Dental implant surgery is performed to place root shaped titanium posts at the site of missing teeth. This titanium implant fuses with a surrounding bone through a process known as osseointegration.

[et_pb_section fb_built=”1″ _builder_version=”4.9.2″ _module_preset=”default”][et_pb_row _builder_version=”4.9.2″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.9.2″ _module_preset=”default”][et_pb_text _builder_version=”4.9.2″ _module_preset=”default”] The patient undergoes root canal therapy for left upper central and lateral incisors The patient is a 20-year college-going male from Chennai in Tamil Nadu, India. He is an avid sportsman and has been involved in sports from a young age. Around five years ago, while playing football, an opponent’s head had crashed against his upper left central and lateral incisor teeth. Since it had been around the time of his tenth board exams, he had self-medicated with analgesics without visiting the dentist and the pain had subsided. A few months later, he noticed that the crowns of both teeth had turned slightly darker. There was also a dull ache in the region. He had rushed to his family dentist who had informed him that the two incisors had turned nonvital due to the injury. Nonvital tooth root canal treatment successfully completed on the two upper incisors Root canal therapy had been advised for the two teeth and had been successfully completed. The pain subsided completely. Ceramic crowns had been advised by the dentist for the two teeth. The patient had however completely forgotten about that and had got on with the business of daily living. Reinjury to the same two teeth while playing competitive cricket with friends A few days ago, the patient had been playing cricket with his friends. There was a repeat of the previous accident when he collided with another fielder while trying to complete a difficult catch. This had ended badly for him with the lower half of his lateral incisor cleanly breaking off. There was a lot of pain in the region following the collision. It was only after he got back home that he noticed that the central incisor was mobile. His parents immediately rushed him to their dentist. He obtained radiographic images of the two teeth and explained to them that there was a horizontal root fracture of his central incisor. Explaining further, he said that the tooth had to be extracted. Realizing that the tooth would be lost, the patient wanted a dental implant to replace the missing tooth. Necessity for atraumatic extraction of fractured tooth fragments for implant success The dentist explained to them that the broken root fragment had to be removed atraumatically to ensure that the socket structure was preserved. This would have to be done very skillfully as a root canal treated tooth would be brittle and prone to crumbling. He said that this was imperative for successful dental implant surgery. The American Association of Endodontists advocates this treatment protocol for horizontal fractures of anterior teeth. Artificial teeth in the form of porcelain crowns are fitted onto the implants. Gum tissue modification or bone grafting is not necessary per this protocol. There are also other types of crowns including zirconium used for this treatment. The dentist had informed parents that they needed to get this done at a specialty dental implant hospital. He had then referred the patient to us for further management. Our hospital is a specialty center for dental implant placement. We are amongst the first centers in the city to offer successful graftless implant rehabilitation using zygoma implant surgery. Over 25000 patients have been successfully rehabilitated in our hospital with premium quality dental implants in the last decade. Implant-supported dental crowns are fabricated in our state of art in-house dental laboratory. Dental professionals trained in quality control procedures oversee the entire process. These permanent crowns are fixed over dental implants to offer permanent rehabilitation. Dental cement and luting agents used are of the highest quality thus ensuring very high long-term survival rates. We also place temporary crowns over the dental implants during the fabrication process of the permanent crowns. Initial presentation for fractured tooth extraction and dental implant placement Dr. SM Balaji, dental implant surgeon, examined the patient and obtained imaging studies. These revealed the horizontal root fracture in the middle third region of the tooth. He explained the treatment plan to the patient and his parents who readily consented to the procedure. After administration of local anesthetic, the coronal portion of the fractured tooth was extracted with the extruding root canal obturation material. An endodontic file was then carefully threaded through the broken apical fragment, which was carefully removed without any trauma to the socket. Following the successful removal of the fractured tooth, a Nobel Biocare implant was carefully placed into the extraction socket. The flap was then closed with sutures. Dental implant osseointegration to the socket would take approximately four months. The patient was instructed to return in four months for placement of a ceramic crown on the implant. The patient and his parents expressed understanding of the instructions and will return for ceramic crown fixation. Video – Dental Implant Surgery [/et_pb_text][et_pb_video src=”https://youtu.be/xQcOG0xe_6M” _builder_version=”4.9.2″ _module_preset=”default”][/et_pb_video][/et_pb_column][/et_pb_row][/et_pb_section]

[et_pb_section fb_built=”1″ _builder_version=”4.9.2″ _module_preset=”default”][et_pb_row _builder_version=”4.9.2″ _module_preset=”default”][et_pb_column type=”4_4″ _builder_version=”4.9.2″ _module_preset=”default”][et_pb_text _builder_version=”4.9.2″ _module_preset=”default” text_font_size=”16px”] Missing teeth may lead to additional dental issues, but implants and bridges can restore your smile and enhance your dental and overall health. What is Dental implant? The dental implant is a surgical fixture that is inserted in the jawbone and allowed to attach with the bone for a few months. The dental implant is a substitute for the root of the missing tooth. In exchange, this “artificial tooth root” is used to carry a replacement tooth or bridge. Having a dental implant fused to the jawbone is the closest thing to imitating a natural tooth since it stands on its own without damaging the nearby teeth and has great stability. The process of fusion between the dental implant and the jawbone is called osseointegration. Most dental implants are made of titanium, which helps them to blend into the bone without being known as a foreign object in our body. Technology and research have evolved over time to significantly enhance the results of dental implant placement. Today, the success rate for dental implants is close to 98%. Dental implant Procedure An implant is normally the preferred choice for the replacement of a single tooth. Placing an implant requires careful planning to determine the amount of bone in which the implant is inserted to ensure that sufficient support for the implanted tooth is provided. We may take Cone Beam CT scan(CBCT) of your teeth to see the amount and shape of the bone available for the implant and to take impressions of your teeth. If your jawbone is sufficient, the dentist can use a computer to make models of your jaw to simulate the implant prior to the actual procedure. This will increase the precision of the insertion and minimise the amount of tissue disrupted during the implant process. If your jawbone does not accommodate an implant, we will increase it with bone or bone-like material during surgery. You’ll need to wait a few months for the bone to heal before you get an implant. The next move is to place the titanium screw which replaces the root of the tooth in your jaw. The screw is fitted with a cap that looks like a little stud in your gum. In the next few weeks, your jawbone will expand around the screw to anchor it securely in place, and your gum will heal. In the final step, the dentist will make sure that the implant is securely in place. He or she will remove the screw cap and replace it with a titanium abutment or a post. A porcelain crown designed to fit your surrounding teeth will be cemented or screwed onto the base. What is Dental Bridge? A bridge—which consists of artificial teeth fused to a metal frame—is a good way to replace a few teeth. The frame is cemented to support—either implants or healthy teeth protected by crowns. The more teeth are removed, the more natural teeth or implants are required to provide the bridge with the necessary support. Dental Bridge Procedure Having a bridge is a quicker procedure than getting an implant, but it also involves a number of visits; one for imaging and impressions, one for preparing crown teeth and fitting a temporary bridge, and another for fitting a permanent bridge. Dental implant vs. bridge Dental implants and bridges can theoretically produce natural-looking outcomes, but they do have their own advantages and disadvantages. Here’s a look at how these two tooth replacement choices are compared. [/et_pb_text][dsm_text_divider header=”The Advantages of Dental Implants over Dental Bridge” _builder_version=”4.9.2″ _module_preset=”default” header_font=”|700||on|||||”][/dsm_text_divider][et_pb_blurb use_icon=”on” font_icon=”%%190%%” icon_placement=”left” _builder_version=”4.9.2″ _module_preset=”default” body_font_size=”16px” background_enable_color=”off”] The initial cost of treatment is lower for dental bridges when compared to dental implants; however, the cost of dental implants works out to be cheaper over the long term than dental bridges if you take the following factors into consideration [/et_pb_blurb][et_pb_blurb use_icon=”on” font_icon=”%%190%%” icon_placement=”left” _builder_version=”4.9.2″ _module_preset=”default” body_font_size=”16px” background_enable_color=”off”] Tooth preparation for bridge placement involves mutilation of teeth that will support the bridge (abutment teeth). Any mutilation of tooth structure leads to compromise in the structural integrity of the tooth. Dental implants are very similar to normal teeth to the extent of even mimicking their root structure. They do not require any form of preparation of adjacent teeth. [/et_pb_blurb][et_pb_blurb use_icon=”on” font_icon=”%%190%%” icon_placement=”left” _builder_version=”4.9.2″ _module_preset=”default” body_font_size=”16px” background_enable_color=”off”] Secondary dental caries in abutment teeth is possible after several years in the case of bridges if oral hygiene is not scrupulously maintained at the bridge-abutment tooth interface. This could lead to loss of abutment teeth with the need to fabricate new dental bridges. Dental implants are stand alone units and are completely immune to problems such as caries that plague natural teeth; however, dental implants also require maintenance of meticulous oral hygiene as gum disease can lead to loss of bony support for the dental implant. [/et_pb_blurb][et_pb_blurb use_icon=”on” font_icon=”%%190%%” icon_placement=”left” _builder_version=”4.9.2″ _module_preset=”default” body_font_size=”16px” background_enable_color=”off”] Abutment teeth can also become mobile over the years due to excessive occlusal loads. This could again lead to loss of these teeth thus requiring new dental bridges. Dental implants are immensely strong and can bear occlusal loads that are equal to loads borne by natural teeth. [/et_pb_blurb][et_pb_blurb use_icon=”on” font_icon=”%%190%%” icon_placement=”left” _builder_version=”4.9.2″ _module_preset=”default” body_font_size=”16px” background_enable_color=”off”] Bridges may have to be replaced several times over the lifetime of the patient while dental implants offer a permanent solution for lost teeth. [/et_pb_blurb][/et_pb_column][/et_pb_row][/et_pb_section]

The patient is a 20-year-old male from Hazaribagh in Jharkhand, India. Firstborn to his parents, he had been born with a right-sided cleft lip, palate and a very minor alveolus deformity.

[vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”Replacement of Missing Teeth with Dental Implants for a Dazzling Smile” subheading=”” alignment=”left” custom_colors=”” class=””][vu_heading style=”1″ heading=”Case Report” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]An 18 year old female patient approached our dental hospital wanting to replace her missing upper front teeth. Patient gives a history of an accidental fall from a flight of stairs that occurred 2 weeks back at school, which has knocked out a couple of her upper front teeth right away injuring her gums and lips. Her lacerated gums and lips were treated at a local dental clinic nearby her residence. The young patient feels very odd and distressed to be without teeth. She grieved about her friends teasing her at school with funny names for her unpleasant smile without teeth. The patient’s parent demanded for a fixed option to replace her missing upper front teeth. [/vc_column_text][vu_heading style=”2″ heading=”EXAMINATION OF THE PATIENT ” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]On clinical examination, there was missing teeth in the upper front region. The surrounding gum tissues were fine with no pathological findings. On radiological examination, OPG taken shows complete missing of upper anteriors with no remnants of teeth inside the bone. No abnormalities seen in the surrounding bone structure. A thorough blood investigation revealed no systemic abnormalities.[/vc_column_text][vu_heading style=”2″ heading=”TREATMENT PLAN” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]On view with the patients demand and considering her age, Dr. S.M. Balaji planned to fix dental implants at the involved site under local anesthesia. Later replacement of missing teeth with fixed ceramic prosthesis. Since the patient’s parent was also keen on fixed option, consent was obtained.[/vc_column_text][vu_heading style=”2″ heading=”DENTAL IMPLANT PLACEMENT” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Under local anesthesia, the gum tissue at the relative site was opened exposing the underlying jaw bone. Secondly, Dental implants of appropriate size and height were fixed in the bone with stability. Finally, the gum tissues were approximated with absorbable suture covering the implants.[/vc_column_text][vu_heading style=”2″ heading=”POST-OPERATIVE FOLLOW UP” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Instructions on oral care routine was briefed to the patient. She was asked to wait for a healing period of 3 months for the final prosthesis placement. During this interval of time, the dental implants completely osseointegrates with the surrounding jaw bone. In addition, an upper temporary prosthesis was given to replace the missing upper teeth for the time being.[/vc_column_text][vu_heading style=”2″ heading=”THE FINAL PROSTHESIS” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Post-operative OPG taken after 3 months shows well integrated dental implants in proper position with the bone. Hence after a few clinical sessions, a natural looking ceramic teeth were fixed onto the dental implants, enhancing the appearance of her smile and look. The shade of the final prosthesis was in perfect match with the color of her natural teeth, which instantly boosted her self confidence. The patient and her parents were extremely delighted and satisfied with the outcome.[/vc_column_text][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6810″ img_size=”full” add_caption=”yes”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6811″ img_size=”full” add_caption=”yes”][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6812″ img_size=”full” add_caption=”yes”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6813″ img_size=”full” add_caption=”yes”][/vc_column_inner][/vc_row_inner][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6814″ img_size=”full” add_caption=”yes”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/2″][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row]

[vc_section content_layout=”full” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vc_column_text]This is a case of a 28 year old woman with a complaint of shaking lower front teeth, which induces pain and discomfort on chewing food. She stated that lately the saliva from the involved site is starting to taste salty. She gives a dental history of root canal treatment done to the lower anteriors 2 years back. After which an apicoectomy of the teeth was done a year back elsewhere, due to long standing cystic lesion at the root end of the teeth. Subsequently, one of her lower anterior tooth started shaking, which was then extracted and replaced with a dental implant 6 months back. Over the time there was an increase in the mobility of the adjacent teeth and the dental implant. Worried with her oral condition, she approached us seeking for a solution,that could restore her well-being.[/vc_column_text][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”EXAMINATION OF THE PATIENT” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]On intraoral examination, pus discharge from the lower anterior region was evident. The anterior teeth and the implant exhibited mobility. The surrounding gum tissues were red and swollen. Full mouth X-ray (OPG) taken shows apicoectomy done to the root canal treated teeth in the lower anteriors. Infection around the implant and the teeth was evident. Blood reports affirmed no underlying systemic abnormality.[/vc_column_text][vu_heading style=”2″ heading=”TREATMENT PLAN” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Dr. SM Balaji examined the patient. He suggested to extract the lower front mobile teeth and remove the infected dental implant under local anesthesia. Later, replacement of teeth with dental implants was intended. Other teeth replacement options were also explained to her. Patient opted to go for dental implants since it was considered as the best option. Patients consent was obtained before starting the procedure.[/vc_column_text][vu_heading style=”2″ heading=”PROCEDURE” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Under local anesthesia, Dr. SM Balaji extracted the mobile lower anterior teeth and removed the infected dental implant from the jaw bone. The recipient site was curetted and irrigated well with a sterile solution. Patient was put on antibiotics for a better healing process. A temporary removable prosthesis was given to replace her missing teeth.[/vc_column_text][vu_heading style=”2″ heading=”DENTAL IMPLANT PLACEMENT” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Patient returned after 6 months for implant placement. Her gums were well healed. There was no signs of pus discharge. X-ray taken affirmed no signs of pathological infection in the bone. Hence local anesthesia was administered. Renowned Implantologist, Dr.SM Balaji fixed the dental implants directly in the jaw bone, using the flapless technique. She was asked to wait for a healing period of 3 to 4 months to let the dental implants completely integrate with the underlying jaw bone. This aids in better retention and stability of the dental implant in the future. Meanwhile, she was asked to continue to wear the temporary prosthesis to replace her missing teeth.[/vc_column_text][vu_heading style=”2″ heading=”POST-OPERATIVE FOLLOW-UP” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]She approached us after 3 months for the final prosthesis. Intra oral examination confirmed no pathological findings. Post-operative OPG taken, shows well osseointegrated dental implants with no signs of infection. Hence the final measurements were taken to make the fixed prosthesis. Finally, a natural looking prosthesis was fixed onto the dental implants. The prosthesis colour blended well with her natural teeth. She was extremely happy and satisfied with the outcome. Since then she and her family has been visiting our dental hospital for regular check-ups[/vc_column_text][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6320″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6321″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6322″ img_size=”full” add_caption=”yes”][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6323″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6324″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][/vc_column][/vc_row][/vc_section]

[vc_section content_layout=”full” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vc_column_text]This is a case of a 65 year old male who approached us with a desire to replace his missing teeth with dental implants. He gives a history of long standing periodontal pathology 5 years ago, due to which he had to get all his lower teeth and few of his upper teeth extracted elsewhere. Since then, he has been using removable dentures to replace his missing teeth. He seemed to be a reputed politician who is in a position to constantly communicate with his fellow members. Having said that, he feels that he is not able to convey his message and commands effectively to his team due to the insecurity of wearing dentures. Hence the he wanted to go for a fixed option that can restore his confidence. Patient gives a medical history of taking medication for diabetes and hypertension for the past 10 years.[/vc_column_text][vu_heading style=”2″ heading=”EXAMINATION OF THE PATIENT” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]On clinical examination, most of his teeth were missing with only afew teeth in the upper jaw left. No pathological findings seen intra-orally. On radiological examination, OPG taken shows missing teeth in the upper and lower jaw. The bone height in the both the jaws were also sufficient enough to go for a fixed teeth replacement option. Blood investigation revealed blood glucose level slightly over the normal range. His blood pressure was within the normal range.[/vc_column_text][vc_row_inner equal_height=”” animation_delay=”” disable=”” id=”” class=””][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6247″ img_size=”full” add_caption=”yes”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6248″ img_size=”full” add_caption=”yes”][/vc_column_inner][vc_column_inner vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6249″ img_size=”full” add_caption=”yes”][/vc_column_inner][/vc_row_inner][/vc_column][/vc_row][/vc_section][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”TREATMENT PLAN” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]After thorough examination and considering his need and social status, Dr.SM Balaji planned to place dental implants at the relative site under local anesthesia, later followed by fixed prosthesis onto the implants. The surgical procedure was clearly explained to him. Patient’s consent was obtained.[/vc_column_text][vu_heading style=”2″ heading=”DENTAL IMPLANT PLACEMENT” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Under local anesthesia, Dr.SM Balaji incised and elevated the gum tissues exposing the underlying upper and lower jaw bone. After a sequence of drilling protocol, dental implants of perfect size were fixed in the jaw bone with stability. Finally, the gum tissues were approximated with absorbable suture.[/vc_column_text][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6251″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/2″][vc_single_image image=”6252″ img_size=”full” add_caption=”yes”][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vu_heading style=”2″ heading=”POST TREATMENT FOLLOW-UP” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]He was asked to report after 3 months for placement of the final prosthesis as the dental implants require sufficient time to osseointegrate with the jaw bone. Post oral care instructions were briefed. Meanwhile a lightweight temporary prosthesis were given to replace the missing teeth in the upper and lower jaw for the time being.[/vc_column_text][vu_heading style=”2″ heading=”TREATMENT OUTCOME” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]He came back after 5 months for the final procedure. Post-operative OPG taken shows well positioned dental implants in integration with the surrounding jaw bone. Hence final measurements were taken. After a few trial procedures, the final prosthesis was fixed onto the dental implants. He felt an immediate improvement in his speech. There was an instant boost of confidence in the patient. He was very happy and uplifted with the treatment outcome. He is on a regular follow- up.[/vc_column_text][/vc_column][/vc_row]

[vc_section content_layout=”full” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=””][vc_column_text]This is a case of a 52 year old female patient with a complaint of mobile lower front teeth. The patient stated that she’s been experiencing severe mobility of her lower front teeth for a while as a result of which one of her lower anterior had fallen out recently. Since then, the gaps between her lower front teeth have started to get wider and the persistent mobility of her teeth often gave her tough time pronouncing certain words. The unpleasant look of her lower teeth worried her. She requested for a solution to bridge the gap between her teeth in order to restore the normalcy of her oral function and appearance. Patient gives a medical history of hypothyroidism, diabetes for the past 10years and is known to be on medication.[/vc_column_text][vu_heading style=”2″ heading=”EXAMINATION OF THE PATIENT” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]On clinical examination, the lower anteriors exhibited severe mobility with missing right central incisor. On radiological examination, OPG taken shows generalized bone loss and surrounding tissue attachment loss in all the teeth. Blood investigation revealed thyroid level under control with the blood glucose level slightly above the normal range.[/vc_column_text][vu_heading style=”2″ heading=”TREATMENT PLAN” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]With the patients demand in consideration, Dr.S.M.Balaji planned to extract the mobile anteriors followed by fixation of Dental implants under local anesthesia. A course of periodontal therapy (gum treatment) was also intended, as the supporting gum tissues were weak due to underlying periodontal pathology. The surgical procedure was briefed and patients consent was obtained.[/vc_column_text][vu_heading style=”2″ heading=”PROCEDURE” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Under local anesthesia, the mobile lower anteriors were extracted, followed by elevation of the surrounding gum tissues to expose the underlying jaw bone. Secondly, dental implants of appropriate size were fixed in the bone with utmost stability and precision. Finally, the gum tissues were approximated covering the dental implants with absorbable suture.[/vc_column_text][vu_heading style=”2″ heading=”TREATMENT FOLLOW-UP” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]A course of antibiotics and painkillers were given for 3 days to cope up with the mild postoperative discomfort. Patient was educated on the postoperative home oral regime. She was asked to report after 3 months for the final prosthesis, to let the dental implants completely osseointegrate with the jaw bone. For the time being, a removable prosthesis was given to the patient to replace her missing teeth.[/vc_column_text][vu_heading style=”2″ heading=”TREATMENT OUTCOME” subheading=”” alignment=”left” custom_colors=”” class=””][vc_column_text]Post-operative OPG taken after 3months shows well integrated dental implants with the surrounding bone. Hence the final impression was taken, followed by few trials of bite alterations of the final prosthesis. A natural looking ceramic bridge was fixed onto the dental implants covering the unpleasant gap which was worrying the patient. There was an immediate improvement in the patient’s speech and she was more than happy with the outcome.[/vc_column_text][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6134″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6135″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6136″ img_size=”full” add_caption=”yes”][/vc_column][/vc_row][vc_row content_layout=”boxed” equal_height=”” animation_delay=”” disable=”” id=”” class=”” bg_type=”image” bg_image=”” color_overlay=”” enable_parallax=”” enable_pattern=””][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6137″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6138″ img_size=”full” add_caption=”yes”][/vc_column][vc_column layout=”normal” vertical_align=”top” animation_delay=”” width=”1/3″][vc_single_image image=”6139″ img_size=”full” add_caption=”yes”][/vc_column][/vc_row][/vc_section]