically seen in the front teeth. - These gaps may occur due to various factors, including genetics, abnormal tooth size, gum tissue size, or habits such as thumb-sucking. **2. What Are eMax Veneers?** - eMax veneers are a type of dental restoration made from lithium disilicate porcelain, renowned for its strength, durability, and lifelike appearance. - These veneers are exceptionally thin, often as thin as a contact lens, making them an ideal choice for minimal tooth reduction during placement. **3. The Benefits of eMax Veneers for Gap Closure:** - Natural Aesthetics: eMax veneers are custom-crafted to match the shape, size, and color of your natural teeth, ensuring a seamless and natural look. - Minimally Invasive: Compared to other dental treatments, eMax veneers require minimal tooth reduction, preserving the integrity of your natural teeth. - Stain Resistance: eMax porcelain is highly resistant to staining, helping maintain a bright and vibrant smile over time. - Durability: eMax veneers are known for their longevity and ability to withstand daily wear and tear. **4. The Treatment Process:** - Consultation: The process begins with a consultation with a cosmetic dentist to assess your specific needs and discuss your goals. - Custom Design: Your dentist will take impressions and images of your teeth to design custom eMax veneers that fit perfectly and address the gaps effectively. - Preparation: A minimal amount of enamel may be removed from the front surface of the teeth to make room for the veneers. - Placement: The veneers are carefully bonded to the prepared teeth using dental adhesive, resulting in a seamless, gap-free smile. **5. Maintenance and Aftercare:** - After the veneers are placed, it is crucial to maintain good oral hygiene practices, including regular brushing, flossing, and dental check-ups. - While eMax veneers are highly durable, avoiding excessive force or habits like biting on hard objects is essential to preserve their longevity. **6. Confidence in Your Smile:** - eMax veneers can provide an immediate boost in confidence, as they close gaps and create a harmonious, beautiful smile. - Many patients find that their enhanced smile positively impacts their self-esteem and overall well-being. In conclusion, eMax veneers offer a minimally invasive, durable, and aesthetically pleasing solution for closing gaps between teeth. If you have concerns about spaces in your smile and desire a natural-looking, long-lasting solution, consult with a qualified cosmetic dentist to explore the benefits of eMax veneers and embark on your journey to a transformed and gap-free smile. Emax Veneers were the obvious choice for a lady who visits us with a complaint of gaps between her teeth. She was extremely unhappy with her smile. She informed us that she was reluctant to smile fully. She was treated on principles of  Digital Smile Designing. Emax veneers are thin pieces of porcelain which are placed over the top of your real teeth. A bit like a fake nail that is placed over your fingernails, but a lot stronger! They are usually suitable for patients who have straight teeth and are looking to change the shape and size of their teeth. These veneers are also a stronger and more durable material that is more difficult to chip off. Finally, eMax veneers gives you a more realistic appearance as most of the traditional porcelains are opaque, which can make them seem dull in comparison to natural teeth. There is no metal, and the light passing through the porcelain behaves very similarly to light passing through a natural tooth. And, Emax is 4 times stronger than the porcelain used in PFM crowns, decreasing the risk of a patient breaking the crown while eating a normal diet Emax Veneers are the Gold Standard in these situations. Her Simulated After Smile was designed and shown to her before actually doing the veneers. The DSD technology and our years of experience helped us to achieve a gorgeous smile. She was treated with Emax Veneers; the best in its class and the pictures say it all.