A patient of age 43 years who had visited multiple dental clinics looking for an immediate and cost effective solution for his oral rehabilitation; visited our hospital seeking the expert opinion of Maxillofacial Surgeon and Implantologist Dr. S. M. Balaji.
The patient complained of several missing and mobile teeth in the upper arch. The patient explained about his difficulty to chew foods and that he was experiencing a stutter. After thorough clinical and radiological examination, Maxillofacial Surgeon and Implantologist Dr. S. M. Balaji planned to perform complete extraction of the periodontally weak maxillary teeth followed by immediate implants placement along with zygoma implants, thereby providing a graft less and affordable alternative for tooth replacement.
All the maxillary teeth were extracted and dental implants along with zygomatic implants were placed. The zygomatic implants were placed by creating a window on the lateral wall of the sinus; the sinus mucosa was lifted away from the area where the implant would pass through; ensuring not to penetrate the membrane.
After a period of 3 months, complete osseointegration of implants with the alveolar bone was achieved and cosmetically well blended fixed ceramic prosthesis was placed onto the implants. The patient was greatly overjoyed to have a complete smile makeover using dental implants and also stated that he experienced an immediate change in his speech after placement of the prosthesis.
Keywords: Zygoma implants, implants, graft less technique, cheekbone implants, immediate implants.

A 30 year old man came to our dental clinic with the complaints of fractured upper front teeth due to an accident.
After thorough clinical and radiological analysis, Maxillofacial Surgeon and Implantologist Dr. S. M. Balaji successfully removed the fractured upper front teeth without damaging the supporting teeth structures. Immediate dental implants were fixed into the extraction sockets with good stability and retention. Following complete osseointegration of implants with that of the alveolar bone cosmetically well blended fixed ceramic prosthesis was given. Patient feels very happy to have permanent fixed replacement for his broken teeth and complete smile makeover with the ceramic prosthesis.

This is a case of periodontally weak lower anterior teeth replaced with dental implants. She reported to our hospital with the complaint of severely mobile teeth. After thorough clinical and radiological examination, Maxillofacial Surgeon and Implantologist Dr. S. M. Balaji planned to do extraction and replacement with dental implants in single sitting. Mobile teeth were extracted and replaced with immediate dental implants. After complete osseointegration of implants with that of the alveolar bone, cosmetically well blended fixed ceramic prosthesis were placed onto the implants.

A 45-year-old man from Dubai came to our dental clinic seeking to replace his missing lower front teeth. Few months back he had suffered a fall injury in which his lower central incisor teeth were severely fractured and subsequently extracted. The gap in his lower teeth gave him an unsightly smile. Also it was difficult for him to speak clearly and bite into foods. He wanted a fixed replacement without damage to the adjoining teeth.
After thorough clinical and radiological examination, Maxillofacial Surgeon & Implantologist Dr. S.M. Balaji placed dental implants in the missing teeth region with good stability and retention. After complete osseointegration of the implants with the surrounding bone, ceramic crowns of exact color match were fixed to the implants. The patient is very happy to have a natural-looking smile and to be able to bite and speak well.

A patient reported to our dental clinic wanting to remove the badly decayed teeth. She also requested a permanent replacement of the same. She was advised to undergo an extraction of the upper right anterior teeth. Eminent Maxillofacial Surgeon and Implantologist, Dr. S.M. Balaji, renowned for his expertise in dental implantology, extracted the severely decayed teeth and immediate dental implants were placed right away into the socket of the extracted tooth. Fixed ceramic prosthesis was given following osseointegration after 3 months.

A young man came to our dental clinic seeking expert treatment for his unattractive smile and mobile upper front teeth. Due to his loosened upper teeth he was unable to bite into foods and even speak properly. Also the unsightly gap between the teeth and the discolored fillings on the two front teeth that were done elsewhere, made him very conscious of his smile and he wanted to remove the teeth and get a fixed replacement.
Periodontal therapy was done to improve the gingival condition. The periodontally weak maxillary central incisors were extracted and dental implants placed in the same sockets with good retention and stability without any additional bone loss. Following complete osseointegration of the implants with the surrounding bone, cosmetically well blended ceramic crowns were fixed with good color match. This gave a natural-looking, pleasing, enhanced smile. The patient was very happy to have this complete rehabilitation that improved his smile and appearance and also he was able to bite foods well and speak easily.