Call Us

Whatsapp/SMS : +6 012 3012 002 or +6 03 7726 7917

Opening Hours

Mon -Fri: 9:00 AM – 6:00 PM Sat: 9:00 AM – 1:00 PM Sunday & Public Holidays: Closed

Book Appointment

Your perfect smile is a click away!

Dental Implant or a Three-Unit Bridge?

Dental Implant or a Three-Unit Bridge?

Dental Implant Crown or a Three-Unit Bridge?
 
by Dr. Kamsiah G Haider BDS, MDSc
Dec 17, 2017
 
 

When you have a single missing tooth there are three options to replace it, either a single dental implant or a three unit bridge or a denture . 

 

In this case , this patient had two three unit dental bridges done 17 years ago in the lower jaw. He is about to have a full mouth rehabilitation to restore his airway by prosthodontics due to his sleep apnea . We  are doing this by altering his occlusal vertical and sagital dimensions.

Airway prosthodontics is not restricted to a removable  appliance or just relying on CPAP machine only. 

Patient is also concerned about his oral hygiene around his bridges. He finds it difficult to clean his existing 3 unit bridges  and  furthermore they are due to be replaced  —- drkamsiah

All-on-4® using guided surgery

by Dr. Kamsiah G Haider BDS, MDSc

Nov 26, 2017

 

All-on-4® using guided surgery 

 

The All-on-4® treatment concept was developed in the 1990s as a way to best restore the full arches of the upper and lower jaws. The procedure uses only four implants to secure all teeth in place, hence the name “All-on-4.”

CBCT guided implant planning and surgery is a facially driven treatment plan. It first involves planning an ideal dental restoration for a patient; this may be a complete denture or, for a partially edentulous patient, a digital diagnostic wax-up of the planned restorations.

This virtual treatment plan is then sent to a laboratory (in this case the DSD lab in Madrid) for fabrication of an appliance that is used at the time of surgery to accurately place the implants in their planned position(s). Most larger implant manufacturers offer guided surgery-specific instrumentation for flapless implant placement. When desired and indicated, techniques and armamentarium are available for extractions, bone reduction, immediate implant placement, and immediate loading, all of which are commonly used in the All-on-4 protocol.

At surgery, the surgical guide was properly positioned and stabilized using stabilization pins. Implant-specific instrumentation was used to place the four planned implants to full depth and accurate direction using guided-surgery techniques with implant mounts .

Guided surgery and dental CAD/CAM are complementary technologies that can make the surgical and restorative phases of implant therapy more efficient and predictable.

 

Conclusion


The use of CT-guided surgery to perform the All-on-4 procedure is a combination of technologies that is still not very in common practice.  We @drkamsiah prefer the combination  of these two techniques, together with the digital smile design concept to improve the aesthetic outcome as well.
—-drkamsiah

 

Do you trust your dental implant company to be sustainable in the market ?

It is not difficult to place dental implants with enough experience but to repair failed cases is rather challenging especially when the case has been done Continue reading “Do you trust your dental implant company to be sustainable in the market ?”

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 . Continue reading “Rehabilitation of a failed dentition , begin with the end in mind”

A flapless single molar implant placement using guided surgery for function in a maxillary region.

This 60 year-old, female patient’s chief complaint was a missing first molar on the upper left which had been extracted several months earlier. Continue reading “A flapless single molar implant placement using guided surgery for function in a maxillary region.”