Friday 10 June 2016

Basal implants for upper central incisors



Replacing Upper central incisor becomes necessary in the following situations..
    1.Severe decay leading to loss of tooth structure till below the gum line
    2.Failed root canal treatment
   3.Avulsion -displacement of the incisor due to accidents
    4.Severe periapical infection/cyst around the root end of the incisor
   5.Gum disease leading to mobility of the incisor

Replacing a central incisor is important mainly for the reason of AESTHETICS..
Dental implants help patients/doctors to replace central incisors in a way similar to nature..
Dental implants act as a artificial root for the new tooth..and they integrate with the natural bone...and they are biocompatable.
The following patient lost his central incisor in a Sports accident...3 months back.He came for replacement of his central incisor with basal dental implant..
A basal implant of dimension 3.5 x 18mm has been  placed by FLAPLESS technique ..and a ZIRCONIUM CROWN GIVEN WITHIN 4 DAYS...

       

                           Pre treatment Dental xray showing lost central incisor







Post implantation xray showing Basal Implant engaging the nasal cortical bone , which is essential for long term success.




Healing of dental implant after few months..showing good bone remodeling around the neck of implant.
This basal implants are resistant to infection ..because of  2 reasons
 -thin neck 
-smooth polished surface of the neck



For further details ,
 contact us 

+91 - 9171515077 ,
 044 - 43856017   

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Wednesday 8 June 2016

Advantages of BASAL COMPRESSIVE IMPLANTS

Mandibular first and second molar are commonly lost due to untreated decay or failed dental bridges..
COMPRESSIVE IMPLANTS are best suitable, when the teeth were removed before and the socket is already healed..
This patient came with missing 2 molars on right side affecting his chewing efficiency..
This situation can be comfortably treated with basal compressive implants , which can be placed by NONSURGICAL FLAPLESS TECHNIQUE..


ADVANTAGES OF BASAL COMPRESSIVE IMPLANTS ARE..

     1.Fixing teeth immediately after implantation is possible
     2.They are Single piece implants..so no problem of screw loosening which is common in two piece implants
    3.Thin neck of this implants..which minimizes the risk of periimplantitits
    4.The neck allows the implant surgeon to make changes in position of implant head for better position
     5.The strength of single piece compressive implants are much more than two piece implants..which are hollow inside ..
      6.Because of low risk of peri implantitis( infection around implants), they are preferable for DIABETICS AND SMOKERS
     7.During placement in the bone, compressive implants , condense the bone and convert the soft bone into compact bone..This concept is called CORTICALIZATION





Pre treatment xray showing good quality bone in mandible 






Pre treatment dental xray



Post dental implant placement



For further details ,
 contact us 

+91 - 9171515077 ,
 044 - 43856017   

visit  us





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Monday 6 June 2016

Atrophic maxilla - ETIOLOGY & MANAGEMENT


Maxilla  may become ATROPHIC (the meaning of the word atrophic means SHRINKAGE OF BONE IN QUANTITY AND QUALITY)



Loss of jaw bone volume happens due to the following reasons
1.Untreated periodontal disease
                                  2.Not replacing the teeth immediately after tooth loss
                   3.Trauma to jaw and alveolar bone and teeth
           4.Long term use of removable dentures
             5.Wearing removable dentures overnight
                  6.General nutritional and vitamin deficiency
             7.General osteoporosis affecting the jaws


Management options of atrophic maxilla

        1.Bone augmentation option
Artificial or patients own bone taken from hip may be used to augment the jaw bone before implants.
But this option is with extra surgical steps and extra cost with extra complication and long duration of treatment
2.Zygomatic implants
This zygoma implants are a way to avoid bone augmentation procedure.but they need major surgical procedures under general anesthesia..with higher risk and cost
3.Basal implants ..they are a gift to patients with atrophic maxilla as they help to avoid bone augmentation with simpler and safer surgical technique under local anethesia.


Even patients with ATROPHIC JAWS can be REHABILITATED with BASAL IMPLANTS WITHOUT BONE GRAFTS.
This is a boon to millions of patients around the world and this technique of FULL JAW REHABILITATION WITH BASAL IMPLANTS helps to GET FIXED TEETH IN 3 DAYS without bone grafting surgical procedures..

This patient with severe atrophic maxilla due to long term use of dentures even during sleep time.


OPG AFTER IMPLANTS PLACED




BEFORE TREATMENT SHOWING SEVERE BONE RESORPTION IN DISTAL MAXILLA

For further details ,
 contact us 

+91 - 9171515077 ,
 044 - 43856017   

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Saturday 4 June 2016

UPPER FULL JAW IMPLANTS IN LESS BONE SITUATION


This patient with multiple missing teeth in both upper and lower jaws..and lot of BONE RESORPTION IN UPPER JAW..
In this kind of LESS BONE conditions..BASAL IMPLANTS are the BEST CHOICE for full mouth rehabilitation ,as they dont need any bone grafts OR any major bone augmentation procedures..

In upper jaw ALL ON 8 CONCEPT was used and fixed teeth/bridge given in 3rd day..making the patient to smile and eat..

Pre treatment xray showing atrophic condition in maxilla



                              Post treatment showing basal implants in both upper and lower jaw..

For further details , contact us +91 - 9171515077 , 044 - 43856017   

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Sunday 22 May 2016

Immediate loading basal dental implants in lower jaw in INDIA

Immediate loading-The term implies the meaning that new fixed teeth can be fixed immediately after placement of dental implants.
Immediate loading..has become a regular procedure all around the world,thanks to the dental implant advancements.
BASAL IMPLANTS are a revolutionary step in dental implantology, that made IMMEDIATE LOADING A PREDICTABLE AND SUCCESSFULL PROCEDURE.
For this patient..the lower molars and upper molar was replaced by totally 5 BICORTICAL BASAL DENTAL IMPLANTS..and fixed teeth was given in 3 days..so that patient can start chewing...

POST TREATMENT DENTAL OPG




                                         For further details log on to
For enquiry mail us at
bestdentalno1@gmail.com
dr_mrgvl@yahoo.co.in
Contact us at
 +91- 9171515077
                                     044- 43856017




Sunday 8 May 2016

Are you searching for sinus lift & its alternatives ?


  Sinus Lift and its alternatives – pterygoid       

             implants  and basal implants

What is sinus lift surgery?
  • It is also sometimes called as sinus augmentation

  • A sinus lift procedure is a surgery that increase  bone height to the upper jaw in the area of molars and premolars.
.
  • Bone graft is added between the jaw and the maxillary sinuses, which are on each side of the nose
.
  • To give  space  for the bone, the sinus membrane is moved upward, or "lifted." A sinus lift is done by an oral and maxillofacial surgeon.

Reasons for inadequate bone in upper molar area
.

»
The maxillary sinus keeps expanding with age and soon patients have little bone left above the 2nd premolar, 1st molar and 2nd molar.
»
Bone loss due to gum disease.

Long term missing teeth in upper back region.




BRIDGE


Sinus lift  needed repeated surgeries:
Surgery for removing the bone from hip or other suitable area.
Surgery for placing the bone graft.
Surgery for placing the implant.
Surgery to expose the implant.

»
Bone graft failure has been common because of sinus lift complications.

Risk of tear of sinus membrane:

·         The sinus membrane may be punctured or torn.
·         The surgeon will either stitch the sinus tear or place a patch over it. If the repair is not successful, your surgeon may stop the procedure and give the tear time to heal.

·         The sinus lift is repeated once the membrane has healed. This usually takes a few months.

·         Infection of the bone graft may lead to failure.

·         On rarely  the existing bone does not integrate with the bone graft material, and the grafted area does not have a blood supply.

Disadvantages of sinus lift
·         The sinus lift procedures which delay and complicate the patient’s desire to get immediate fixed teeth.
·          
·         The  sinus lift procedures are being replaced by pterygoid implants and basal implants.

·         Pterygoid implants and basal implants allow immediate loading; which means that the patient can get crowns within 3 days after implant placement. 


 INDIRECT  SINUS  LIFT  WITH  BASAL  IMPLANTS WITHOUT SINUS LIFT            
                                                            SURGERY

 

POST  OPERATIVE  OPG


»
Time factor:

·         Waiting period is more because after bone grafting  implants has been placed  and then after 6 months crowns will be placed
»


Cost of sinus lift:

·         The dental implant procedure is  very expensive.

·         . With the pterygoid implants and basal implants the treatment is quick and the patient get permanent teeth at  an affordable price.



                                         
For further details log on to
For enquiry mail us at
dr_mrgvl@yahoo.co.in
Contact us at
 +91- 9171515077
                                     044- 43856017


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»





Saturday 7 May 2016

FIXED TEETH FOR FULL MOUTH WITHIN 3 DAYS ( 72 HRS )





A Patient aged 52 years old from Germany came to our clinic with complaint of unesthetic smile and multiple missing teeth in upper and lower arch





                      Occlusal view of upper arch with failed tooth supported bridge and missing teeth


     Occlusal view of lower arch with attrited teeth front teeth and failed bridge in relation to back teeth



                            Facial view of upper and lower arch with single piece basal implants




                            Upper jaw with 8 implants and with syncrystallisation for stability



                             Lower jaw with 6 implants with syncrystallisation for stability






                                                Provisional bridge in upper and lower jaw



                                            Provisional bridge in right lateral view


                                                occlusal view of provisional bridge in upper jaw




                                       occlusal view of provisional bridge in lower jaw



                                                 Confident smile after 20 years

POST OPERATIVE SMILE



For further details log on to
For enquiry mail us at
dr_mrgvl@yahoo.co.in
Contact us at
 +91- 9171515077
                                     044- 43856017