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

   http://www.dentalimplantsindia.org

 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

   http://www.dentalimplantsindia.org

 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

   http://www.dentalimplantsindia.org

 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

   http://www.dentalimplantsindia.org

 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

Shaking teeth replacement with dental implants in chennai, India

                  A 44 year old male patient from andhra pradesh approached us with a complaint of shaking lower front teeth with bleeding and swollen gums. The patient stated that his lower front teeth started to shake a year back, which over time led to severe mobility. He was more concerned about his crowding of lower front teeth and told he is having difficulty in brushing there and thought  that might be the reason for his loose gums. As a result of mobility and gum infection, patient felt difficulty in biting food and bleeding gums while brushing his teeth. So, patient wanted to correct his malalignment as well as to find a solution for his shaking teeth and finally approached us.

                            ON CLINICAL EXAMINATION-

           Patients lower front teeth appeared to be crowded and malaligned, gum tissue surrounding the relative teeth seemed to have mild inflammation with bleeding on probing and palpation.

                              ON RADIOGRAPHIC EXAMINATION -

              OPG and CBCT  taken shows moderate to generalised bone loss in all teeth except for the corresponding lower front teeth which shows slightly more bone resorption, due to poor maintenance of the patient.

                                      

                                                        TREATMENT PLAN-

             With regards to patient concern on his malaligned and shaking teeth in lower front region and after complete clinical and radiographic examination we planned to extract his lower front teeth and replacing the missing teeth with basal dental implants in a day follwed by teeth fixing. And informed consent was obtained from the patient.
            Then the extraction and  implant placement placement procedure was carrried out under local anesthesia on the same day of consultation and provisional teeth were given on the same day of implant surgery. Patient is informed that these provisional teeth will be replaced by permanent zirconium crowns after a healing period of 4 to 6 months.

                                   AFTER 4-6 MONTHS OF HEALING
             

Post operative OPG showing well osseointegrated implants after the healing period 

FINAL OUTCOME 

Then 3D digital scanning was done fot the delivery of the prosthesis

3D DIGITAL SCANNING 

A natural looking prosthesis was fixed on the implants. The teeth was mimicking the natural teeth and looked very real and was well aligned with the patients natural teeth, enchancing the patient look and smile. The patient was extremely happy with the final outcome.

                  Well aligned natural looking fixed teeth(zirconium crowns) fulfilling the patients requirement

Back teeth replacement with dental implants in chennai, India

This is a case of 32 year old male with a complaint of pain in his right lower back teeth since 10 days. Patient gave a history of root canal treatment done 7 days back in outside private clinic, since then the pain did not subside due to severe periapical infection. Over the time pain increased , patient was worried with his oral condition, and finally he approached us seeking for a solution, that could restore his well- being.

EXAMINATION OF THE PATIENT
              On intraoral examination, root canal treated tooth exhibited grade 1 mobility, surrounding gum tissues were red, also a root fragment was present on his lower left 1st molar area

                                           

     Full mouth X-ray (OPG and CBCT) was taken, there was an infection around the concerned root canal treated tooth, also there was a infected root fragments in the left lower 1st molar

                           
TREATMENT PLAN
    After complete clinical and radiographic examination, we suggested to extract his infected failed root canal treated tooth on right side and infected root fragments on left side and replacing it with basal dental implants under local anesthesia in a day
      Followed by fixing provisional crown on the same day
      After 4 - 6 months permanent zirconium crowns by digital scanning will be fixed on the same
 day when the patient returns
DENTAL IMPLANT PLACEMENT
         Dental implants of perfect size and height was fixed in the jaw done at the involved site

                  

                  

                  

POSTOPERATIVE OPG  shows well osseointegrated dental implants

                                          
After zirconium crown fixing
                           

  

After crown fixing patient was extremely happy with his teeth, and told " u people completely reduced my pain and made me to eat my favorite foods without any restrictions ".

                            For further details  visit us

   http://www.dentalimplantsindia.org

 Mail us at :

            chinthamanidental@gmail.com

Address:

no.1, 464, Mount Poonamalle High Rd, Iyyapanthangal, Near KFC,Next to ashok residency, Kamatchi Nagar, Venugopal Nagar, Porur, Chennai, Tamil Nadu 600056

Contact us at :

          +91 - 9600030601 /  044- 43800059

Dental implants for missing back teeth in chennai, India

 A 52 year old patient from Singapore approached us with a complaint of missing back teeth since 10 years and wants a fixed solution for his missing teeth in a couple of days. Patient gives a history of wearing removable denture since 2 years and it was broken 2 days back. Patient felt odd and distressed with his teeth, and was hiding his smile since 10 years and finally visited us to regain his smile.
        After complete clinical and radiographic [2D(OPG) and 3D(CBCT)] examination, a comprehensive treatment plan was discussed with the patient
              1.to place basal implants in the involved site under local anesthesia on day of consultation
              2. followed by fixing provisional teeth on the same day
              3. after 6 months that is after complete healing , permanent CADCAM zirconium crowns by 3D digital intraoral scanning(imedit500) will be fixed  on the same day

PREOPERATIVE PHOTOGRAPHS 

 

PREOPERATIVE SMILE 

 PREOPERATIVE OPG  

After placing the implants, provisional teeth were fixed, patient was extremely happy with his teeth and returned to singapore and he was recalled after 6 months for his permanent crowns

HEALED IMPLANTS AFTER 6 MONTHS

 OPG TAKEN AFTER 6 MONTHS

Finally patient came back to change provisional crowns to permanent crowns, on the same day provisional crowns were removed and 3D digital intra oral scanning was recorded for CAD CAM zirconium crowns

                  3D DIGITAL INTRAORAL SCANNING

 CAD CAM milled zirconium crowns

              AFTER ZIRCONIUM CROWN FIXING

Finally permanent zirconium crowns were fixed and the patient was extremely happy with his appearance and told he was well sastisfied with his teeth both functionally as well as esthetically 

CONFIDENT SMILE OF OUR HAPPY PATIENT

 

  

                                                           For further details  visit us

   http://www.dentalimplantsindia.org

 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 implant smile design in chennai, India

                                                             For further details  visit us

   http://www.dentalimplantsindia.org

 Mail us at :

            chinthamanidental@gmail.com

Address:

no.1, 464, Mount Poonamalle High Rd, Iyyapanthangal, Near KFC, Kamatchi Nagar, Venugopal Nagar, Porur, Chennai, Tamil Nadu 600056

Contact us at :

          +91 - 9600030601 /  044- 43800059