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Rehabilitation of a failed dentition , begin with the end in mind

When we begin this project with the end in mind, we have a personal direction to guide our activities, without which we can’t accomplish toward our own goals. Beginning with the end in mind is part of the process of new dentistry, with the help with the DSD protocol by taking control of the case .

All things are created twice. We create them first in with our basic DSD protocol even without treatment planning and then we work to bring them into physical existence. By taking control of our own design we can edit our work thus taking control and responsibility for the outcome. We design and edit our DSD using patients photos and videos.

 

The transition of patients from failing dentition to complete-arch implant rehabilitation often means that the patient is rendered edentulous and has to wear a removable complete denture for a time. Many patients find this unacceptable.

Upon learning the immediate loading concept from Paulo Malo, we at Klinik Pakar Pergigian Dr. Kamsiah have been utilising this concept. We can offer you a third dentition today! For many people suffering failed dentition moving towards edentulism, getting back  their smile back with a fixed prosthesis could be priceless.

This treatment  provides a fixed interim prosthesis for use throughout the rehabilitation process, allowing patient comfort and prosthodontic control.  The prosthesis is supported by the immediate implants that we placed which are all on the same day.The implants and prostheses were functioning successfully after surgery.

One true solution

Modern implant-based dentistry has delivered something to the edentulous patient that conventional dentures have never quite managed by comparison—substantially increased quality of life.

A prosthesis held solidly in place by dental implants not only provides the comfort and security a patient is likely to be missing with removable dentures, it also preserves bone. Add to the equation emotional benefits—such as improved self-image, increased self-confidence and a renewed social life—and an implant-based restoration becomes the clear choice.

At our clinic we offer the widest range of advanced treatment solutions available for treating edentulous patients.

Combined pre treatment plan with digital smile design

6 important photos for DSD6 basics photographs needed. Combining digital smile design protocol , a pre-treatment planning, diagnostics,  and guided surgery with implants this situation and predictable prosthetics, as proven by numerous publications.

DSD sketches can be performed in presentation software such as Keynote (iWork, Apple, Cupertino, California, USA) or Microsoft PowerPoint (Microsoft Office, Microsoft, Redmond, Washington, USA). This improved visualization makes it easier to select the ideal restorative technique.
DSD sketches can be performed in presentation software such as Keynote (iWork, Apple, Cupertino, California, USA) or Microsoft PowerPoint (Microsoft Office, Microsoft, Redmond, Washington, USA). This improved visualization makes it easier to select the ideal restorative technique.
Guided surgery – using the DSD and a complete prosthesis as planned and facially driven treatment planning and guided implant surgery.
Guided surgery – using the DSD and a complete prosthesis as planned and facially driven treatment planning and guided implant surgery. It all come in a Magic Box.
From the very beginning case is overall treatment was guided by the DSD protocol and its Guided surgery was carefully planned along the designed to make a complex case simple and predictable in their implants placement
From the very beginning case is overall treatment was guided by the DSD protocol and its Guided surgery was carefully planned along the designed to make a complex case simple and predictable in their implants placement
As prosthodontist I need to plan the situation with the end prosthesis in mind.
As prosthodontist I need to plan the situation with the end prosthesis in mind.
This DSD protocol and AO4 concept allow for a implant supported fixed prosthesis on the same day !
This DSD protocol and AO4 concept allow for a implant supported fixed prosthesis on the same day !

Conclusions  

My happy patient ! Thank you.
My happy patient ! Thank you.

This All on four treatment has a long and proven track record to be one of the most predictable in terms of treatment outcome. This procedure has integrated itself as a part of routine treatment plans in our dental clinic because of increasing popularity and patient acceptance. In order to uphold this success, optimum pre-treatment using the DSD protocol is done first together with the diagnosis and even before treatment planning the case. Hence, computerized tomography aided imaging and template-guided surgery plays an important role in pre-placement planning and helps ensure positive outcomes. This article describes the benefits of pre-plan treatment using the DSD protocol, the All on Four concept and computer-guided surgery as compared with conventional implant placement procedures, along with a case report.

Dr Kamsiah G Haider Prosthodontist, DSD Master & Instructor, BDS, MDSc

Dr. Kamsiah is also known as Dr. Kam is cosmetic dentist with over 30 years experience . Areas of interest are prosthodontics , dental implants and orthodontics as part of smile make over. . . . Dr. Kamsiah was a full time lecturer at the University of Malaya and an Associate Professor at the International Islamic University . She still lectures , mentors and conduct courses on the Digital Smile Design .

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