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Showing posts with label screw type implants. Show all posts
Showing posts with label screw type implants. Show all posts

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, 9 January 2020

Dental implant smile design in chennai, India

                                                             For further details  visit us
 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

Tuesday, 17 December 2019

Failed bridge replaced with dental implants in chennai, India


    
 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

Tuesday, 10 September 2013

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