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Dr. Ashish Shah
Implants March 14, 2022Comments Off on Computer Guided Implant Surgery

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
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.             

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Implants February 3, 2022Comments Off on Sinus Lift Surgery

Sinus Lift Surgery

Sinus Lift Surgery **Understanding Sinus Lift Surgery** **Introduction:** Sinus lift surgery, also known as sinus augmentation, is a common dental procedure used to create additional space in the upper jaw when there isn't enough bone to support dental implants. This surgery is crucial for patients seeking implant-supported restorations in the upper back teeth region. Here's an informative article presented in point form to help you understand sinus lift surgery: **1. Indications for Sinus Lift Surgery:** - Insufficient Bone: The surgery is necessary when the bone in the upper jaw is too thin or too close to the sinus cavity to support dental implants securely. - Missing Teeth: Patients with missing upper back teeth who desire dental implants often require sinus lift surgery. **2. Types of Sinus Lift Procedures:** - Subantral or Traditional Sinus Lift: Involves lifting the sinus membrane to create space for bone grafting material, typically done through a small window created in the jawbone. - Osteotome Sinus Lift: A less invasive technique that involves compacting existing bone to lift the sinus floor, reducing the need for additional grafting material. **3. Benefits of Sinus Lift Surgery:** - Implant Placement: Enables secure and stable placement of dental implants in the upper jaw. - Improved Aesthetics: Helps restore a natural-looking smile and facial structure. - Enhanced Function: Restores the ability to bite, chew, and speak effectively. - Long-Term Solution: Dental implants supported by adequate bone can last a lifetime with proper care. **4. Preoperative Assessment:** - A thorough examination, including dental imaging (X-rays, CT scans), is conducted to evaluate the patient's bone structure and sinus position. - Medical history is reviewed to ensure the patient is a suitable candidate for the surgery. **5. Sinus Lift Procedure:** - Sedation & Local Anesthesia: The procedure is typically performed under sedation &  local anesthesia to ensure patient comfort. - Sinus Membrane Elevation: The sinus membrane is carefully lifted, and bone grafting material (often synthetic or donor bone) is placed in the newly created space. **6. Dental Implant Placement:** In our Practice, 99% of the time Implants are placed Simultaneously at the time of the Sinus Lift Procedure. - Healing Period: Patients are advised to allow several months for the graft material to integrate with their natural bone. **7. Postoperative Care:** - After the surgery, patients are provided with post-operative instructions. - Pain and swelling are common and can be managed with prescribed medications. - Patients should avoid activities that could disrupt the surgical site during the initial healing period. - **8. Long-Term Maintenance:** - Good oral hygiene practices and regular dental check-ups are essential to maintain the health of dental implants and the surrounding tissues. - Patients should follow their dentist's recommendations for long-term care. In conclusion, sinus lift surgery is a specialized procedure that plays a crucial role in enabling patients with insufficient upper jaw bones to receive dental implants. By creating additional space and providing stability for implant placement, this surgery restores both function and aesthetics to the smile, ultimately enhancing the patient's quality of life. If you are considering dental implants in the upper jaw, consult with an experienced oral surgeon or periodontist to determine if sinus lift surgery is necessary for your case. Sinus Lift Surgery is done when the bone available is inadequate to place Implants in the posterior part of the Upper Jaw. This patient visited us with a complaint of pain in the upper left tooth. On examination, it was seen the 2nd Molar was badly carious. A CBCT was performed to check the availability of Bone. After a thorough examination, it was decided to extract 27 and perform Sinus Lift Surgery for 26 & 27. The patient's own blood was drawn to create a Fibrin Membrane[PRF]and growth Factors[PRGF] These were mixed with bone graft to make a very bioactive bone graft. 2 Implants were simultaneously placed. This reduces the treatment time considerably and the bone generated is of a very high quality.

Implants January 17, 2022Comments Off on Replacement of Fractured Upper Molar with Immediate Sinus lift Bone Grafting and Implant

Replacement of Fractured Upper Molar with Immediate Sinus lift Bone Grafting and Implant

A lady reports with fracture of an Upper Molar Tooth. The said Upper Second Molar had a history of a Cap done after a Root Canal Treatment. The fractured tooth was extracted . An implant was placed at the same time of extraction. A Sinus Lift Surgery with PRF, PRGF, A-PRF and  Demineralised Freese Dried Bone  was done; As the bone was insufficient to hold or grip the Implant  This Helps to Reduce the Number of Surgeries, Time for the entire treatment and produces better quality Bone.