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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

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

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.

Dr. Ashish Shah

eMax Dental Veneers To Replace Old Restorations

  eMax DentalVeneers For Replacing Old Veneers: Upgrade Your Smile Are your old veneers showing signs of wear and tear? Consider upgrading to eMax veneers for a fresh, natural-looking smile. Here are some key points to consider when replacing old veneers with eMax veneers: 1. **eMax Dental Veneers: A Superior Choice** - eMax veneers are known for their exceptional durability and lifelike appearance. - They are made from high-quality lithium disilicate ceramic, a material that closely mimics the natural translucency of teeth. 2. **Enhanced Aesthetics** - One of the primary reasons for replacing old veneers is to enhance your smile's aesthetics. - eMax veneers offer improved color stability and a more natural look, ensuring your smile remains radiant for years. 3. **Stain Resistance** - eMax Dental veneers are highly stain-resistant, which means you can enjoy your favorite foods and beverages without worrying about discoloration. - Unlike some older veneer materials, eMax veneers maintain their bright, white appearance. 4. **Longevity** - eMax veneers are renowned for their longevity, often lasting over a decade with proper care. - This longevity ensures that your investment in a new smile will stand the test of time. 5. **Minimally Invasive Procedure** - The process of replacing old veneers with eMax dental veneers is typically minimally invasive. - In most cases, minimal tooth reduction is required, preserving your natural tooth structure. 6. **Customization** - eMax veneers can be customized to match your unique facial features, ensuring a personalized and harmonious smile. - Your dentist will work closely with you to choose the right shade and shape for your new veneers. 7. **Improved Functionality** - Old veneers may affect your bite or cause discomfort over time. - eMax dental veneers can be designed to improve your bite and restore proper functionality. 8. **Enhanced Self-Confidence** - A beautiful smile can boost your self-confidence and positively impact various aspects of your life, from social interactions to professional opportunities. 9. **Consultation with a Cosmetic Dentist** - It's essential to consult with a skilled cosmetic dentist experienced in eMax veneer placement. - They will assess your current veneers, discuss your goals, and create a personalized treatment plan. 10. **Cost Considerations** - While eMax dental veneers may have a higher upfront cost, their longevity and benefits make them a worthwhile investment in your oral health and appearance. In conclusion, replacing old veneers with eMax veneers can transform your smile into a natural, radiant masterpiece that stands the test of time. Consult with a qualified cosmetic dentist to explore your options and embark on the journey to a confident, beautiful smile. A patient visits us with a complaint of faulty restorations. These restorations were creating an uneven smile. The patient was evaluated on Principles Of Digital Smile Designing[DSD] In this, a mock-up smile was fabricated first to see the results before actually doing the final Veneers. After being satisfactory the Mock-Up was converted into beautiful EMax Veneers. The results as expected were stunning and the patient was extremely pleased. A PLANNED CASE along with the full cooperation of patients helped us to create a Wonderful & Natural Smile.