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Teeth-In-One-Appointment:
Immediate load dental implant technology has been available for a few years
now and has become established as an extremely popular procedure. Same
day implants have been the procedure of choice by discriminating patients
who seek near perfection in the replacement of teeth that assures optimal
dental function and a natural appearing cosmetic result.
Candidacy for same-day-implants typically requires optimal bone structures
of the maxilla (upper jaw) and mandible (lower jaw).
For patients with deficient or compromised jaw bone structures, bone grafting
is implemented to augment needed bone mass but unfortunately delays completion
of treatment by up to 6 - 9 months to assure osseo-integration between
the implant device(s) and bone structure is complete.
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Many patients prefer to avoid bone grafting due to reasons that might include
extended treatment time, potential for graft failure, pre-existing oral
or general health problems, transportation issues, etc.
Patients now have access to a technology that assesses and locates optimal
jaw bone structures that can eliminate the need for graft procedures.
Diagnostic CAT Scans successfully map areas of suitable bone (or structures
best suited for grafts, if required) and form the basis for a bioengineered
NobelGuide, an implant surgery template for precision placement of proprietary
implant devices.
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CAT Scans and the use of a NobelGuide totally eliminates the guess work
of determining the best sites for implant placement. The NobelGuide template
also eliminates the problem of misguided, angled or cantilevered implants
which eventually results in failure.
Implants, when properly implemented, provide an ideal method for distributing
the forces of bite and mastication (chewing). Because of the differences
in the amount of biting forces that operate on posterior and anterior teeth,
poor placements or an insufficient number of implants will lead to further
complications. |
CatScan diagnostics are evaluated by Dr. Potluri and used with special CAD/CAM
engineering software to generate a virtual map of healthy implant sites.
After the final position of the implant(s) has been determined and verified,
the file containing the NobelGuide information is sent via e-mail to Nobel
Biocare in Sweden.
Within two weeks the precision Nobel Guide surgical template is returned.
A highly skilled dental laboratory uses this guide to create an exact replica
of how the jaw will look after the implants are placed. This same guide
is sterilized and used during the surgical procedure.
Contact us at (604) 542 0123 or use our convenient Contact Us Form to arrange
a private consultation and to Learn more about the Teeth-In-One-Hour procedures
available through Nobel Biocare and how they be applied to your dental need.
Dr. Potluri will provide you with the objective details and available treatment
options you can have and need for making an informed decision about which
combinations of advanced tooth replacement technologies would be available
for you. |
Deterioration both in the Maxilla (upper jaw) and Mandible (lower jaw) is
a serious issue that, unfortunately, many patients don't understand well.
Characteristics of jawbone structure and material are critical for the retention
of teeth, maintaining good oral health, maintaining a choice of treatment
options for treating or replacing teeth and lastly, obtaining dentures that
fit well, feel good and preserve basic dental function. |
Most of the intricacies and important things to know about bone density
don't gain most people's attention until the event has actually started.
Bone density problems involving internal resorption and rapid bone deterioration
begins almost immediately.... depending upon what treatments a patient has
received.
It is this patient group that becomes knowledgeable, after the fact, about
the relationship between sensible, informed dental treatment and jawbone
preservation
Natural teeth are attached to our jawbones via a root structure. Depending
on the location and size of any given tooth, these root structures will
vary in size, depth and complexity. The behaviours of biting and chewing
(forces of mastication) produce physical stimulation of each and every root
structure which in turn stimulates the immediate bone material that the
root is attached to.
As long as we have our natural teeth and the absence of any disease process,
our mandibular (lower jaw) and maxillary (upper jaw) bone structures can
be expected to remain healthy and intact.
The science of implant dentistry has effectively demonstrated over several
decades that man made root form tooth replacements can indeed be Mother
Nature's second choice for maintaining the critical bone stimulation needed
for keeping jaw bone mass healthy.
Numerous events, dental conditions, oral disease and a patient's choice
of dental treatment can compromise important jawbone characteristics. Some
of the more common causes are listed here: |
- Extractions: As soon as an adult tooth is removed, and not replaced,
bone stimulation ceases for that particular site.
- Trauma: Events that cause a tooth to be knocked out or broken off
to the extent that no biting surface exists (such as broken off at the
gum line), bone stimulation ceases.
- Gross Malalignment: Alignment issues due to growth factors, trauma
and untreated extractions can cause situations where certain tooth structures
do not have an opposing tooth structure. The unopposed tooth may super
erupt and also undergo underlying bone deterioration.
- Bridgework: Custom bridges are a popular treatment for replacing missing
teeth. The bone structure underlying the span of missing teeth will undergo
deterioration (only the anchoring teeth continue to provide important
bone stimulation.
- Dentures: Low cost, unanchored dentures are designed to ride or rest
on top of gum tissue. Contrary to what many people want to believe, there
is no direct stimulation of jaw bone material. Rather, there may be accompanying
loss of gum tissue while the all important underlying bone structure slowly
resorbs.
- Abnormalities in the Bite Occlusal Relationship: Dentists routinely
maintain a close focus on bite and occlusion. Assessment of the biting
surfaces assures normal bite characteristics, overall dental function
and patient comfort. Long standing occlusal issues arising from lack of
treatment, normal wear and tear and certain TMJ-TMD problems can cause
abnormal physical forces that disrupt the balance of the occlusal relationship.
When significant, bone deterioration can occur with certain tooth structures.
- Advanced Gum Disease: Periodontitis, if left untreated, causes wholesale
devastation of all tissues at the site of infection. Bone tissue, gingival
tissue and connective tissue all undergo destructive changes that may
or may not be fully restorable
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CT Scans and specialized virtual surgery technology is currently one of
the most effective means of accurately assessing critical bone structures
in any given area of the maxilla and mandible. As explained above, numerous
events can occur that will cause varying degrees of bone deterioration.
Digital imaging and ultra thin digital slicing of scanned areas can render
data that allows the experienced implantologist the ability to determine
what bone areas are the healthiest, the least healthy and those areas that
can benefit the most with augmentation via bone and tissue grafting.
The adjacent photo represents an implant doomed for failure. Maxillary
bone tissue (the white area) is minimal. The black space above the implant
is the sinus cavity. CT Scans are very useful for eliminating these kinds
of failures.
The second CT Scan reflects plentiful bone mass that comfortably accommodates
the new artificial root dimensions of the implant device. Predictability
for long term success is extremely high, perhaps infinite, barring the
incidence of other events (trauma, disease) that could compromise this
successful surgery.
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Bone grafting failures are not uncommon and can be caused by a number of
factors. Unfortunately, some etiological factors that cause eventual failure
are not known prior to surgery.
 Advanced
CT Scans (recently developed specialty scanning technology far exceeds what
was available just a few years ago) and the competent use of specialized
software allow the implant doctor to assess any given area almost on a millimetre
by millimetre basis.
Specialized implants of varying sizes, lengths and composition further increase
the opportunities for using the greatest and/or healthiest number of root
form devices that will not only create the dental function patients seek...
but produce the stimulation Mother Nature needs to keep jawbones healthy
after treatment.
Dr. Potluri will be happy to answer your questions about virtual implant
surgery, teeth-in-an-hour and concerns you may have about jawbone integrity.
Call us at (604) 542 0123 to arrange a private consultation to learn more
and actually see the technology we routinely use in our implant treatment
plans. |
 The
MDI System consists of a miniature titanium implant that acts like the root
of your tooth and a retaining fixture that is incorporated into the base
of your denture. The head of the implant is shaped like a ball and the retaining
fixture acts like a socket that contains a rubber O-ring. The O-ring snaps
over the ball when the denture is seated and holds the denture at a predetermined
level of force. When seated, the denture gently rests on the gum tissue.
The implant fixtures allow for micro-mobility while withstanding natural
lifting forces. |
 The
most effective use of this unique dental product is stabilization of a lower
denture. There are approximately 60,000,000 people in the United States
and Canada who are "edentulous" (literally meaning lacking teeth)
who struggle daily with prosthetic devices. A majority suffer a great deal
of discomfort as a result of lose or ill-fitting dentures. Many denture
wearers simply withdraw from any type of social engagement as a result of
being compelled to wear them. Moreover, it's not uncommon for family members
to complain about a denture wearer's disagreeable breath as a result of
food being trapped and decaying under their denture prosthesis. Successful
placement of the Mini Dental Implant addresses and solves all of these social
and practical problems. Denture patients all over the world have experienced
relief from loos or ill-fitting dentures from doctors who are trained to
place the MDI. Uniquely, the MDI can be utilized to stabilize a denture
in a couple of hours by a trained doctor, with the patient leaving the clinic
with a stabilized prosthesis.
For your complimentary consultation with Dr.Potluri call us at (604) 542
0123
For more information about Mini implants visit: www.imtec.com |
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