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

PRINCIPLES OF ORTHOPAEDIC BONE SURGERY AND A COMPARISON TO DENTAL IMPLANTOLOGY

Although a number of fractures is still today preferably treated by stabilizing the sites with gypsum, surgical procedures and adequate medical devices have been developed during the last three decades, these include:

1. Screws and plates

2. Intra - bony nails

3. Intra - bony blades

4. Basal implants

Dental Implants and the prosthetic construction of the same resemble the same. 

The intraoral situation is special and different from extra- oral applications

1. The mucosal penetration area around dental implants is under constant and vicious bacterial attack.

2. The saliva washes away bacteria as their excretion products and it stabilizes the pH.

3. Jaw bones are not at all prone to osteomyelitic activity

In orthopaedic surgery (knee and hip replacement surgeries) it is taught that immediate loading(using) after plating or screwing will lead to good healing and bone remodelling. The same concept is follwed in immediate loading dental implants. 

Primary implant stability refers to the stability of a dental implant immediately after implantation. Its value is derived from a mechanical engraving  of the titanium screw implant in the patient's bone tissue. High initial stabilization may be an indication for immediate loading with prosthetic reconstruction. When the healing process is complete, the initial mechanical stability is fully replaced by biological stability. The most critical moment for implantation success is the moment very less initial stabilisation, pending sufficient bone reconstruction supporting long-term maintenance of the implant. Usually this occurs during the 3–4 weeks after implantation. If primary stability was not high enough following implantation, the implant's mobility is high and can cause failure.

For more details on treatment options visist us at: 

www.chinthamanilaserdentalclinic.com

www.youtube.com/chinthamanidental

For appointments: 044- 43800059/ 9283786776