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Zygoma Implants for Complete Edentulous Upper Jaw

3/1/2018

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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.
Pre-operative showing periodontally weak teeth.
Preoperative OPG with severe bone loss
Immediate dental implants fixed into the extraction sockets with good stability and retention
Post-operative OPG with zygoma implants.
Post-operative view after conventional and zygoma implant placement
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Complete smile makeover with immediate dental implants

13/2/2017

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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.
Digital OPG showing fractured upper anterior teeth
Intraoral view showing badly broken upper anterior teeth
Extraction of broken tooth
Extraction of broken upper anteriror teeth
Immediate dental implants fixed in the extraction sockets with good stability and retention
Cosmetically well blended fixed ceramic prosthesis given for the upper anterior teeth
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Periodontally weak teeth replaced with immediate dental implants

9/8/2016

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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.
Periodontally weak teeth extracted
Immediate dental implants fixed into the extraction sockets with good stability and retention
Implant supported cosmetically well blended fixed ceramic prosthesis given
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Implant placed immediately after fractured tooth extraction

23/7/2016

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A patient reported to our dental clinic wanting to remove a broken tooth in her upper front teeth region due to failed prosthesis done following endodontic therapy elsewhere. She also requested a permanent replacement of the same. She was advised to undergo an extraction of the tooth which was badly broken. Eminent Maxillofacial Surgeon and Implantologist, Dr. S.M. Balaji, renowned for his expertise in dental implantology, successfully extracted the fractured endodontically treated tooth without damage to the supporting bone and an immediate dental implant was placed right away into the socket of the extracted tooth. Following complete osseointegration of the dental implant with that of the alveolar bone cosmetically well blended fixed ceramic prosthesis loaded onto the implant which improved her smile dramatically.
Digital radiograph showing failed prosthetic crown with cervical root structure damaged
Fractured upper right central incisor due to failed prosthesis following endodontic treatment
Failed prosthetic crown along with damaged tooth removed
Metal post with the root piece removed in toto
Fractured tooth removed with good support to the labial and palatal plates
Immediate dental implant fixed into the extraction socket with good retention and stability
Fixed ceramic prosthesis loaded on to the implant giving enhanced appearance
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Successful replacement of infected tooth with dental implant and fixed ceramic prosthesis

1/7/2016

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A 26 year old lady reported to our dental clinic with the complaints of pain in upper front region of jaw due to failed endodontic treatment done elsewhere. She wanted to replace the tooth with dental implant.
After thorough clinical and radiological examination, Maxillofacial Surgeon and Implantologist Dr. S. M. Balaji successfully planned to remove the infected teeth and replace it with immediate implants. Infected upper central incisor was extracted without any damage to the adjacent tooth structure and immediate implant was placed into the extraction socket with good stability and retention. After complete osseointegration of dental implant with that of the alveolar bone, implant was loaded with fixed ceramic prosthesis giving naturally well blended appearance.
Failed endodontically treated tooth removed without any damage to the supporting tooth structure
Immediate implant fixed into the extraction socket with good stability and retention
Cosmetically well blended fixed ceramic prosthesis given following osseointegration of implant
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Successful jaw reconstruction & dental implants Complete smile makeover

7/5/2016

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A 26 year old boy visited our hospital seeking for correction of his facial profile to enhance the appearance. He was under orthodontic treatment for past 2 years elsewhere. But he was not satisfied with the results and thus he wants to have surgical correction of his jaw without any scars on the face.
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After thorough clinical and radiological examination, Maxillofacial Surgeon Dr. S.M.Balaji planned to correct his face by following corrective jaw surgery. He has short upper lip due to vertical maxillary excess which was corrected by Lefort I osteotomy. His profile shows short chin giving round face appearance. This was corrected by augmenting the genium using costochondral rib graft. Thus entire surgery was done inside the mouth and his facial appearance improved dramatically. Patient feels very happy to have the entire facial correction in a single surgery and without any visible surgical marks on the face.
Preoperative digital OPG showing congenitally missing teeth with complete alveolar ridge recession
3DCT scan showing severe boneloss in the missing teeth region
3DCT profile view showing alveolar ridge recession in the posterior missing teeth region
Costochondral rib graft harvested to reconstruct the alveolar ridge
Skin incision was closed in layers
Intraoperative view where receded alveolar ridge surgically exposed
Intraoperative view
Bone graft fixed in the receded alveolar ridge region
Bone graft fixed
Bone graft fixed with screws
Implant fixed in few areas where good stability achieved
Bone graft fixed to enhance the retention
Bone graft fixed
Postoperative OPG showing good bone formation
Intraoperative view showing enhanced bone formation
Implants fixed in the newly formed bone region
Mini bone screws were removed
Implants fixed with good stability and retention
Enhanced bone formation
Implants fixed with good retention
Postoperative OPG showing dental rehabilitation with implants in newly formed bone
Upper arch with fixed ceramic prosthesis
Naturally well blended fixed ceramic prosthesis placed
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Complete smile makeover with dental implants

29/4/2016

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A 24-year-old girl reported to our dental clinic seeking to replace her upper teeth. She added the canine and first premolar teeth was removed elsewhere due to infection few months back.
 Maxillofacial Surgeon & Implantologist Dr. S.M. Balaji skillfully placed dental implants in the missing teeth region in the left side of upper jaw. After successful osseointegration, ceramic prosthesis was fixed to the implants. She was extremely happy with the results and to have a dazzling smile with the complete smile makeover.
Missing teeth in left side of upper jaw
Dental implants fixed in the missing teeth region with good stability and retention
Naturally well blended fixed ceramic prosthesis placed to the implants giving enhanced appearance
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Implant placed immediately after tooth extraction

26/2/2016

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A patient reported to our dental clinic wanting to remove the teeth with excessive mobility. He also requested a permanent replacement of the same. He was advised to undergo an extraction of the upper and lower anterior teeth which have severe mobility due to lack of supporting structures. Eminent Maxillofacial Surgeon and Implantologist, Dr. S.M. Balaji, renowned for his expertise in dental implantology, extracted the severely mobile 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.
RVG showing periodontally compromised upper front teeth with the prosthesis
RVG showing periodontally compromised lower front teeth with the prosthesis
Extraction of the periodontally weak upper anterior along with the ceramic bridge
Dental implants fixed into the extraction sockets with good stability and retention
Periodontally weak lower front teeth removed
Extracted teeth with the prosthesis in toto
Lower anterior teeth replaced with immediate dental implants
Cosmetically well blended fixed ceramic prosthesis loaded onto the implants giving enhanced appearance
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Implant placed immediately after fractured tooth extraction

21/2/2016

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A patient reported to our dental clinic wanting to remove a broken tooth in her upper front teeth region due to failed prosthesis done following endodontic therapy elsewhere. She also requested a permanent replacement of the same. She was advised to undergo an extraction of the tooth which was badly broken. Eminent Maxillofacial Surgeon and Implantologist, Dr. S.M. Balaji, renowned for his expertise in dental implantology, skillfully extracted the fractured endodontically treated tooth without damage to the supporting bone and an immediate dental implant was placed right away into the socket of the extracted tooth. Following complete osseointegration of the dental implant with that of the alveolar bone cosmetically well blended fixed ceramic prosthesis loaded onto the implant which improved her smile dramatically.
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Failed implants done elsewhere retrieved successfully and complete rehabilitation

21/2/2016

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A 54-year-old Australian man had sought dental implant treatment elsewhere at a clinic in Chennai. Citing very cheap and attractive rates, inferior-quality implants are often advertised to lure unsuspecting patients. In one such case, this patient underwent full-mouth implant treatment at some other clinic in Chennai. Subsequently the implants failed, they began to loosen and got infected causing severe pain and difficulty in eating & chewing.
Digital OPG X-ray revealed severe loss of bone surrounding the implants that caused them to loosen and dislodge. Maxillofacial Surgeon and Implantologist Dr. S.M. Balaji successfully performed the complete rehabilitation. The failed implants were removed completely and the surrounding infection controlled. New superior enhanced implants were placed with good retention and stability. Following complete osseointegration of the implants with the surrounding jaw bone, ceramic prosthesis was placed. The man is very happy to be relieved of pain and discomfort and to have good quality superior implant treatment.
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