Advanced, Scientific & Ethical Dentistry

Dr.Ashish Shah

Digital Intra Oral Scanning
Implants September 14, 2022Comments Off on Immediate Replacement of Fractured Teeth With Implants

Immediate Replacement of Fractured Teeth With Implants

Immediate loading of dental implants is a technique that allows for the placement of a dental prosthesis (such as a crown, bridge, or denture) on the same day as the implant surgery, rather than waiting for a healing period of several months. This approach has gained popularity in recent years due to its various advantages, but it also comes with certain considerations and limitations. Here's an overview of the advantages and important aspects of immediate loading of dental implants: Advantages: 1. Time Efficiency: Immediate loading significantly reduces the treatment time compared to traditional implant protocols, which require a healing period of several months. Patients can receive their final prosthetic restoration on the same day as the implant placement, minimizing the waiting period for teeth replacement. 2. Improved Aesthetics: Immediate loading provides patients with an immediate solution to their missing teeth, restoring their smile and facial aesthetics right away. This can be especially beneficial for patients who have lost front teeth. 3. Psychological Benefits: Patients often experience improved self-esteem and confidence when they leave the dental office with a fully functional set of teeth on the day of surgery, as opposed to waiting for months with gaps in their smile. 4. Preservation of Bone and Soft Tissue: Immediate loading may help preserve bone and soft tissue around the implant site because it encourages early functional use of the implant, which can stimulate bone remodeling and maintain gum tissue health. 5. Predictable Outcomes: When proper case selection and surgical techniques are employed, immediate loading can yield highly predictable results, with success rates comparable to traditional implant protocols. 6. Reduced Discomfort: Patients may experience less discomfort and postoperative pain with immediate loading because they do not have to endure the discomfort associated with wearing removable dentures during the healing phase. Important Considerations: 1. Case Selection: Not all patients and implant sites are suitable for immediate loading. Factors such as bone quality, quantity, and implant stability are crucial in determining whether immediate loading is appropriate. 2. Surgical Expertise: Performing immediate loading requires a high level of surgical skill and expertise. Implants must be placed with precision to ensure initial stability. 3. Prosthetic Considerations: The design and fabrication of the prosthetic restoration for immediate loading are critical. The restoration must distribute forces evenly and not overload the implant during the initial healing phase. 4. Risk of Complications: While immediate loading has a high success rate, there is a slightly increased risk of implant failure compared to traditional delayed loading. Patients must adhere to postoperative care instructions to minimize this risk. 5. Follow-Up Care: Frequent follow-up appointments with the dental provider are necessary to monitor the healing process and make any necessary adjustments to the prosthetic restoration. 6. Patient Compliance: Patients must be willing to follow strict postoperative care instructions, including dietary restrictions and oral hygiene practices, to ensure the success of immediate loading. In summary, the Immediate loading of Dental Implants offers numerous advantages, including reduced treatment time, improved aesthetics, and psychological benefits. However, it is essential to carefully select suitable cases, ensure surgical expertise, and consider various factors to minimize the associated risks and maximize the chances of a successful outcome. Patients should consult with their dental provider to determine if immediate loading is a suitable option for their specific needs. A lady reports with fracture of her front teeth. She is highly conscious as expected. Previously she had undergone an Implant and crown at another  Dental Clinic but the treatment had failed. Her Fractured and Decayed Teeth are removed and replaced Immediately with Implants and Provisional Teeth. She is also advised to undergo posterior teeth replacement.

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 June 9, 2022Comments Off on Full Mouth Rehabilitation With Implants In Mumbai

Full Mouth Rehabilitation With Implants In Mumbai

Full Mouth Rehabilitation with Implants **Title: Full Mouth Rehabilitation with Implants: Restoring Your Smile and Oral Health** **Introduction:** Full mouth rehabilitation with implants is a transformative dental procedure that offers a comprehensive solution for individuals who have lost multiple teeth or are suffering from severe dental issues. This treatment approach involves the use of dental implants to replace missing teeth and restore both function and aesthetics to the mouth. **1. Assessment and Planning:** - The journey towards full mouth rehabilitation begins with a thorough assessment by a qualified dentist or oral surgeon. - The dentist reviews the patient's dental and medical history, performs a detailed examination, and may use diagnostic tools such as X-rays or 3D imaging to assess the current oral condition. - A customized treatment plan is then developed, outlining the number and placement of implants and any additional procedures needed to prepare the mouth for implant placement. **2. Implant Placement:** - Implant placement is a surgical procedure typically performed under local anesthesia. - Titanium dental implants are surgically inserted into the jawbone at predetermined locations. - Over several months, the implants naturally fuse with the surrounding bone through a process called osseointegration, providing a strong and stable foundation. **3. Prosthetic Attachment:** - Once the implants have fully integrated with the jawbone, prosthetic devices such as crowns, bridges, or dentures can be attached to them. - These prosthetics are custom-designed to mimic the appearance and function of natural teeth. - The result is a complete, functional, and aesthetically pleasing smile that allows patients to eat, speak, and smile with confidence. **4. Benefits of Full Mouth Rehabilitation with Implants:** - Improved Function: Dental implants restore chewing and biting capabilities, allowing patients to enjoy a wider range of foods. - Enhanced Aesthetics: The prosthetic teeth closely resemble natural teeth, providing a more attractive and youthful appearance. - Durability: Implants are long-lasting and can potentially last a lifetime with proper care. - Confidence Boost: Patients regain self-esteem and confidence in their smiles and overall oral health. **5. Care and Maintenance:** - Good oral hygiene practices, including regular brushing, flossing, and dental check-ups, are essential to maintain the health of implants and prosthetics. - Professional cleanings and examinations should be scheduled as recommended by the dentist. **Conclusion:** Full mouth rehabilitation with implants offers a comprehensive solution for individuals facing significant dental challenges. With proper assessment, careful planning, and the use of advanced dental technology, this procedure can restore not only oral function but also the confidence and quality of life of those who undergo it. If you have multiple missing teeth or complex dental issues, consult with a qualified dental professional to explore the potential benefits of full mouth rehabilitation with implants. Full Mouth Rehabilitation with Implants is done for an 83-year-old Lady. She is highly soft-spoken and intelligent. She is made to understand the problems associated with her teeth. After understanding, she agrees to undergo the treatment with full faith. She surrenders entirely to our approach. Implants are one of the best modalities for replacing missing teeth. The Teeth are all made from very high strength Zirconia. The results are just stunning.