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Successful complete rehabilitation of teeth in an Ectodermal dysplasia patient

16/4/2014

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A 20 year old boy reported to our dental clinic with the complaints of complete missing teeth both in upper and lower jaw. He wanted to have fixed replacement for the same.

He was a known ectodermal dysplasia patient with completely edentulous jaws. Due to his missing teeth condition, jaw bone in the teeth bearing region was less volumetric and less dense giving his face an aged appearance. He gave the history of wearing removable dentures which was very uncomfortable. His personality and self confidence were severely affected. He was too self conscious to smile.

Maxillofacial Surgeon and Implantologist Dr. S. M. Balaji expertly planned to replace his missing teeth with dental implants. Bone deficient regions of jaw were enhanced with bone graft obtained intra orally from excess bony regions. Successfully implants were fixed in the upper and lower jaw. After 3 months implants were loaded with fixed ceramic prosthesis. Patient was very happy to have a new, young looking and beautiful smile which gave him enhanced appearance and boosted his self confidence. 
Pre operative view showing completely edentulous upper and lower jaw
Bone graft harvested from mandibular ramus region
Bone graft fixed in the bone-deficient region of upper jaw with mini screws to enhance the crestal width
Implants fixed in the lower arch wit good stability
Implants fixed in the upper arch with good stability
Implants loaded with fixed ceramic prosthesis
Beautiful, confident smile after complete rehabilition with dental implants & prosthesis
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Successful replacement of missing teeth with dental implants and immediate- loading prosthesis

9/4/2014

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A 30 year old man reported to our dental clinic wanting to replace his missing teeth. He gave a history of having met with a road traffic accident few weeks back. On intra oral examination, upper left central and lateral incisors were avulsed completely and right central incisor was fractured. He also complained of pain in fractured tooth.

Maxillofacial surgeon and Implantologist Dr. S. M. Balaji expertly planned to replace his missing teeth using dental implants. Periosteal flap was raised and implants fixed in the missing teeth region with maximum stability.  Implants were immediately loaded with fixed crown prosthesis closely resembling natural teeth. The adjacent fractured tooth was root canal treated and restored with ceramic crown. Patient was very happy to have fixed teeth immediately and fractured tooth was also saved and restored enhancing his smile. 

Pre operative view showing missing teeth and fractured tooth in upper anteriors
Implant fixed in the missing tooth region
Implant loaded with fixed ceramic crowns with ceramic crown for right central incisor
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Severely curved root canal in upper anterior tooth successfully Root filled

4/4/2014

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A 20 year old girl reported to our dental clinic with the complaints of malaligned teeth and spacing due to small sized upper front tooth. We started orthodontic treatment to correct her teeth. Later the abnormally small sized upper right lateral incisor was addressed. The tooth also had severely curved root canal, but the patient very strongly refused for extraction.

Our prosthodontic and endodontic team expertly planned to save that tooth and also give her a beautiful smile. Endodontic specialist performed root canal treatment for that tooth. Severely curved apical third of root was completely sealed with flowable sealants and lateral canals were also filled completely. Using lateral condensation technique the rest of the root canal was filled. Results are shown in the post operative radiographs. Later the tooth will be covered with ceramic crown. The patient was very happy as her natural tooth was saved and restored successfully. Post operative prosthodontic results will be uploaded after fixing the crown

Pre operative digital X-ray showing microdontia in relation to right lateral incisor tooth
Pre operative RVG showing severly curved apical third of the root canal in upper right lateral incisor
During root canal treatment - GP point showing the severe root end curvature
Master cone selection done
Complete obturation done and lateral canals also sealed
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Implant immediately loaded with prosthesis to replace missing tooth

2/4/2014

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A 25-year-old lady reported to our dental clinic seeking immediate replacement of her missing upper front tooth.

Maxillofacial Surgeon & Implantologist Dr. S.M. Balaji placed an implant in the jaw bone in the missing tooth region. A prosthesis resembling natural tooth was immediately fixed. The lady was very happy to complete the treatment instantly and to have her appearance & smile enhanced greatly.  
Missing upper front tooth affecting smile & appearance
Implant placed in jaw bone in missing tooth region
Implant immediately loaded with prostheis to replace missing tooth
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