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Tuesday 14 April 2020

Immediate dental implants in chennai, India

 A  37 year old male patient from trichy approached us with a complaint of difficulty in chewing foods due presence of pain in his decayed teeth. Past dental history revealed that he lost his upper molar partially 9 years back due to deep dental decay. Somehow he can have soft foods but he is having difficulty in chewing hard foods. So, patient wanted to replace his decayed teeth with dental implants and to have an efficient chewing as early as possible 

                     CLINICAL EXAMINATION 
          On clinical examination there was a decayed root fragments in upper and lower 1st molar
               
                RADIOGRAPHIC EXAMINATION 
3D and 2D radiographic examination revealed good quality of basal and cortical bone for implant placement 

TREATMENT PROCEDURE 
After complete clinical and radiographic examination, treatment plan was discussed with the patient to extract decayed molar and placing dental implants of sufficient height and width at appropriate sites under local anesthesia(STA painless anesthesia) and giving provisional crowns on the same day and to give permanent zirconium crowns after 4-6 months of healing 

DAY 1 - extraction of decayed molar and replacement with dental implants was done on the same day under computerised local anesthesia and impressions were recorded for fixing provisional crowns
On DAY 2 - provisional dental crowns were fixed and the patient was recalled after 4-6 months of healing period for fixing permanent zirconium crowns 
  
AFTER 6 MONTHS OF HEALING PERIOD 


POSTOPERATIVE OPG AFTER 6 MONTHS 


3D digital impressions were recorded on the same day for fixing CAD CAM milled  zirconium crowns 



ZIRCONIUM CROWNS were fixed next day and patient started to chew his favorite foods 


Our happy patient with his zirconium crowns 


                          For further details  visit us
 Mail us at :
            chinthamanidental@gmail.com
Address:
no.1, 464, Mount Poonamalle High Rd, Iyyapanthangal, Near KFC,Next to ashok residency hotel, Kamatchi Nagar, Venugopal Nagar, Porur, Chennai, Tamil Nadu 600056
Contact us at :
          +91 - 9600030601 /  044- 43800059



Saturday 11 April 2020

Front teeth replacement with dental implants at affordable cost in chennai, India

               A 39 year old male patient from chennai came to our clinic with a complaint of shaking lower front teeth since 1 year, because of which he was also having gaps in his front teeth. On questioning about his past dental history, patient told that he underwent implant procedure and the tooth next it was shaking and giving gap. Patient told that he is having bleeding in his gums while brushing and also having difficulty in chewing foods. The patient finally approached us seeking treatment for his shaking teeth and wants a painless treatment with fast recovery. Since it was a front teeth  and also he is a social speaker he stressed that he cannot be without teeth and asked us to fix the teeth on the same day or the next day of the treatment. 

               ON INTRAORAL EXAMINATION 

             Implants and the teeth fixed to it was good was stable, the teeth next to the implants were grade 1 mobile with gaps present between them. The surrounding gums were inflammed and bleeding on probing.
                    

3D AND 2D RADIOGRAPHIC EXAMINATION

Both 3D and 2D xrays shows good quality of cortical and basal bone for accurate placement of implants.


TREATMENT PLAN DISCUSSION

After complete clinical and radiographic examination, treatment plan was discussed with the patient to extract the 2 shaking teeth and placing 2 additional implants under local anesthesia(STA painless computerised anesthesia) and giving provisional teeth on the same day. And we informed patient that after 4-6 months of healing, these provisional crowns should be changed to permanent zirconium crowns.

                 TREATMENT PROCEDURE

On day 1, implant placement procedure was done under local anesthesia and impressions were taken for delivery of provisional crowns. And the provisional teeth were fixed on the same day. The patient is asked to report us after 4-6 months of healing period for changing his provisional crowns to permanent zirconium crowns 

IMMEDIATE POSTOPERATIVE OPG 

OPG showing accurate placement of basal implants at appropriate sites

Finally our patient reported us after 4 months healing period to change his provisional teeth. Patient was happy with the provisional teeth but he was more eager to use zirconium crowns for chewing and came back to us.

HEALING AFTER 4 MONTHS


On the same day, digital impressions by 3D scanning was recorded and teeth were fixed the very next day

3D DIGITAL SCANNING


ZIRCONIUM CROWN FIXING

The next day zirconium crowns of perfect shade matching the adjacent teeth was fixed and gum colors were also added to match his natural gums.


Patient was extremely happy with his treatment. And finally he was asked to report us for follow ups during initial 6 months.


                           For further details  visit us
 Mail us at :
            chinthamanidental@gmail.com
Address:
no.1, 464, Mount Poonamalle High Rd, Iyyapanthangal, Near KFC,Next to ashok residency hotel, Kamatchi Nagar, Venugopal Nagar, Porur, Chennai, Tamil Nadu 600056
Contact us at :
          +91 - 9600030601 /  044- 43800059



Saturday 4 April 2020

Affordable dental implants for missing teeth in chennai, india

          This case report is about our male patient of 29 years from sydney who reported to us with a complaint of missing and few decayed teeth in his lower jaw. This was his first visit to dental treatment, and since childhood he was having fear of dental treatments because of pain and injections. Over years and years he was having difficulty in chewing foods because lower molars on both sides were in trouble and was giving discomfort and pain . Because of difficulty in chewing, he was having restriction in taking his favorite foods and can have only soft diets. He finally decided to undergo dental treatment for his missing and decayed molars, keeping his fear in dental treatments aside. Patients told his main concern was to have a painless dental treatment and particularly stressed that before leaving chennai, he should have his favorite food in chennai that is briyani which is a favorite food of all of us.
  
                     ON CLINICAL EXAMINATION 
     
                   There were missing lower first molar on left side and deep dental decay on both side  lower molars which was tender on percussion, calculus and tartar was also present.



                  RADIOGRAPHIC EXAMINATION

                   Deep dental decay with pus formation around the apex of  left side 2nd molar, right side 2nd molar and wisdom tooth was noticed and the bone quality around the missing teeth was of sufficient height and width for implant placement.



             TREATMENT PLAN DISCUSSION 

        After complete clinical and radiographic examination, treatment plan was discussed with patient to extract the decayed molars and replace it with dental implants of sufficient height and  width under local anesthesia (STA- painless anesthesia) followed by giving provisional crowns on the same day of implant surgery
    
OUR STEPWISE TREATMENT PROCDURE 

 DAY 1 - under local anesthesia(STA- painless anesthesia) extraction of decayed molars and dental implants of required number and of sufficient height and width was placed, followed by  digital scanning(digital impression) was done for crowns

                 


               IMMEDIATE POSTOPERATIVE OPG 
   
Immediate postoperative OPG showing accurate placement of dental implants at its appropriate sites





                             3D DIGITAL SCANNING 



DAY 2 - provisional crowns of perfect contour and shade mirroring adjacent teeth was fixed and from day 2 the patient started to have foods
                                                

Finally the patient was asked to report us after 4-6 months of healing period  to change her provisional crowns to permanent zirconium crowns 
Before leaving to sydney that is after 2 weeks of our dental treatment, patient reported to us for check up and told his chewing efficiency was very good, that he started to have his favorite food that is briyani because of which he came to Chennai, Tamil nadu.



                            For further details  visit us
 Mail us at :
            chinthamanidental@gmail.com
Address:
no.1, 464, Mount Poonamalle High Rd, Iyyapanthangal, Near KFC,Next to ashok residency hotel, Kamatchi Nagar, Venugopal Nagar, Porur, Chennai, Tamil Nadu 600056
Contact us at :
          +91 - 9600030601 /  044- 43800059



Thursday 2 April 2020

Zirconium implants for patients with titanium sensitivity in chennai, India

                     A 42 year old female patient from Bangalore approached us with a complaint of shaking tooth supported bridge which was done 9 years back in a private clinic in Bangalore and few root canal treated teeth without crowns. 

  • During the initial few months of treatment, patient was comfortable with the tooth supported bridge, then after she started to notice that the bridge was shaking and food getting stucked between the bridge and the gum which gave pain both in her gums and teeth as well. 
  • As days goes on the pain got worsen and the gums surrounding the teeth was infected. Also the patient complaints  of gummy smile on left side because of which the patient was hiding her smile for years. Patient wanted to correct her smile and wants a fixed permanent teeth with dental implants in 3 days  at affordable cost and finally approached us.


 ON CLINICAL EXAMINATION 
                  Tooth supported bridge was mobile, few dislodged crowns of root canal treated teeth. Digital documentation was done which shows left lateral gummy smile.



RADIOGRAPHIC EXAMINATION 
                      Radiographs revealed there was a fracture present between the crown and the roots of tooth supported crowns, all the root canal treated teeth sounded good and the bone quality was good for dental implant placement.



TREATMENT PLAN DISCUSSION 
                   After complete clinical and radiographic examination, treatment plan was discussed with patient to remove the tooth supported bridge and extraction of 1st infected teeth alone and replacing it with zirconium dental implants under local anesthesia(STA-painless injection) followed by digital scanning and giving  tooth and implant supported crowns the very next day. And to follow postoperative followup instructions. 

                                                   
IMPLANT PLACEMENT PROCEDURE
                          The entire zirconium dental implant placement procedure was done under local anesthesia (STA- computerised painless injection technique) and 3D digital scanning for crowns was done on the same day of implant surgery.



IMMEDIADTE POSTOPERATIVE OPG 



Immediate postoperative opg showing accurate placement of dental implants at appropriate sites
  
 3D DIGITAL SCANNING 



Implant supported CAD CAM milled pmma bridge was fixed over the implants and tooth as a connected bridge which finally corrected her gummy smile.


Patient was very happy that her gummy smile has disappeared and she was able to chew, speak, brush without any pain in her teeth. Patient was enjoying her foods and good smile without hiding her teeth.

Finally the patient was asked to report us after 4-6 months of healing period  to change her provisional crowns to permanent zirconium crowns 



For further details  visit us
 Mail us at :
            chinthamanidental@gmail.com
Address:
no.1, 464, Mount Poonamalle High Rd, Iyyapanthangal, Near KFC,Next to ashok residency hotel, Kamatchi Nagar, Venugopal Nagar, Porur, Chennai, Tamil Nadu 600056
Contact us at :
          +91-9600030601/044-43800059


Wednesday 1 April 2020

Missing teeth replacemnt with dental implants in chennai, India

                     This is a case report of our 31 year old female patient who came with a complaint of few missing molars since 10 years and deep dental caries in her lower 1st molars. The reason for her missing teeth is that she underwent extraction of  her teeth because of multiple decays and she was not able to chew foods since the molars on both sides were missing. Patients major concern was to have nuts and groundnut cakes which were her favorite foods after 3-4 months of treatment and told that she stopped having her favorite nuts since 10 years. As an end she approached us seeking a permanent solution to improve her chewing both functionally as well as esthetically.

                      ON CLINICAL EXAMINATION

                            There was a missing upper molars and deep dental caries in her lower 1st molars which was very painful, generalised calculus was present.



ON RADIOGRAPHIC EXAMINATION 

Bone quality in edentulous site appears to be good for dental implant placement. And there was  a deep dental caries in lower 1st molars.


TREATMENT PLAN 

After complete clinical and radiographic examination, treatment plan was discussed with the patient to replace the edentulous site with 3 dental implants and root canal treatment for lower decayed 1st molars followed by giving provisional crowns in a couple of days.

TREATMENT PROCEDURE 

First, dental implants in the edentulous site and root canal treatment was done on day 1 under local anesthesia, digital scanning for crown fixing was done.


IMMEDIATE POSTOPERATIVE OPG


3D DIGITAL SCANNING 


Day 2 - cad cam milled pmma crown was fixed for the implants and root canal treated teeth with perfect shade matching 


Patient finally regained her chewing and started enjoying her favorite foods the very next day if implant surgery without any pain throughout the procedure.
    
Finally the patient was asked to report us after 4-6 months of healing period  to change her provisional crowns to permanent zirconium crowns 

                             For further details  visit us
 Mail us at :
            chinthamanidental@gmail.com
Address:
no.1, 464, Mount Poonamalle High Rd, Iyyapanthangal, Near KFC,Next to ashok residency hotel, Kamatchi Nagar, Venugopal Nagar, Porur, Chennai, Tamil Nadu 600056
Contact us at :
          +91 - 9600030601 /  044- 43800059


Laser gum treatment and dental implants in chennai, India

                       A 45 year old female patient from Erode approached us with a complaint of discolored upper front tooth and few teeth shaking with gum infection. Patient gave a history of trauma in her upper front tooth during her childhood, during that time she was asymptomatic, as days and years goes on she noticed that her tooth got discolored more and more severe. After a couple of years of discoloration she started having pain in her tooth which affected his normal well being, also patient gave a history of bleeding gums since 6 months. Patient did not undergo any dental treatment since then, we questioned the patient and her daughter to explain the reason, then we came to know that the  patient is having fear of pain in dental procedures(particularly with needles and injections),even with the normal teeth cleaning procedure she was having fear. Patient and her daughter stressed that she wants a painless dental treatment with quick recovery and finally approached us seeking treatment.

                      ON CLINICAL EXAMINATION 

              The discolored tooth was tender on palpation and percussion, the teeth next to the discolored tooth was grade 2 mobile, all her remaining teeth showed generalised mobility with severe calculus and tartar formation, with severe bleeding in her gums.


ON RADIOGRAPHIC EXAMINATION 

There was severe bone loss with periapical lesion and pus formation in discolored tooth and the tooth next to it. Generalised bone loss in all her existing natural teeth.

Preoperative OPG showing periapical pathology and bone loss

TREATMENT PLAN

 After complete clinical and radiographic examination a comprehensive treatment plan was discussed with the patient 
    1.to extract the discolored tooth and tooth next to it with severe bone loss under local anesthesia(STA painless anesthesia) and replacing it with 2 basal dental implants followed by giving provisional crown on the same day.

2. full mouth scaling followed by LANAP(Laser Assisted New Attachment Procedure) and  DTR (Disclusion Time Reduction) to strengthen her gums and balance her bite in two sittings. 

PROCEDURE 

DAY 1 -  dental implant placement and 1st sitting laser treatment(LANAP) under local anesthesia(STA- computer assisted painless injection technique) followed by 3D digital scanning(digital impression) for crown fixing   
Postoperative instructions and medications 

POSTOPERATIVE OPG - showing accurate placement of dental implant at appropriate sites


3D DIGITAL SCANNING 


 AFTER LASER GUM TREATMENT



DAY 2 - 2nd sitting laser gum treatment and DTR followed by crown fixing and smile designing to close the gaps in the upper front teeth 


Finally CAD CAM milled PMMA  bridge was fixed over the implants.We had given a completely painless treatment throughout the procedure and the prosthesis we fixed had given a esthetically pleasing pleasing appearance to the patient and she was fully satisfied both functionally and esthetically.

Patient was informed to come for regular followups and to follow the postoperative instructions and asked to report us  after 4 - 6 months of healing period to change her provisional crowns to permanent zirconium crowns.

OUR HAPPY PATIENT WITH HAPPY SMILE 



                             For further details  visit us
 Mail us at :
            chinthamanidental@gmail.com
Address:
no.1, 464, Mount Poonamalle High Rd, Iyyapanthangal, Near KFC,Next to ashok residency hotel, Kamatchi Nagar, Venugopal Nagar, Porur, Chennai, Tamil Nadu 600056
Contact us at :
          +91 - 9600030601 /  044- 43800059


Fractured root canal treated teeth replacement with dental implants in a day in chennai, India

                             A young male patient aged 26 years from mumbai visited our clinic with a complaint of broken root canal treated teeth. On questioning about the past dental history, we came to know that the tooth was root canal treated 12 years back in other outside private clinic and tooth supported zirconium crown were given. Now the tooth structure has fractured with the zirconium crown and he was having mild pain in that tooth. Patient wants a fixed permanent solution and to regain his smile back. Also patient told that he is leaving to mumbai the very next day and wants to finish his treatment in a couple of days.

                             CLINICAL EXAMINATION

                      The tooth was tender on percussion and the surrounding gums were painful on palpation with broken root fragments

RADIOGRAPHS-  OPG and CBCT taken revealed a perapical cyst present around the apex of the tooth and we explained the patient that root canal treated tooth was reinfected with pus formation and this was the reason for his pain



                                    TREATMENT PLAN

       After complete examination, treatment plan was discussed with the patient to extract his broken root canal treated teeth followed by replacemnt with basal dental implants under local anesthesia in a day

              DENTAL IMPLANT PLACEMENT PROCEDURE

          After getting written consent from the patient,under local anesthesia the tooth was extracted, after extraction gentle irrigation and curretage was done to remove the cyst followed by irrigation again. Finally one basal dental implant was placed and suturing was done to approximate the gums.

                       

Followed by this, 3D SCANNING using imedit500 intra oral scanner (digital impression) was taken and the prosthesis was delivered on the same day.



FINAL OUTCOME 

After taking the digital impression , prostheis(PMMA crown)  was delivered on the same day. 


 Patient was happy with the final outcome, and we informed the patient to report us after 4 to 6 months to change his provisional crowns to permanent zirconium crowns when he return backs to chennai



                             For further details  visit us
 Mail us at :
            chinthamanidental@gmail.com
Address:
no.1, 464, Mount Poonamalle High Rd, Iyyapanthangal, Near KFC,Next to ashok residency hotel, Kamatchi Nagar, Venugopal Nagar, Porur, Chennai, Tamil Nadu 600056
Contact us at :
          +91 - 9600030601 /  044- 43800059

Dental implants for failed root canal treated teeth in chennai, India

              This is case report of our 32 year old male patient who approached us with a complaint of severe pain in upper front teeth since 1 month. On questioning about the previous dental history, patient gave a history of  2 root canal treated teeth done 8 years back, and tooth supported metal ceramic crown was given to the patient. The other root canal treated tooth was asymptomatic. Patient was not able to speak, that even the tongue pressure over the tooth while speaking and chewing was giving severe pain to the patient, also the patient was not able brush his teeth. Patient itself came to know that the root canal treated teeth was reinfected. then we clearly explained that reinfection in root canal treated teeth is a normal complication and that too it depends on aggressive nature of the bacteria, patient finally understood the current situation of his painful teeth and asked for a permanent solution that would improve his well being.

                               ON CLINICAL EXAMINATION

            The tooth was tender on percussion and palpation of surrounding tissues, adjacent tooth was asymptomatic and there was no tender on palpation and percussion.



ON RADIOGRAPHIC EXAMINATION

A periapical pathology indicating pus formation around the apex of the teeth was noticed and mild to moderate bone loss was noticed around the concerned teeth



3D(CBCT) cross section showing the presence of periapical pathology around the apex of the tooth

TREATMENT PLAN

After complete clinical and radiographic analysis,, treatment plan was discussed with the patient, first extraction of painful root canal treated tooth followed by replacemnet with basal dental implants in a day and giving connected tooth supported PMMA crown on the same day of implant surgery.

TREATMENT PROCEDURE 

Before starting implant and tooth removal procedure, tooth supported metal ceramic crown was removed followed by extraction and implant placement procedure under local anesthesia. 


IMMEDIATE POSTOPERATIVE OPG 




Following the implant placement procedure, 3D digital scanning using imedit500 intra oral scanning was done and  tooth and implant  supported PMMA bridge was fixed on the same day of surgery 

3D DIGITAL SCANNING 


PMMA bridge fixing
 A final outcome, in which the prosthesis is natural looking and mimicks tha adjacent teeth both shadewise and contourwise, and the patient was extremely happy with the final outcome '


Patient was fully satisfied with his appearnce and left back to banglore, and he was asked to report us after  4-6 months of healing period, for changing his provisional(temporary crowns) to permanent zirconium crowns.  
                     
                           For further details  visit us
 Mail us at :
            chinthamanidental@gmail.com
Address:
no.1, 464, Mount Poonamalle High Rd, Iyyapanthangal, Near KFC,Next to ashok residency hotel, Kamatchi Nagar, Venugopal Nagar, Porur, Chennai, Tamil Nadu 600056
Contact us at :
          +91 - 9600030601 /  044- 43800059