Oral Implantology - Dr. Michel P. Jazzar - Dental Surgery & Oral Implantology

Main Menu

Dr. Michel P. Jazzar

Oral Implantology

Health Dental Tourism

Rotary International

Blog Michel P. Jazzar

TV Episode Aynak ASehtak #1- Arabic

Meziara, my beloved village

Home

Oral Implantology

Dental Implants

{mosimage} Information on the dental implant, the implantation and bone graft procedures and new techniques .

Videos ( 2 items ) Oral Implant procedures in videos implemented by Michel P. Jazzar - DDS/DCD. New cases ( 24 items ) Straumann Implant. Other cases of implantation ( 2 items ) Implantation cases implemented in our dental offices in Lebanon. About Straumann ITI Implant ( 3 items ) Straumann is a leading provider of solutions in implant dentistry and dental tissue regeneration. Its mission is to enable dental professionals to restore their patients’ oral function and esthetics through effective, reliable, and safe treatment methods. http://www.straumann.com/com_index/pc_products_services.htm Implant procedure ( 10 items ) {mosimage} An Implant procedure starts by one implant placed or many implants for fixed or mobile restorations. Read on other sections about many different procedures implemented in our clinics in Lebanon and look for photos which are displayed on the web. Immediate Implantation ( 1 item ) {mosimage} Upper Implant Surgery at Koura Hospital – Northern Lebanon Patient: A.B.S [DOB 1954] Thursday 14 December 2006. Extraction 10 teeth – Immediate Implantation 9 SP Straumann Implants SLA – Direct Sinus lift – Graft Bone Regeneration GBR Implantation Team : Surgeon: Michel P. Jazzar DDS Surgeon Aide: Chadi Maroun Anesthetic-Reanimation Dr Moussa Abboud Anesthetic-Reanimation Aide Mrs Chadia Nurses: Miss Joyceline Photograph/Video: Alain Daoud – Studio Daoud Dental Implant System: ITI® - Straumann Group – Switzerland Implant ME Distributor: Prodent S.A.L - Beirut Dental Technician Rehabilitation: Pegase – Sarkis Kelaghbian Implantation date:14-12-2006 Placement tooth 16 - Implant @ 4.8mm - Implant Length 10mm Placement tooth 14 - Implant @ 4.1mm - Implant Length 12mm Placement tooth 13 - Implant @ 4.1mm - Implant Length 12mm Placement tooth 11 - Implant @ 4.1mm - Implant Length 10mm Placement tooth 21 - Implant @ 4.1mm - Implant Length 12mm Placement tooth 23 - Implant @ 4.8mm - Implant Length 12mm Placement tooth 24 - Implant @ 4.1mm - Implant Length 12mm Placement tooth 25 - Implant @ 4.1mm - Implant Length 12mm Placement tooth 27 - Implant @ 4.8mm - Implant Length 10mm Direct Sinus lift on 25, 16 and 27 [Direct Sinus Lift +2mm] GBR vest 11 and 21 – Bio-Oss and Bio-Gide. Surgery procedure: Implantation date: Thursday 14 December 2006: 9.00am – 12.00am General anesthesia at Hospital because of important nausea reflex’s of the patient. Extraction 10 teeth: 15-14-13-12-11-21-22-23-25-27 Immediate Implantation 9 SP Straumann Implants SLA in place of: 16 – 14 – 13 – 11 – 21 – 23 – 24 – 25 - 27 Implants, cover screws and healing caps were used Direct Sinus lift in place of 16 – 25 – 27 [+2mm inside the sinus] Graft Bone Regeneration [Bio Oss and Bio Gibe by extension on vestibular 11 and 21 and only Bio Oss on 23 palatin. Flapless only on 23. Ouverture gencive 11-17 et 21-23, décharge mesiale de la 23 puis 24-27 Sutures nylon 3 zero. Check on Friday 15 december 2006 at 3.00pm. Slight wound on right side. No wound on left side. No pain. No bleeding. Patient was kept for one night at hospital with medicaments such as: Profenid 100 [ampoule] - I.V direct x 2: Matin et soir Augmentin 1.2 - I.V direct x3 / 24 heures. Zantac [Ampoule] - I.V direct x3/24 heures. Perfalgan 1 Gr. - I.V direct / chaque six heures. Liquid Alimentation : -Gello and Custer - Boiled potatoes with beef sauce. -Soup. -cheese [soft] -Ice cream Medicamentation: to be taken at home for three days or more: Augmentin: 625 mg: 3cp/j 3 days Maxillase 3000: 3cp/day – 5 days. Algophene: 1cp/ in case of pain 4/daily maxi Chlorexidine: wash mouth 4 times daily > 24 hours after implantation and for 10 days. Gengigel: on implant place [gum] after meals and before sleeping. Arnican: cream in case of hematom. Massage on the cheek 2 times daily [no use in this case]. Dental Meeting - Event - Congress ( 4 items ) I was invited to be a lecturer at the "International Dental Journeys of Nice" , the bi-annual french congress of Dentistry. Town: Nice - France Subject: "Case of a full mouth rehabilitation by immediate implantation." This case was given as a presentation at the 17th "Journees Dentaires de Nice" [International Dental Journeys of Nice - France] Date & Time : 7 June 2007 - 5.15PM Abstract is displayed on the web: http://journeesdentairesinternationalesdenice2007.hautetfort.com Any questions? please feel free to send email to jazzar@dm.net.lb Dental Implant Fees ( 1 item ) Fees of the oral implants Fees for dental implants are often inflated. Many patients save more then 50% on their implant treatment when they become patients of Dr Michel P. Jazzar clinics located in the Republic of Lebanon. This section is for patients who are not residents of Lebanon and would like to travel to Jounieh, to have their dental implant work performed by Michel P. Jazzar DDS one of the Lebanon's top dental implant Prosthodontists. Patients from all over the world travel to place and/or restore their dental implants. This procedure works out best if the patient will spend several months in the area, but occasionally, we have patients who fly in for various aspects of their dental work and then return at later times for completion. If you would like to consider treatment by Dr. Jazzar, you might want to check out what we did for one of our and then read the guidelines below: Contact one of the two dental clinics and arrange to send your dental records for review prior to coming to the area. This will give Dr. Jazzar a chance to familiarize himself with your dental situation and to determine what might be done to help you and will be glad to assist you. Patients receiving implants must be available for up to two weeks after implant placement so that Dr. Jazzar can check on the healing. Patients receiving extensive grafting procedures may have to be monitored by another dentist if they leave the area during the healing phase of treatment. There is a second stage to the implant surgery which is done approximately 5 to 6 weeks after the implants are placed. [Some kinds of implant need 3 weeks only - e.g. ITI SLActive]. Prosthetic reconstruction will usually take between two weeks to complete once the implants are osseointegrated. Time restrictions may prohibit this phase from being performed in Lebanon and might necessarily be carried out elsewhere. If you have any specific questions send an email to jazzar@dm.net.lb for a direct reply. For more information, visit other sections on this web. What differentiates Dr. Jazzar's Prosthodontic practice from others? Because Dr. Jazzar is one of the leaders in dental implantology, he is considered by some to be a "Real Specialist". While Dr. Jazzar has always restored dental implants, for the past 10 years, he has been placing dental implants for his own patients and for patients of many dentists right here in Lebanon. He has taught dentists from all over the world the techniques for placing and restoring dental implants. Dr Jazzar was invited for many conferences on Dental implants in Lebanon. He was invited by the scientific committee to be a lecturer at the next International Congress of Nice- France 7th June 2007 where he gave a presentation on a new case of full mouth fixed denture. http://journeesdentairesinternationalesdenice2007.hautetfort.com/ Interviewed on the health show "Aynak A Sohtak" on the most popular TV in the Arab world - FUTURE TV, on 10 July 2009. http://micheljazzar.com/mambo/index.php?option=com_content&task=view&id=135&Itemid=32 Implant’s cost? Dental Implantology is a fairly new area of dentistry and the costs are still high. As time goes on and more and more dentists are involved in these procedures, the cost will come down significantly. There has, in my opinion, been a tendency for certain practitioners to overcharge for dental implant procedures. If you are interested in my commentary about excessive fees in this field of dentistry, send an email to Dr Michel P. Jazzar to jazzar@dm.net.lb There are two major costs involved in dental implant treatment. The first is the implant itself and the second is the restoration (tooth or teeth) that is anchored by the implant. Fees for these services vary considerably. I have seen fees for a single implant that range from $650.00 to $6,000.00. I think that an average fee for the suitable placement of each is between $650.00 and $1650.00. The "bone level" implant will cost more up to 5000$US. In my practice, the fee per implant is between US$650.00 and $2000.00 depending what kind of implant is used. There are, however, situations where I might charge more or less for a particular patient treatment due to the difficulties or complexities of the treatment situation. Restorations on implants vary to a much greater degree and an individual can pay as much as several thousand dollars for a single restoration up to over $80,000.00 for a complete rehabilitation involving dental implants. Fortunately, there are implant restorations available for most people that are in the realistic range and allow many more people today to find a suitable solution to replacing missing teeth. You have to make sure that the dentist that you choose is familiar with all of the restorative options to suit your needs and that he can provide the treatment at a fee that you can live with. Note: There is a special fee per implant for patients referred to Dr. Jazzar by other dentist just for implant placement. If your dentist is going to do the restorative work on your dental implants, the fee for each implant is $650.00. To qualify for this fee, you must have a valid referral and treatment plan from your dentist. link to Photos Dental Implant ( 1 item ) Dental Implants pictures are displayed on: A.E.H case 12-2-45 agenisis:http://home-and-garden.webshots.com/album/554813453NismRw N. Halabi 2 lower retentive anchors case:http://home-and-garden.webshots.com/album/551584789pRPYaY N. Chidiac 13-15 case: http://home-and-garden.webshots.com/album/548223137kEZpDy A.B.S case Pics full mouth rehabilitation: http://travel.webshots.com/album/547906711kXkSiu case N. Halabi ( 1 item ) N. Halabi case's pictures are displayed also on: http://nhalabi.hautetfort.com and on: http://home-and-garden.webshots.com/album/551584789pRPYaY or on: http://community.webshots.com/user/jazzar105 About me ( 11 items ) Do you have complex problems associated with tooth loss? You have dreamed of replacing missing teeth with the look, feel and function of natural teeth? Dental implants make that dream come true! One address: Michel P. Jazzar - DDS Dental Surgeon since 1979 and Oral Implant since 1997 - Lebanon « Jazzar depuis …1929. C’est rassurant de savoir qu’on a choisi le meillleur!» © « Jazzar since ... 1929. It is reassuring to know that we chose the best!» © 1-Personal background: Oral Surgery: Graduated from the Odonto-Stomato Institute at Bordeaux - France, October 1979. Practicing Dental Surgery in Lebanon (Middle East). Implant Techniques: Graduated from Netherlands on March 4, 1997. Lecturer at the 17th International Dental Journeys of Nice- France on 7th June 2007. Implant procedure Abstracts published in " Le Chirurgien Dentiste de France" - 2007. I am doing Oral Implants since 1997 and since year 2003 exclusively ITI – Straumann © Implant - Swiss made. All kind of Implant Procedures: Crowns, Bridges, Full denture, Retentive Anchors, bar borne restorations, Magnet. You can find all kinds of removable or non removable restorations. Prices are affordable for all. You will get: HIGH QUALITY AND LOW PRICES ! jazzar@dm.net.lb Our patients come from: Lebanon, Egypt, Europe, Africa, USA, Australia, Cyprus and Jordan . Overview ( 10 items ) Who does implant dentistry? Each dental office is involved with oral surgery and implant dentistry. Implants involve two phases of treatment, placement of the implant(s) and placement of the crown(s) or restoration(s). Some dentists feel they can offer better solutions for you by using the different expertise of other team members, e.g. performing the surgery or the restoration. Other practitioners feel that performing both the surgery and the restoration within one office is optimal for many patients. What exactly are dental implants and what can they do for me? Implants are substitutes for teeth and they are today's best alternative to your natural teeth. They offer you a permanent or secure solution for replacing one or more teeth. They are made of biocompatible materials [Titanium] and function as anchors or support for traditional forms of dentistry, such as crowns, bridges or dentures. Many of our patients will tell you that implants have changed not only their smiles, their overall appearance but also even their lives! There are numerous other reasons to choose dental implants: Esthetically, they support teeth that look like real teeth. Functionally, dental implants feel and act like real teeth. With implants, you can eat and chew again without pain or irritation. Foods that were forbidden are now back in the diet. Implants eliminate the need for distasteful adhesives. There is no longer a need to use "glue" when your prosthesis is anchored to implants. Implants can actually improve the taste of food. With less plastic covering the roof of your mouth, you can enjoy natural flavors and sensations again. Lastly, implants can help maintain your bone structure and support your facial tissues. They can reduce or eliminate bone atrophy, which causes "shrinkage" or facial cosmetic changes. Are implants successful? Implants, as we know them today, have been in existence for at least twenty-five years. For the last ten years, however, success rates at many treatment centers are consistently over 95% with proper personal and professional care. Few forms of medical, orthopedic or dental treatment have such high success rates. What is the procedure like? There are actually two phases to implant dentistry: Phase 1: Using very accurate surgical techniques, an incision is made in the gum tissues and implants are placed into dimensionally controlled sites (depth and width) in the jawbone. The gum tissues are then closed and the healing phase begins. This may take anywhere from 3-6 weeks to ensure a strong base.[time depends of the Implant used. The Straumann ITI SLActive needs only 3 weeks and cost more] Phase 2: Creating and fixing the new tooth or teeth to the implant structure constitutes the second and final phase. Implants can replace a single tooth, several teeth or your dentures. Are they expensive? [see other section on Implant Fees] Initially, you might feel dental implants are expensive. However, they represent a more permanent and natural solution than dentures and partials. Thus, there is a greater initial investment. They should last for years, particularly if you have an "ideal" case. Independent surveys of implant patients show that they felt the investment was worth every penny and would do it again! How much do they cost? Each case is different. Cost is a function of your particular needs. After a complete examination, your doctor will more specifically determine your dental needs and the best treatment alternative(s) for you. At that point, you can specifically address the question of cost and be helped with financial arrangements. Does it hurt? Usually, discomfort is not a problem. In fact, many have said that having a tooth pulled was more painful! For the placement of an implant(s), your doctor will use one of many anesthetic regimens so there won't be any discomfort. When you leave the office, you will be given appropriate medications. We urge you to ask other patients how they felt after implant therapy. Your doctor(s) and their office teams are available at anytime to make sure that you are comfortable. What benefits can I really expect? Eat whatever you like! Implants improve your health with the ability to chew a wider variety of foods. Smile with confidence. Discolored or missing teeth ruin your appearance. Implant supported restorations help increase your self-esteem. People will approach you more readily. Express yourself clearly or simply be understood. Implants increase the retention and stability of your teeth. Improve your external facial structure and decrease the likelihood of continued bone loss. Your jaw and teeth will smile together. How long will it take? Recent advances by implant manufacturers are reducing the time for initial implant procedures. Treatment for the simple cases could take anywhere from 4-8 months, based on where the implants are placed and the type of restoration you desire. Do not compromise because your implants and the new teeth that they support should last for years. Will I be without teeth? You will never be without teeth. Your doctor will make sure that in the interim period, you look and feel very natural. Am I too old? Implant patients can be in their early teens or be mature adults in their seventies and eighties. Good health and adequate bone are the most critical factors in evaluating implant candidates. My latest patient was 85 years old [in year 2006]. Is one implant system better than the others? No. There are many FDA approved implant systems available to your doctor. In Jazzar Dental Clinics [Republic of Lebanon] the Straumann ITI Implant is used. What will it feel like when it is done? Once the entire procedure is complete and the final restorations placed, they will actually feel or function like your natural teeth! How do I take care of my implants? Normal routine home care and professional cleaning visits are required. It is important to know that every 3-4 months, you will need to have a routine cleaning and re-care treatment and evaluation. An individualized program will be designed for you to optimally care for your new teeth. Are there alternatives? Your doctor should describe all reasonable alternatives. Then you will make a decision together as to what is best for you. When can I get started? As soon as your doctor has all the necessary information and team members in place to give you excellent short term as well as life long care. Can any licensed dentist(s) legally perform implant surgery or restoration? Yes. However, education and experience are critical! Ask your dentist or dental specialist questions about his or her training in implant therapy and in-office implant experience. Additionally, we believe that a recommendation from your own dentist (if he or she is not involved in implant therapy) is an important criterion. Is it safe to have dental implant surgery performed outside the hospital, in an office-based facility? Most cases are. Safety refers to the nature of the procedure and the medical and\or anesthetic needs of the patient. How do I know if a dentist is qualified to perform implant treatment? We recommend you talk to treated patients of record and to referring dentists. case #10 ( 0 items ) Patient male young [21 y.o] with congenital loose of teeth [agenisis]: 45, 12, 22, 41, 31 and 32. It is a multiple case. Different procedure are implemented. such as: Removing temporary tooth 85 still on the maxillary and immediate implantation of a wide neck ITI implant. GBR in anterior lower maxillary to enhance bone thickness from less then 1mm up to 4 mm . Implants on 12 and 22 Implants on 41, 31 and 32. Pictures are posted on : http://aeh.hautetfort.com and other pics are posted on: http://home-and-garden.webshots.com/album/554813453NismRw First step: implantation of 45 [date: 13 October 2006]after extraction of temporary 85 remaining on lower maxillary. ITI Straumann WN 10MM, @ 4,2 MM, S10. and BGR: Bone Graft Regeneration on vestibular 31, 32, 41 with Bio Oss, to increase width of bone lower and anterior.[Increasing from 1mm to 4 mm, as to possible implantation after 6 months] The patient has done a orthodontic treatment one year before as to manage places for implants. Second step: 6 weeks ahead for crowning 45. Third step:one month ahead: implant in place of 12 and of 22 Fourth step: crowning 12 and 22 after osseointegration [6 weeks] Fifth step: crowning 12 and 22 . Sixth Step:Implantation of 41, 31 and 32 Seventh step: Crowning 41, 31 and 32. Case #9 ( 1 item ) Patient female 80 years old. Retentive Anchors on 42 and 32 with two retentive anchors and a partial stellite prosthesis on lower maxillary. Pics are coming to be displayed. case #8 ( 1 item ) Patient male 53 years old with two ITI Straumann Implants and a ceramic bridge. case #7 ( 0 items ) Implant 45 to a young female patient 25 Years old. Implant ITI Straumann and ceramic crown. case #4 - Young Female - Aesthetic case ( 0 items ) {mosimage} Aesthetic Case on 21-22-25 Young female who looses her previous bridge and have lack in the maxillary bone. Single Dental Implant ( 0 items ) Come to the new side of dental care. Do you have complex problems associated with tooth loss? You have dreamed of replacing missing teeth with the look, feel and function of natural teeth? Dental implants make that dream come true! One address: Michel P. Jazzar - DDS Dental Surgeon since 1979 and Oral Implant since 1997 - Lebanon « Jazzar depuis …1929. C’est rassurant de savoir qu’on a choisi le meillleur ! »© "Jazzar since ... 1929. It is reassuring to know that we chose the best!"© 1-Personal background: Graduated from the Odonto-Stomato Institute at Bordeaux - France year 1979, I am practicing Dental Surgery in Lebanon (Middle East) and graduated from Netherlands in 1997. I am doing Oral Implants since 1997 and since year 2003 exclusively ITI – Straumann © Implant - Swiss made. All kind of Implant Procedures: Crowns, Bridges, Full denture, Retentive Anchors, bar borne restorations, Magnet. You can find all kinds of removable or non removable restorations. Prices are affordable for all. Our patients come from Lebanon, Egypt, Europe, Africa, USA, Australia.... Enter the new century...With the oral implant technology. Ask for your dental case, Consultation is free of charge. 2-Introduction: Your teeth are an important part of your personal appearance and lifestyle. A beautiful smile enhances your overall presence, and healthy teeth allow you to eat and speak with confidence. Healthy teeth are not something to be taken for granted. Cavities, gum disease, and accidents are everyday occurrences that can lead to the loss of teeth. The loss of one tooth or several teeth can compromise your eating habits, speech, and appearance. In addition, when a tooth is lost, the bone that surrounds the tooth root can deteriorate affecting your appearance and bite. Fortunately, for almost 30 years, dental implants have offered a solution for not only replacing the missing “crown” of the tooth, but the dental root as well. Dental implants provide a stable foundation for a tooth replacement that looks, feels, and functions like your natural teeth. This treatment option is backed by several decades of scientific research and successful clinical use. As a result, dental implants may be just the tooth replacement solution you are looking for. 3-What is a Dental Implant A dental implant is a small screw made of titanium, which is a metal that the body easily accepts. The dental implant is inserted into the bone of the jaw, and over time the jawbone integrates with the implant surface, firmly anchoring it. Under normal conditions, the healing process can take as little as 6 weeks. After this time, a crown, bridge, or denture is secured to the implant. Ask your dentist how dental implants can work for your individual situation. 4- Benefits of dental implants: Dental implants are the closest possible replacement to natural teeth. They make replacement teeth stable for eating and smiling with confidence. Dental implants remove the need to cut down healthy teeth for a bridge. They can eliminate the pain caused by ill-fitting dentures. Dental implants help preserve the bone in the jaws. In some cases, they help maintain the shape of the face. 5-Advantages of Straumann © implants: (different length and width) High Swiss-quality standards for products you can trust. Extensive research and 30 years of documented clinical experience. Excellent success rate - more than 95% over a ten-year period. Most widely used dental implant system in the world with over 3 million implants placed. Unique patented implant surface for reduced healing time. Global presence and worldwide support and education for doctors and their patients.Implants SLActive are now used for the benefits of our patients. 6-Treatment of choice: Dental implants provide a stable foundation for replacement teeth that are closest to your natural teeth. Dental implants are a reliable solution... ...if disease leads to tooth loss. At any age, periodontitis, caries, or other diseases can cause tooth loss. Dental implants are then the ideal solution for your missing teeth. ...if an accident leaves you with missing teeth. Whether in sports activities or daily life - a small accident can cause tooth loss. In this case, too, dental implants restore lost function and appearance. ...if teeth are congenitally missing. For teeth that never grew at all, dental implants provide a solid foundation for replacement teeth. 7- Replacement solutions: Implants as a replacement for one tooth. Implants as a replacement of several teeth. Implants as a replacement of all teeth with a non-removable bridge. Implant solutions for denture wearers. Implants can also be used to support full dentures. 8-Implant insertion: Because traditional methods of tooth replacement, such as crowns, bridges, partials, and dentures, have disadvantages in terms of appearance and function, dental implants are considered by many dentists as the preferred method of tooth replacement. Your dentist will be happy to review with you the specific procedure that would be best suited for your individual situation. Example: Replacement of one tooth. 1. Planning The first step in the treatment sequence is careful planning, which begins with a thorough examination of your individual oral situation. Through X-rays and models of your mouth, your doctor will determine the most suitable treatment plan for your situation. 2. Implant placement The next step is placing the implant in the jaw. This procedure is usually performed in the dental office under local anesthesia. Once the implant is placed, it is left to heal. Healthy bone can form a strong bond with the implant in just 6 weeks 3. Replacement teeth When the healing period is complete, the implant provides a solid foundation for attaching your replacement tooth. 9-Restauration with implants: http://www.straumann.com/com_index/pi_index/pi_ch_patient... With implant treatment, the dental implant replaces the lost tooth root and provides a stable foundation for the replacement tooth, thus eliminating the need to grind down healthy neighboring teeth. 10-Resources: -By Air Mail: Send your request with your Panoramic XRay, CT Scan and Gipse models (which will not be returned) to: Jazzar Dental Clinic - PO Box 1951 – Jounieh -Lebanon -By email: Or if you have any questions send them by email to jazzar@dm.net.lb It’s free of charge! case #1 ( 0 items ) Patient's Name: A.B.SLEIMAN Male , age 52 years old, good health condition, peridontal problems. Lebanese, living in Austratlia since many years, married and children. Occupation: Gas Stations Owner and Manager. Date: February 23, 2006-02-24 Time: From 9.15AM till 0.15PM Venue: Al-Koura Hospital – Salle III – Northern Lebanon The Team of Implants Procedure Surgeon: Michel P. Jazzar – DDS Surgeon-Aide: Chadi Maroun Anesthetist-Reanimation : Dr. Moussa Abboud Anesthetist-Reanimation Aide: Mrs. Chadia Nurse: Mrs. Joyceline Photograph/Video: Alain Daoud – Studio Daoud Dental Implant System: ITI® - Straumann Group – Switzerland Implant ME Distributor: Prodent S.A.L - Beirut Dental Technician Rehabilitation: Pegase – Sarkis Kelaghbian Benefits of the Implant procedure Patients who have dental implants report the following benefits: Better ability to chew Improved appearance Be more confident Maintain a healthier diet Are happier and feel better about themselves. Good bye to teeth’s pain. Implant Procedure: Surgery Step I-Before Surgery: Diagnostics Tests: NUMEROUS TYPES OF X-RAYS AND OTHER TESTS SUCH AS BLOOD TESTS WILL PROVIDE INFORMATION TO EVALUATE TREATMENT PLAN. PANOGRAPHIC X-RAY......PROVIDES A VIEW OF THE ENTIRE MOUTH, LOCATION OF SINUSES, NERVES AND INDICATES ANY BONE PROBLEMS. TOMOGRAPHY X-RAYS (CT SCAN).....PROVIDES CROSS- SECTIONAL AND OTHER VIEWS THAT MEASURE YOUR PRECISE JAW HEIGHT, WIDTH AND BONE DENSITY. BLOOD TESTS......AN ONGOING MEDICAL CONDITION SUCH AS DIABETES, WILL DETERMINE IF YOUR CONDITION IS UNDER CONTROL. [DONE AT AL-KOURA HOSPITAL BEFORE THE SURGERY DAY]. Special Surgery Procedure: BONE GRAFT......BONE GRAFTING WILL INCREASE THE HEIGHT AND WIDTH OF THE JAW. AFTER THE NEW BONE IS PACKED AROUND THE`JAW, THE GUM IS CLOSED [SUTURES] AND THE NEW BONE BEGINS FUSING WITH YOUR JAW. NATURAL MINERAL BONE [BIO-OSS 0.5 ] IS USED. II-Implant Surgery: Extraction 13 teeth: 46, 45, 44, 43, 42, 41, 31, 32, 33, 34, 35, 36, 37 Implants: The Standard Plus Implant is used because it is the best flexible solution for trans-, semi- or subgingival implant placement in the esthetic region. Three prosthetic diameters were used depending of the location: Narrow Neck - NN: Implants with the 3.5 mm Narrow Neck (NN) restorative platform (Standard Plus Implant with a built-in octa abutment with external connection, for single-tooth restorations). Regular Neck - RN: Implants with the 4.8 mm Regular Neck (RN), restorative platform. Wide Neck - WN: Implants with the 6.5 mm Wide Neck (WN), restorative platform. Implants site: 10 SLA ITI Solide Srew Implants [SLA= Sand-blasted, Large grit, Acid-etched surface] 41: @3.3 SP lg 10mm NN 43: @4.1 SP lg 14mm RN 44: @4.1 SP lg 14mm RN 46: @4.8 SP lg 12mm WN 47: @4.8 SP lg 10mm WN 31: @3.3 SP lg 12mm NN 33: @4.1 SP lg 14mm RN 34: @4.1 SP lg 14mm RN 36: @4.8 SP lg 12mm WN 37: @4.8 SP lg 10mm WN Closure screws on all implants small or large or for NN and the following: 34: RN healing cap h: 2.0mm Ti 36: WN healing cap h: 2.0mm Ti 37: WN healing cap h: 2.0mm Ti 46: WN healing cap h: 2.0mm Ti [RN= Regular Neck, WN= Wide neck, NN= Narrow Neck, TI=Titanium] Bone Grafts Bio-Oss® granules 0.5 g – Natural bone mineral (Implantation material) Sutures: 0.3 Silk. III- After Surgery: Follow up: Post surgical treatments were given by perfusion under hospital control for 48 hours. Augmentin 1.2: by I.V direct x3/24 hours Profenid 100: Ampoule by I.V x3/24 hours Zantac: Ampoule I.V direct x3/24 hours Perfalgan 1gr.: by I.V direct – every 6 hours. Chemical plaque control with chlorexidine-digluconate (0.12%) was recommended in the first 3 weeks following the first 24 hours of implants placement Gingival gel: Gengigel® Ice Meals: Jello, Custer, milk, puree, soup, soft cheese, soft meat, cold tea… Panoramic XRay five days after surgery. Patient’s conditions & complications: Bleeding: None Infection: None Nerve damage: None. Swelling: None Muscle Injury: None Healing: Very good HEALING & OSSEOINTEGRATION STEP Check osseointegration after 3 weeks. Implant can be loaded between 3 and 6 weeks after implant surgery. PROSTHETIC STEP (Lower Full Fixed Denture) Strategy is designed as follows: -2 Crowns of white gold/ceramic on 47 and 37. -2 Bridges of 3 white gold/ceramic crowns each on 46-44 and 34-36. -1 Bridge of 6 white gold/ceramic crowns on 43-33. Implantation checked in December 2006 - M.C.patient male 56 y.o ( 1 item ) M.C. patient male 56 y.o with 2 lower retnetive anchors on two Straumann implants SLA and upper dolder barre on 4 Straumann implants SLA.

Counter