Reconstructive and Implant Dental Center - Kansas City                                                                                            dental-implants@dr-amet.com          Phone: 913-492-2233          Fax: 913-492-2234                 Office Information Video              

 ADVANCING THE ART AND SCIENCE OF DENTISTRY

   

MAXILLARY & MANDIBULAR IMPLANTS

 -- UTILIZING SIMPLANT

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Statement of the problem: Loss of teeth in the either jaw will usually result in loss of function and aesthetics for the patient as well as loss of soft and hard supporting tissues.  This bone loss is not limited to alveolar bone; portions of the basal bone may also resorb.  This continuing loss of bone is associated with treatment complications, and in the case of the mandible, instability of the complete denture.  Endosteal implants are routinely used to stabilize and support a prosthesis for a missing tooth or teeth and are placed into the remaining native bone if adequate. However with less than adequate bone support, grafting is considered essential for implant placement. The determination of what is adequate for implant support involves the need for pre-surgical PROSTHODONTIC EVALUATION and DIAGNOSIS.

This determination also includes bone location, volume, density, implant position, trajectory and the final prosthesis. 

It is essential to have 3-dimensional radiographic visualization of the implant site, with a surgical template or “SurgiGuide” available, besides the traditional diagnostically mounted casts and radiographs, in order to diagnosis and place implants with predictable results.  The bone donor site can also be evaluated if autogenous bone grafting is needed.

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Therefore using advanced dental imaging including cone beam computerized tomography, (CBCT) and “Simplant” an interactive software for implant planning and placement, can result in “improved patient treatment.

 

CONSIDERATIONS: Patient  4   

n- Patient’s General health, age, and anxiety level?

n- Access to Osteotomy Site  treatment? (ENOUGH ROOM)

n- Type of prosthetics to be considered?

n- Nasal sinus position?

n- Implant length & width?

n- Trajectory of Implant?

n- Bone density and implant Stability, immediate load?

n- Characteristics of Implant to use?

n- Final Implant Prosthetics?

 

Figure 1.Original Appearance of Patient

 

Fig 2. Pre-Operative Radiograph Prior to Maxillary Grafting or Mandibular Implant Placement

 

Fig 3. Pre-Operative Radiograph After Maxillary Grafting, Prior to Mandibular Implant Placement

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Fig 4. Pre-Operative Simplant Planning Prior to Maxillary Grafting or Mandibular Implant Placement

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Fig 5. Pre-Operative Simplant 3-D Model Planning Prior to Mandibular Implant Placement

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Fig 6. Post-Operative Radiograph with Maxillary Grafting and Mandibular Implant Placement

 

Fig 7. Pre-Operative Simplant Planning Prior to Maxillary Grafting or Mandibular Implant Placement

 

Fig 8. Pre-Operative Simplant 3-D Model Planning Prior to Maxillary Grafting or Implant Placement

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Fig 9. Post-Operative Radiograph with Maxillary Grafting & Implants and Mandibular Implants

 

Figure 10.Original Appearance of Patient and Prostheses

 

         

Figure 11.Completed Appearance of New Prostheses

 

Figure 12.Completed Appearance of Nedw Prostheses

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Figure 13. Restored Facial Aesthetics with New Prostheses

 

     

Figure 14. Restored Facial Aesthetics with New Prostheses

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