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 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 implants for multiple missing teeth 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

      

Failed bridge replaced with dental implants 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

Basal dental implants for full mouth in india, chennai

Basal implants in Chennai

A blog  about dental clinic in Chennai which has a leading practice in dental implants & only clinic doing Basal implants

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

3D Intraoral scanner in 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, Kamatchi Nagar, Venugopal Nagar, Porur, Chennai, 

Tamil Nadu 600056

                                             Contact us at :            

 +91 - 9600030601 /  044- 43800059

After Zirconium implant placement

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

AFFORDABLE DENTAL IMPLANTS IN INDIA

OCCLUSAL VIEW OF BASAL IMPLANT

IMPLANT SUPPORTED PERMANENT CROWN ON LOWER MOLAR REGION

LATERAL VIEW OF IMPLANT SUPPORTED CROWN

For further details ,
visit us at : http://www.chinthamanilaserdentalclinic.com
                   http://www.dentalimplantsindia.org

 Mail us at : chinthamanidental@gmail.com
 Contact us at : 044-43800059 , 91-9283786776

Why to replace a missing teeth is becoming so important now????.. Dental awareness.....

WHAT HAPPENS IF YOU DONT REPLACE A MISSING TEETH….IN A LONG RUN...

The upper molar which has no opposing teeth is growing down beyond the biting plane

LOng term missing teeth led to flaring of  teeth 

Long time missing of posteriors lead to anterior chewing pattern which will  weaken the front teeth as they are not designed to bear the chewing stress all alone
The result will be loosing the left out teeth too…



Solution is to replace the teeth not only for aesthetic purposes but for functional use as well…. Immediate loading dental implants can solve this problem be it recently removed/ to be removed teeth/ long term missing teeth..
The solution can be achieved Quick too…in Just 3 days….


For more details contact us:
Email: chinthamanidental@gmail.com
visit us at: www.chinthamanilaserdentalclinic.com
www.youtube.com/chinthamanidental
Phone: 044-43800059/9283786776

FAILED DENTAL IMPLANTS- HOW TO PROCEED

Failed Dental Implants-How to proceed?

Dental Implant Failures!!

    Dental implant failures are a night mare to both patients and dental implantologist together.
The better term would be IMPLANT LOOSENING!!
Causes for dental implant failure
Its a multifactorial process..
The possible causes of dental implant loosening are
   1.  Lack of primary stability..that means how much stable the implant was during the placement
   2.  Over drilling
   3.  Over heating during implant osteotomy
   4.  High points in the teeth
   5.  Lateral interfernces during chewing
   6.  Patient biting hard food during inital healing period
   7.  Gross lack of oral hygiene by the patient
   8.  Parafunctional habits like bruximsm, night grinding etc.
   9. Poor bone quality in the area especially maxillary implants
Photos of DENTAL IMPLANT FAILURE and TREATMENT

Failed 2 piece implants during removal

Removed 2 piece implants

X- ray showing bone loss around the implant

After placement of BCS implants

After giving hybrid denture

Dental implant failure is not the end of the story.Various treatment options available to correct the situation,,
They are..
   1.Removing the failed implant and replacing immediately with wider and longer implants..preferably with Basal Dental Implants ( either BOI or BCS)
   2. Removing the mobile implants and waiting for few weeks or months depending on the situation to allow bone formation.Then placing fresh implants .
   3.Going for implant removal and treating with different treatment options like tooth supported bridge or dentures!!
                     VISIT US athttp://www.drmurugavel.in/

                     Connect us through   chinthamanilaserdentalclinic@gmail.com

Basal Implants Vs Zygomatic implants

Basal Implants Vs Zygomatic implants

Basal Implants Vs Zygomatic implants

BASAL IMPLANT Zygoma implant If you have been told that there is less bone in your upper jaw for dental implants, do not worry. The best solution for cases with severe bone resorption in upper jaw is Basal implant. Basal implants are replacing zygomatic implants as the best solution for patients requiring dental implants for upper jaw. Such patients were going for sinus lift or bone grafts as per old techniques. In a single procedure we place Basal implant and place the permanent crown in 3 days. As we use single piece implants the procedure is flapless and done under local anaesthesia.

The advantage of basal implants over zygomatic implants

Basal implant Zygomatic implant Type of implants Single piece Implants is used. No screw loosening and no crestal bone loss. Screw based implants used. Screw loosening is a problem Cantilevers No cantilevers placed Molars if given are placed as cantilevers, which decrease the life of the bridge and cause screw loosening on the implant. Criteria No contraindications Symptom free and pathologically free sinus Relative risk of failure Since sinus is not involved, no risk of sinusitis Risk of sinus infection Permanent bridge Permanent ceramic bridge on 3rd day of implant placement, as the implant engages hard cortical bone. Acrylic/plastic for first 4 months. Then cantilever permanent ceramic bridge given after 4 months. CT scan Not needed. Compulsorily needed Surgical guide Not needed Compulsorily needed Anaesthesia Local anaesthesia with or without sedation General anaesthesia Cost of implant Being regular sized single piece implant it is relatively cheap. Zygomatic implants are very long manufactured specifically for the purpose, hence very expensive. Cost of the technique is more as CT scan and surgical guide is used. No of implants for  full upper jaw 6-8 for upper jaw. 8 -10 for upper jaw No of teeth 14 teeth are given. Teeth replaced till second molar 10 teeth or 12 teeth given. 2nd molar is not given. No of trips One trip, as permanent ceramic crown or bridge is placed in 3 days Two trips. Permanent teeth fixed after 3 months of implant placement. Warranty Lifetime warranty on implant No warranty

When the patient requires fixed teeth on dental implants in upper jaw, then the options are:

» Cantilever bridges: For example in All-on-4 or All-on-6 techniques, implants are placed in anterior regions only and as such 1st molar crowns are placed as cantilevers and 2nd molars are not replaced at all. Sometimes only 10 teeth are placed. Another disadvantage of cantilevers is that the permanent ceramic bridges are fixed after 3-6 months.

What are BASAL IMPLANTS

Basal implants are implants located even when bone is less in upper jaw. They allow the prosthetic rehabilitation on dental implants in upper jaw. The applied forces go to the pterygomaxillar buttress area allowing immediate loading of the implants.

Advantages of BASAL IMPLANTS

» Eliminates the need of sinus grafting. » No cantilevers from front teeth or implants » Efficient chewing is possible as teeth upto second molars are replaced. In cantilevers and zygomatic implant cases or in all-on -4 and all – on – 6 techniques 2nd molars are not replaced. If replaced then they are made as cantilevers which make the last implant weak and the bridge susceptible to fracture in the long run. » Bone in pterygoid area is cortical in nature, and hence very strong and rigid allowing Immediate loading with permanent crown in 3 days. » Single piece implants are used which are strong in comparision to conventional dental implants » All patients who want dental implants in upper jaw are good candidates as bone is always available in pterygoid area. » Flapless technique is used, as such patients have no swelling or bleeding and patients need not stop blood thinners, if they are taking any. » Lifetime warranty given as strong single piece implants are being used in strong cortical bone. » 100% success rate. life time warranty

CRESTAL Vs BASAL IMPLANTS

CRESTAL Vs BASAL IMPLANTS

Criteria	Crestal (Axial / Screw)Implants	Basal Implants
Shape and structure	Root form - designed to imitate roots of a tooth	The implants look like an inverted T
Endosseous section	Screw shaped with machined / sandblasted / HA coated surfaces.	Flat / blade like surfaces with spaces permitting bone in growth.
Technique	Insertion thro’ crestal bone and communication with oral cavity much more than basal implants	Insertion thro’ lateral aspect of basal bone. Load bearing area of implant has no communication with the oral cavity.
Bone requirement	Vertical bone – both crestal and rarely a small portion of basal bone.	Basal bone is what is needed. Horizontal aspects of the bone are fully utilized along with the inner and outer cortices.
Armamentarium	A large set of instruments are necessary for procedures	Instrumentation relatively a lot simpler
Bone grafting procedures	Essential in cases of deficiency in bone height. Grafting procedures give unpredictable results	Not essential.
Bone displacement	Considerable bone substance displacement / loss occurs and varies with size and length of implant. Crestal bone is more susceptible to resorption	Displace upto 60% less bone substance. Bone integrity and perfusion are barely impaired. Basal bone - highly resistant to resorption
Mucosal penetration diameter	Larger. Chances of peri implantitis, vertical bone loss, crater like bone loss and infections are relatively high	Smaller (1.9 – 2.3mm. only). The whole vertical implant part is polished – hence,  chances  of problems seen as in the case of crestal implants relatively very low.
Anatomy – proximity to Maxillary Sinus & Inf.Alveolar Nerve	Very important consideration and technique is to be modified accordingly. Bone augmentation essential in most cases.	Overcoming unfavorably placed MS and IAN is possible
Abutment angulations	Two piece implants have to have pre-angulated abutments. KOS single piece implants provide angulated as well as bendable abutment provisions.	All BOI implants have bendable abutments.
Loading	Two piece implants often require delayed loading & two surgical phases at times	Immediate loading
Healing	Prolonged healing time – clinically significant	Bone healing time not clinically significant
Masticatory forces	Act in the vertical direction along the sides of the screw structure	Transferred to the basal plate deep into the cortical bone areas which are able to accept large loads and have great capacity for regeneration.
Resterilization of implant including abutments	Impossible	Possible after pre-cleaning
Applications in destructive periodontitis & after multiple extractions of teeth	Placement nearly impossible and success is unpredictable.	Placement of implants very much possible and results are excellent.
Smoking patients	Failure rate is nearly 100%	Best option for smoking patients
Controlled diabetic patients	Crestal implants always run a risk of failure in cases where there are blood sugar variations	Blood sugar variations may not affect the survival of the implant at all.

Visit us at www.murugavel.in

Contact us via Email: chinthamanidental@gmail.com

Phone: 9283786776

           044- 43800059