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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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Implants and ceramic crowns for complete smile makeover

26/2/2016

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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.
Missing lower front teeth affecting appearance, speech and biting function
Implants placed in the jaw bone with good stability and retention
Implants will fuse with the surrounding bone and function as roots of teeth
Ceramic crowns of exact color match fixed to implants for complete rehabilitation
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Missing tooth replaced & smile enhanced with implants

23/6/2014

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A 23-year-old girl came to our dental clinic seeking to replace her missing upper front tooth. The tooth was extracted elsewhere as it had fractured due to trauma. She was very self-conscious about the unsightly gap and wanted a fixed replacement.

Maxillofacial Surgeon & Implantologist expertly placed an implant in the missing tooth region in the upper jaw. After complete osseointegration of the implant with the surrounding alveolar bone, ceramic prosthesis was fixed of matching color as the adjacent natural teeth. This greatly enhanced her smile and she was very happy to be able to smile & speak confidently again.
Preoperative view showing missing upper front tooth extracted elsewhere due to trauma
Implant fixed in the missing tooth region with good bone support
Implant loaded with aesthetically well blended fixed ceramic prosthesis
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Immediate implants & complete rehabilitation successfully doneĀ 

5/6/2014

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A 35-year-old man reported to our dental clinic seeking specialized treatment for his fractured upper front teeth. The teeth were previously root canal treated elsewhere and fractured during an accidental fall. 

Maxillofacial Surgeon & Implantologist Dr. S.M. Balaji extracted the root stumps and skillfully placed immediate implants into the sockets of the extracted teeth preserving the jaw bone. Following osseointegration of the implants with the surrounding bone, ceramic prosthesis was fixed to the implants. The man was very happy with the results that gave him a great smile enhancing his appearance & confidence. 
Fractured upper front teeth
Root stump extracted
Fractured tooth extracted
Root stump in upper jaw extracted
Immediate implant placed in the socket of extracted tooth
Placing implants immediately in the same socket preserves bone
Immediate implant placed as fixed replacement to extracted tooth
Implants placed with good stability and retention
After complete rehabilitation with ceramic prosthesis
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Complete smile makeover with implants & cosmetic dentistry

4/6/2014

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A 28-year-old woman reported to our dental clinic seeking to replace her upper teeth bridge prosthesis done elsewhere. She was extremely unhappy with the prosthesis color and unnatural look. Also she wanted to replace her missing teeth.

The unsightly prosthesis for the upper teeth done elsewhere was removed and replaced with an esthetically superior prosthesis. Maxillofacial Surgeon & Implantologist Dr. S.M. Balaji skillfully placed dental implants in the missing tooth region in the left side upper & lower jaw. After successful osseointegration, ceramic prosthesis was fixed to the implants. Other natural teeth were whitened.

On her request, ceramic bridge prosthesis was placed to camouflage the crooked & severely stained lower front teeth. She was extremely happy with the results and to have a dazzling smile with the complete smile makeover.
Unsightly bridge-prosthesis done elsewhere in upper front teeth, missing and severely discolored teeth
Implant placed in upper jaw in missing tooth region
Implant placed in lower jaw in missing tooth region
Good stability & retention of implants achieved
Dazzling attractive smile after fixing upper & lower ceramic bridge prosthesis, implant prosthesis & teeth whitening
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