Dental Implant

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

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.

Dr. Ashish Shah

Computer Guided Implant Surgery

Computer-guided dental implants:  also known as computer-assisted implant placement or guided implant surgery, are an advanced and precise technique used in the field of dentistry for planning and executing dental implant procedures. This innovative approach combines computer technology, 3D imaging, and surgical precision to ensure optimal results and patient safety. Here are the key points to understand about computer-guided dental implants: **1. 3D Imaging and Digital Scanning:** - The process begins with the acquisition of high-resolution 3D images of the patient's mouth, typically through cone-beam computed tomography (CBCT) scans. - Digital impressions and scans are taken to create a detailed virtual model of the patient's oral anatomy. **2. Virtual Treatment Planning:** - Using specialized software, the dentist or oral surgeon precisely plans the implant placement based on the 3D images and digital models. - Factors such as bone density, available space, and the desired position of the implants are considered during the planning phase. - The software allows for precise measurements and adjustments to ensure the best outcome. **3. Surgical Guide Fabrication:** - A surgical guide or template is created digitally based on the treatment plan. - The guide is typically a custom-made, clear, or tooth-colored appliance that fits over the patient's teeth or dental arch. - It serves as a template during surgery, providing guidance for the exact placement of the dental implants. **4. Minimally Invasive Surgery:** - During the actual implant surgery, the surgical guide ensures that the implants are placed with a high degree of accuracy and minimal trauma to the surrounding tissues. - The dentist follows the pre-determined plan, using the guide to position the implants precisely. **5. Benefits of Computer-Guided Implants:** - Enhanced Precision: Computer guidance minimizes the margin of error, leading to more accurate implant placement. - Reduced Discomfort: Minimally invasive techniques often result in less post-operative pain and quicker recovery times. - Predictable Results: Patients can have confidence in the predictable and successful outcomes of the procedure. - Shorter Surgery Times: Computer-guided surgery is often quicker than traditional implant placement, reducing the time spent in the dental chair. **6. Post-Operative Care:** - After implant placement, patients are provided with specific post-operative care instructions and a follow-up plan. - Regular check-ups and maintenance are essential to monitor the healing process and ensure the long-term success of dental implants. In summary, computer-guided dental implant placement is a cutting-edge technique that leverages digital technology and 3D imaging to plan and execute dental implant surgeries with a high degree of precision. This approach offers numerous benefits, including improved accuracy, reduced discomfort, and predictable outcomes, making it an attractive option for both patients and dental professionals. If you are considering dental implants, consult with an experienced dentist or oral surgeon to determine if computer-guided implant surgery is suitable for your specific needs. Computer-Guided Implant Surgery is revolutionizing the way Implants are done in the mouth. The Procedure is done with Minimum Invasions; that is flapless with a kind of Keyhole Surgery. There are No Sutures given. There is Minimum Bleeding or surgical trauma as the whole procedure is extremely conservative, Implant Positions are determined pre-operatively by the use of highly advanced software.CT Scans and 3D Intra Oral Scanning are done with 3 Shape Intra Oral Scanner. A  3D Surgical Stent is created to determine the exact positions of the Implants. A Specialized  Computer-Guided Kit is used to carry out the procedure. This results in almost uneventful healing. A lady is fed up with her partial Denture. She was finding it very difficult to chew with her old Dentures, The Dentures were loose and unstable.  After a thorough examination, it was decided to carry out all 5 Implants Digitally with Computer-Guided Implant Protocols. The results were very satisfying. There was no swelling or pain. This resulted in the patient going back to work the very next day.

Dr. Ashish Shah

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.