State of the Art Instant Function Implant Technology
Immediate load dental implant technology has been available for a few
years now and has become extablished as an extremely popular procedure
with dental practices that offer leading edge technologies. Dr. Marinic
has been performing immediate load implants since it's inception.
Old Problems - New Solutions by Nobel Biocare
Immediate load or 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.
Becoming a candidate for same-day-implants requires
however optimal bone structures of the maxilla (upper jaw) and mandible
(lower jaw). When bone structures are ample, the implant devices integrate
extremely well, offering the long term endurance that is unsurpassed by
other procedures.
Generally speaking, younger patients tend to have better bone structures
than older patients since older patients may have greater incidence of
being toothless in certain cases or have other dental heatlh issues that
compromise the integrity of the bone material.
A popular treatment for deficient or inadequate bone structures is the
use of bone grafts. This procedure nonetheless can forestall the final
placement of implants because integration must take place between old bone
and the newer bone graft material. The graft material itself may be natural
or synthetic.... each having different properties that best suit a particular
patient need.
Bone Graft Limitations - Potential Implant Failures
Unfortunately, bone grafts can fail for a variety of reasons that are
impossible to predict. In some instances, bone grafting is sometimes sought
as a procedure of "hope" by patients. Some succeed... while
others fail.
CAT Scan Science and Modern Dentistry
Nobel Biocare has incorpated the magic of CAT Scans (Computed Axial Tomography)
and biomedical engineering in the dental sciences that accurately assesses
the condition and overall integrity of the jaw structure and maps out the
areas of best integrity.
These CAT Scans totally eliminate the guess work on determing what parts
of the jaw bone offer the best sites for implant placement. Many doctors
however don't possess the techology to accurately drill into an implant
site, thereby creating, in some situations, cantilevered implants. The
restoration process, or placement of the crown, can accommodate an angled
implant... but the implant may cause other oral health problems later.
To overcome the possibility of creating a poor placement, Nobel Biocare
has created a CAD/CAM engineered device called the Nobel Guide that is
created from the primary CAT Scan, as described above.
This first photo in our series of photos outlining the Teeth In an Hour
process indicates severe deficits in upper jawbone (maxillary) material.
Unfortunately this patient had numerous problems caused by two previous
dentists who had improperly placed the implants which were further compromised
by improper implant lengths, poor choice of abutments and spans between
implants being too long. Eventually, practically all of the procedures
and materials failed.
 |
 |
The adjacent photo reflects the outward appearance of the patient's previous
treatment. The prosthetic device is broken and held together with denture
adhesive. Parts of the jawbone were destroyed and were causing the patient
constant chronic pain.
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.
Our next photo shows the condition of our patient's upper jaw (maxilla)
and indicates the previous implant placements. The lack of symmetry in
the overall condition of the maxilla is also apparent.
Several implants had to be removed. In addition, the remaining tooth structure
was severley decayed which resulted in pain and eventually removal. The
precision is generally 200 micron. This level of precision can not be achieved
by placing implants “freehand.”
A temporary prosthesis was created that conformed to the bite and occlusal
issues of the patient.
This step facilitates the CAD/CAM engineering aspect of determining the
most appropriate placement, drilling depth and type of implant for each
implant site.
 |
 |
Virtual Dentistry via CAD/CAM Engineering
The next photo illustrates the virtual placement of the implants. The
surgeon has the flexability to change the position, quantity , type, length
and diameter of the implant.
In addition to verifying that there is adequate bone surround the implants
and that there is a safe zone around all vital structures. Restoratively
the location of implants are determined to verify that they are in a proper
position.
After the final position of the implants has been determined and verified,
the file containing the Nobel Guide 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 (514) 648-7244 or use our convenient. Learn more about the
Teeth-In-One-Hour procedures available through Nobel Biocare and how they
be applied to your dental need.
Dr. Tesolin 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.
