ADDRESS:
B-2/147 CIVIL LINES , NEAR HEAD POST OFFICE / MONA MEMORIAL CHURCH, CIVIL LINES , HOSHIARPUR 146001. PUNJAB, INDIA .
Phones:
+91 9814046704,+91 1882 225641.
E Mail:
snnvdp@yahoo.co.in
Timings:
Morning: 9.00am to 1.00pm
Evening : 16th March to 15th October
-4.30pm to 7.30pm .
16th October to 15th March
-4.00pm to 7.00pm .
Sunday: By prior appointment only .
B-2/147 CIVIL LINES , NEAR HEAD POST OFFICE / MONA MEMORIAL CHURCH, CIVIL LINES , HOSHIARPUR 146001. PUNJAB, INDIA .
Phones:
+91 9814046704,+91 1882 225641.
E Mail:
snnvdp@yahoo.co.in
Timings:
Morning: 9.00am to 1.00pm
Evening : 16th March to 15th October
-4.30pm to 7.30pm .
16th October to 15th March
-4.00pm to 7.00pm .
Sunday: By prior appointment only .
We at SAINI`S DENTAL CARE & IMPLANTS CENTRE have undergone extensive training in the field of Implantology & continue to upgrade our knowledge both in India & abroad & are using a number of Implant Systems like NOBEL BIOCARE, UNITI EQUINOX, ADIN, KOS, BCS, BOI since 2008 & are able to handle all cases requiring implant supported teeth. We have our own equipment & place & restore implants ourselves, unlike many of our colleagues who are neither trained nor place & restore implants themselves, but , ask other Dentists ( who come from some other city ) to place implants for them.
Typical two piece implant system -where in the implant & the abutment are two separate components which are connected & then a crown is placed on the abutment.
Two piece implant with a tooth color abutment.
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An inside view of the joint between the implant & the abutment in the Two Piece Implant System.
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One piece implant with a tooth color & a regular titanium abutment.
One Piece Implants by Adin Implants.
A single piece Ball Implant for an overdenture.
One Piece Transitional Implants.
A triple disc BOI Implant.
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Some designs in One Piece Implants
Laterally inserted single disc BOI Implant.
KOS Plus Implant which engages both Cortical & Cancellous Bone & has very high immediate stability.
Some designs of BOI Implants
BAST Implant from Dr Ihde Dental.
Image of a Double Disc BOI Implant.
A Tubero Pterygoid Implant placement.
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Some examples of use of KOS Plus Implants.
Method of insertion of BOI Implants.
WE CAN PROVIDE YOU IMPLANT SUPPORTED FIXED TEETH WITHIN ONE TO TWO DAYS .
Some basic information about implants :-
An implant fixture has two parts :
-the part which goes into the bone that is called the implant . It is equivalent to the root of a natural tooth & acts as an anchor –by mechanically & biologically bonding with the jaw bone – a process called OSSEOINTEGRATION .
&
- the part which is visible in the mouth & on which the crown/ cap is fixed that is called the abutment .
There are two broad categories of Implants :
1.Those inserted Vertically in the jaws ( Used most commonly )
2.Those inserted from sides ( laterally inserted ) in the jaws Example : BOI Implants from Ihde Dental Germany/ Switzerland. ( Used in those situations where the vertical height of bone is insufficient for insertion of vertically inserted implants & in fresh extraction cases . By using these implants, the expensive & unpredictable & time consuming procedure of bone grafting can be avoided .)
The vertically inserted implants are further of two types :
Two Piece Implants : Here the implant & the abutment are two separate pieces . The implant body is hollow & the abutment is inserted into the body of the implant & is held there with a screw or by a friction grip Morse taper mechanism .They can be placed in already healed bone or in fresh extraction sockets . The abutment can be straight or angled. It can be tooth colored or non tooth colored .
One Piece Implants: Here both the implant & the abutment are one solid piece of metal & are inseparable . They can be inserted in already healed jaw bone or in fresh extraction sockets .
The abutment can be pre angulated or can be bent to achieve a favorable angulation . The ball type one piece implants are used for stabilizing Complete Dentures .
The Procedures of Implant insertion ( Particularly two piece implants ) can be of different types :
1. Only the implant is inserted into the jaw bone & the abutment is added after about four months or later & then a temporary or permanent crown is attached .
2. The implant is inserted , the abutment is added there & then & a temporary crown is attached . This temporary crown is later on replaced with a permanent crown .
For one piece implants temporary or permanent crown is placed within a day or so of implant insertion .
Options for patients who have lost all teeth :
1. Get a number of implants fixed & get crowns fixed on them . These can not be taken out by the patient . They can be removed only by a dentist for service / cleaning / repair/ replacement .
2. Get two to four ball implants / normal implants with locator attachments or bars fitted in each jaw . The Complete Dentures can be easily attached to these implants by the patient . These dentures are called Implant Supported Overdentures .
The patient can eat any food of choice , talk & smile confidently without the risk of the denture moving in the mouth & causing mouth sores & embarrassment. The dentures can be easily removed by the patient, cleaned & fixed back in the mouth.
For placement of Implant supported teeth the following things are required :
1. Proper education & training in this field & continuous upgradation of
knowledge by the Dental Surgeon – Implantologist & his/ her team.
2. Proper Equipment for the various procedures.
3. Proper diagnosis of the situation & treatment planning.
4. A stock of a variety implants/ abutments etc.
5. Confidence of handling various situations.
COSTS :
Costs include the price of Implant / Abutment, temporary/ permanent crown.
Cost of surgical procedure.
The use of Bone graft material, membrane etc add to the costs of treatment.
There are many companies manufacturing & selling Implantology related materials. The costs vary from company to company & the type of implant ,the type of abutment – according to their cost inputs,quality, Research & Development, advertisement budget & market share.
Generally one piece implants are cheaper than two piece implants.
Here are pictures & X Rays of some of the cases handled by us for your kind perusal :-
Some basic information about implants :-
An implant fixture has two parts :
-the part which goes into the bone that is called the implant . It is equivalent to the root of a natural tooth & acts as an anchor –by mechanically & biologically bonding with the jaw bone – a process called OSSEOINTEGRATION .
&
- the part which is visible in the mouth & on which the crown/ cap is fixed that is called the abutment .
There are two broad categories of Implants :
1.Those inserted Vertically in the jaws ( Used most commonly )
2.Those inserted from sides ( laterally inserted ) in the jaws Example : BOI Implants from Ihde Dental Germany/ Switzerland. ( Used in those situations where the vertical height of bone is insufficient for insertion of vertically inserted implants & in fresh extraction cases . By using these implants, the expensive & unpredictable & time consuming procedure of bone grafting can be avoided .)
The vertically inserted implants are further of two types :
Two Piece Implants : Here the implant & the abutment are two separate pieces . The implant body is hollow & the abutment is inserted into the body of the implant & is held there with a screw or by a friction grip Morse taper mechanism .They can be placed in already healed bone or in fresh extraction sockets . The abutment can be straight or angled. It can be tooth colored or non tooth colored .
One Piece Implants: Here both the implant & the abutment are one solid piece of metal & are inseparable . They can be inserted in already healed jaw bone or in fresh extraction sockets .
The abutment can be pre angulated or can be bent to achieve a favorable angulation . The ball type one piece implants are used for stabilizing Complete Dentures .
The Procedures of Implant insertion ( Particularly two piece implants ) can be of different types :
1. Only the implant is inserted into the jaw bone & the abutment is added after about four months or later & then a temporary or permanent crown is attached .
2. The implant is inserted , the abutment is added there & then & a temporary crown is attached . This temporary crown is later on replaced with a permanent crown .
For one piece implants temporary or permanent crown is placed within a day or so of implant insertion .
Options for patients who have lost all teeth :
1. Get a number of implants fixed & get crowns fixed on them . These can not be taken out by the patient . They can be removed only by a dentist for service / cleaning / repair/ replacement .
2. Get two to four ball implants / normal implants with locator attachments or bars fitted in each jaw . The Complete Dentures can be easily attached to these implants by the patient . These dentures are called Implant Supported Overdentures .
The patient can eat any food of choice , talk & smile confidently without the risk of the denture moving in the mouth & causing mouth sores & embarrassment. The dentures can be easily removed by the patient, cleaned & fixed back in the mouth.
For placement of Implant supported teeth the following things are required :
1. Proper education & training in this field & continuous upgradation of
knowledge by the Dental Surgeon – Implantologist & his/ her team.
2. Proper Equipment for the various procedures.
3. Proper diagnosis of the situation & treatment planning.
4. A stock of a variety implants/ abutments etc.
5. Confidence of handling various situations.
COSTS :
Costs include the price of Implant / Abutment, temporary/ permanent crown.
Cost of surgical procedure.
The use of Bone graft material, membrane etc add to the costs of treatment.
There are many companies manufacturing & selling Implantology related materials. The costs vary from company to company & the type of implant ,the type of abutment – according to their cost inputs,quality, Research & Development, advertisement budget & market share.
Generally one piece implants are cheaper than two piece implants.
Here are pictures & X Rays of some of the cases handled by us for your kind perusal :-
CASE REPORT: This 56 years old male patient from Toronto, Canada, was using Upper & Lower Complete Dentures, but, wanted fixed teeth.Two Piece - Eight Equinox Myriad Plus Implants( Equinox Medical Technologies, Holland) were placed in the lower jaw and 10 ADIN Implants (Israel) were placed in the upper jaw. Porcelain Fused to Metal Bridges were cemented. The patient is extremely happy & satisfied with the outcome.
Pre Treatment Intra Oral Picture - Upper Ridge.
Pre Treatment OPG.
Implants in Upper Jaw.
Post Treatment Smile.
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Pre Treatment Intra Oral Picture- Lower Ridge.
Implants in Lower Jaw.
Post Treatment Intra Oral Picture.
Post Treatment OPG.
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NEXT CASE REPORT: This 69 years old female patient from San Jose,California, USA, was using upper & lower full dentures, but, was not comfortable with the lower denture as it kept on moving & hurting. One Piece KOS / BCS Implants from Dr. Ihde Dental, Switzerland / Germany were placed in the lower jaw & Metal Acrylic Hybrid Prostheses was cemented. The patient now feels very comfortable to chew food/ speak/ laugh.
Pre Treatment picture.
Pre Treatment OPG.
Metal Acrylic Prostheses prior to cementation.
Post Treatment OPG.
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Fitting Surface of Lower Full Denture being used by the patient.
Post Implant placement Picture.
Metal Acrylic Hybrid prostheses after cementation.
Post Treatment smile.
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NEXT CASE REPORT: This 67 years old male patient from Toronto, Canada, was using a cast partial denture in the lower jaw & a full denture in the upper jaw. Most of the remaining natural teeth in the lower jaw were grossly destructed. All the lower teeth were extracted &One Piece KOS / BCS Implants from Dr. Ihde Dental, Switzerland / Germany were placed. Immediate chairside Acrylic Temporary bridge was delivered. Metal Acrylic Hybrid Prostheses was cemented in the lower jaw & a New Upper Complete denture was fabricated.The patient is extremely happy & satisfied with the outcome.
Follow up E Mail & reply.
Respected sir,
Jai Hind.
I hope this email finds you and your family members in the best of health and spirits. I wish to know about your general and dental health and hope that you are totally comfortable with the new teeth. Kindly do reply back.
Looking forward to hearing from you soon.
Warm regards,
Navdeep Saini, Hoshiarpur.
REPLY:
Hello Dr. Navdeep Saini,
Sat Sari Akal,
I was thinking of sending you email one of these days but now I am glad you have send me one and has forced me to reply.
Doctor I am extremely happy with my dental health and can not express in words how thankful I am to you and your wonderful
staff. I am looking forward to getting similar dental work done on my upper jaw early next year. Also my massi Kamaljeet, one
you have already seen, will be coming for upper and lower jaw implants.
One again Doctor, thanks and convey my best wishes and regards to your family and staff.
Take Care.
Respected sir,
Jai Hind.
I hope this email finds you and your family members in the best of health and spirits. I wish to know about your general and dental health and hope that you are totally comfortable with the new teeth. Kindly do reply back.
Looking forward to hearing from you soon.
Warm regards,
Navdeep Saini, Hoshiarpur.
REPLY:
Hello Dr. Navdeep Saini,
Sat Sari Akal,
I was thinking of sending you email one of these days but now I am glad you have send me one and has forced me to reply.
Doctor I am extremely happy with my dental health and can not express in words how thankful I am to you and your wonderful
staff. I am looking forward to getting similar dental work done on my upper jaw early next year. Also my massi Kamaljeet, one
you have already seen, will be coming for upper and lower jaw implants.
One again Doctor, thanks and convey my best wishes and regards to your family and staff.
Take Care.
Pre Treatment Intra Oral picture.
Pre Treatment Intra Oral Picture.
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Pre Treatment Intraoral picture without partial denture in place.
Picture of Lower cast partial denture.
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Pre Treatment OPG image.
Intraoral picture on the day of surgery.
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Picture of the extracted teeth.
Chairside Acrylic Temporary prostheses in place.
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Lower Metal Acrylic Prostheses before cementation.
Intra Oral picture after prostheses delivery.
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Intra Oral Picture on the fourth day.
Smile after prostheses delivery.
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Next Case Report: This 57 years old female from United Kingdom, reported with multiple missing teeth. She was using a Removable Partial Denture in the lower jaw. She wanted fixed replacement in the lower jaw. All remaining teeth in the lower jaw were extracted and One Piece KOS/ BCS Implants from Idhe Dental, Switzerland/Germany, were placed. Metal Acrylic Hybrid Prostheses was cemented in the lower jaw. She is extremely happy & satisfied.
Pre Treatment Intra Oral Picture. Lower front teeth are almost invisible.
Pre Treatment Picture with lower Denture Removed.
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Pre Treatment Picture.
Pre Treatment OPG.
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Extracted teeth & Removable Partial denture.
Metal Acrylic Prostheses in place.
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Post Implant placement picture.
Post Treatment OPG.
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Post Treatment Intra Oral Picture.
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Post Treatment Smile.
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Next Case Report:- A 65 yrs Lady from United Kingdom reported with recently extracted Upper Right Lateral Incisor & Canine teeth. She was using a Removable Partial Denture & wanted fixed replacement. There is gingival recession over the root of 14 on mesial & buccal aspect. RVG revealed poor quality endo treatment in 14, but, with no apical pathosis. Patient did not want any treatment wrt 14. No drill was used & KOS Plus Implants( Idhe Dental, Switzerland) were placed in 12 & 13 region using hand grip. Very high stability was achieved. Joint metal ceramic crowns were cemented on the third day. Picture with crowns was taken on 6th day.
Pre Treatment Photo.
Pre Treatment RVG Image.
Post Cown cementation Photo on 6th day of Implant placement.
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Removable Partial Denture being worn by the patient.
Post Implant placement picture.
Post Crown cementation RVG Image
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Next Case Post:- This 45 yrs old male person had an acrylic tooth fixed with cold cure resin over the root of right upper lateral incisor. The acrylic tooth was removed, the root was extracted & an ADIN Implant 3.75x13mm with cover screw was placed.
An acrylic tooth was attached to the adjacent teeth with composite resin bonding. After 04 months healing abutment was attached, then an acrylic temporary crown was cemented after attaching an angulated abutment. Finally a Metal Ceramic crown was cemented.
Pre Treatment picture.
Pre Treatment RVG.
Picture after Implant placement.
Angulated abutment attached.
Acrylic temporary crown cemented.
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Pre treatment picture.
Picture of extracted root.
Acrylic Tooth attached to adjacent teeth with composite bonding for interim period,
RVG with angulated abutment attached.
Final result with Metal ceramic crown cemented.
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Next Case Report:- This 57yrs old female patient reported with few lower caries affected teeth & highly reduced chewing capacity over the last few years. After treating the supraerupted upper molars, the lower front teeth were removed & five KOS/BCS Implants were placed & an interim prostheses was provided which was removed after 2.5 months & three more KOS/ BCS Implants were placed. A metal ceramic bridge with occlusion from right first molar to left first molar was cemented as final prostheses.
Pre Treatment Panoromic X Ray
Pre Treatment Front view.
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Pre Treatment Right Side view.
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Pre Treatment Left Side view.
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Five KOS/ BCS Implants placed after extraction of remaining lower teeth.
Three more KOS/ BCS Implants added taking the tally to EIGHT.
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Interim Hybrid Prostheses in place.
The Final Metal Ceramic Prostheses after cementation.
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Next Case Report:- Pictures & RVG images of a 35 year old female teacher who suffered trauma to right side of face from a stone that hit her like a projectile while she was riding a two wheeler late in the evening on 19th August, 2013.
The stone was propelled by the tyre of a fast moving car that crossed near to her vehicle. She suffered a cut on the mucosal surface of lower lip, her right upper lateral incisor got fractured in cervical third while the distal incisal edge of right upper central incisor also got fractured.
An oblique fracture of the lateral incisor was suspected from physical examination & from RVG image. She has no overjet. I rounded off the distal incisal edge of the central incisor, removed the fractured lateral incisor & placed KOC Plus 3.7 x 13+3 implant & by next morning cemented an incisally short acrylic crown with Temporary cement which will be replaced with a permanent crown with proper shade match & shape after 04 months.
The stone was propelled by the tyre of a fast moving car that crossed near to her vehicle. She suffered a cut on the mucosal surface of lower lip, her right upper lateral incisor got fractured in cervical third while the distal incisal edge of right upper central incisor also got fractured.
An oblique fracture of the lateral incisor was suspected from physical examination & from RVG image. She has no overjet. I rounded off the distal incisal edge of the central incisor, removed the fractured lateral incisor & placed KOC Plus 3.7 x 13+3 implant & by next morning cemented an incisally short acrylic crown with Temporary cement which will be replaced with a permanent crown with proper shade match & shape after 04 months.
Pre treatment picture - fracture of Disto Incisal edge of right central incisor & cervical area of lateral incisor along with no overjet & injury on mucosal surface of lower lip visible.
Another view of the fractured teeth with teeth in open position,
Labial view of the extracted tooth
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RVG Confirming oblique fracture extending from crevical area of crown subgingivally to the root.
Proximal view of the extracted tooth
RVG after placement of KOC Plus Implant from Dr Ihde Dental Switzerland/ Germany
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Picture immediately after tooth extraction & implant placement.
Picture on next day morning
Picture on the next day morning after cementation of temporary crown.
Picture on the sixth day
Picture after two weeks.
Next Case Report: This 57 yrs old male patient from New Zealand had mobile lower front teeth. Scaling was done. The four incisors were extracted & three BCS Implants were placed. A Metal Ceramic Bridge was cemented on third day of Implant Placement.
Pre Treatment Picture - Extensive calculus deposits & gum Inflammation are evident.
Pre Treatment RVG revealing extensive bone loss around the incisor roots.
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Pre treatment RVG revealing extensive bone loss around the incisor roots.
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Picture of the extracted lower incisor teeth.
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Post Implant placement RVG.
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Post Implant Placement picture.
Post bridge cementation picture.
Next Case Report: The following pictures/ X Rays relate to A female patient who reported with loose joint upper front Metal Ceramic Crowns. Both teeth were previously root canal treated. An oblique fracture of right central incisor extending subgingivally to the root was observed. The central incisor root was extracted & an ADIN 3.75x13mm Implant & cover screw were placed. Right lateral incisor crown was repaired. Joint cantilever acrylic provisional crowns were cemented & splinted with left central incisor with composite bonding. After four months adjacent teeth were repaired with Light Cured Composite resin material. Abutment was attached to the implant. Individual Metal Ceramic crowns were cemented on the Central & Lateral Incisors.
1. Pre Treatment picture - Fractured Right Central Incisor. Caries in Right Lateral Incisor, Canine & Left Central Incisor.
2. Pre Treatment X Ray shows root canal treated Right Central & Lateral Incisor teeth.
5. ADIN 3.75x13mm Implant placed after removal of root of Right Central Incisor.
9. Provisional crowns in place.
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3. Fractured right Central Incisor.
6. Picture Immediately after Implant placement.
8. Abutment attached to the Implant before final crown cementation.
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4. Oblique Fracture of the Central Incisor Root.
7. Provisinal Crowns cemented by the evening.
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10. Final Result- Individual Metal Ceramic Crowns Cemented.
Full Mouth Rehabilitation within 72 hours (Three days):-
Pre Treatment OPG
Post Extraction & Implant placement OPG
Pre treatment front view
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Pre treatment lower jaw Intra oral view
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Pre treatment upper jaw intra oral view,
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10 BCS Implants placed in the Upper Jaw after extracting periodontally compromised teeth.
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9 BCS Implants placed in the lower jaw after removing periodontally compromised teeth.
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Final outcome - a hybrid prostheses has been cemented.
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MANAGEMENT OF CASES WITH SOME MISSING TEETH :-
Pre Treatment OPG X Ray
Post Treatment OPG X Ray
Pre Treatment Photo
Eight KOS One Piece Implants Placed in Lower Jaw
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Three One Piece KOS Implants & One Two Piece Adin Implant placed on right side in Upper Jaw
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Completed case.
Pre Treatment OPG X Ray.
OPG X Ray dated 24-8-2012.
OPG X Ray dated 5-9-2013.
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Replacement of Missing Right Upper First Premolar & Right Lower First Molar Utilizing Single Piece KOS Implants:-
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Replacement of missing Left Upper Second Premolar Utilising ADIN Implant :-
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Immediate Fixed Replacement of Missing Lower First Molar with One Piece KOS Implants:-
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Immediate Fixed Replacement of Missing Lower Right Premolar & Molar Teeth with One Piece KOS Implants:-
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Replacement of Missing Lower Right & Left First Molar Teeth with Uniti Equinox Implants:-
Pre Treatment Photo - Missing 36- NSS
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Pre Treatment Photo - Missing 46- NSS
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Intra Oral Photo - NSS
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This person, an Ex Indian army personnel settled in the US, had missing first molars in the lower jaw Uniti Equinox Implants were placed on both sides . A number of teeth were Root Canal Treated. Finally Metal Ceramic Crowns were placed
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Post Treatment Photo - NSS.
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Post Treatment Photo - NSS.
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Replacement of Missing Right First Molar with Uniti Equinox Implant:-
Pre Treatment Photo - RSG Missing 46
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Photograph with abutment attached to the Implant -RSG Abutment added after a few months .
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Photo After Metal Ceramic Crown cementation-RSG Crown attached .
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Pre Treatment X Ray .
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Post Implant Placement X Ray .
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X Ray with Abutment .
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X Ray with Metal Ceramic Crown .
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Replacement of Fractured Left Upper Lateral Incisor utilizing Nobel Biocare Implant:-
Pre Treatment Picture - SB
This person -a very busy Doctor, lost left upper lateral incisor tooth crown & had cavities in left Central Incisor & Canine Teeth . The cavities in the Central Incisor & Canine teeth were cleaned & filled with light cured composite resin material . The root of the Lateral Incisor was removed & a Nobel Biocare 3.5x16mm Select Tapered Implant was placed in the socket , abutment was attached & an immediate Temporary Crown provided which was later on replaced with a Permanent Metal Ceramic crown .
Pre Treatment X Ray
Missing Crown of Lateral Incisor
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Post Fillings & Implant Abutment Picture
Fillings Done in Central Incisor & Canine, Implant & Abutment Placed in fractured lateral incisor region .
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Post Temporary Crown Picture
Temporary Crown Attached .
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Immediate Post Operative X Ray
Nobel Biocare 3.5x16 Implant & abutment placed after removing Lateral Incisor Root.
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Picture after healing
Note the Emergence Profile
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Picture with the Abutment attached
Ready for cementation of Metal Ceramic Crown
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X Ray with Crown in place
.
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Post Crown cementation Picture
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Post Crown Cementation Smile
.
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Removal of Lower Front Maryland Bridge , Placement of Two -One Piece KOS Implants & Placement of Individual Metal Free Crowns:-
This person was provided with a Maryland Bridge, in Japan about 15 years back, as he lost lower two central incisor teeth in a road accident. Over the time, the root canal treated lateral incisors & canines became discolored , the right lateral incisor became separated from the bridge due to its lipward displacement.
The Maryland bridge was cut away, the lateral incisors & canines were prepared for Metal free full coverage crowns. Two KOS 3.0x10mm implants were placed in missing Central Incisors region. The patient was provided an acrylic temporary bridge on the day of treatment. Individual Metal Free Crowns were cemented a few days later.
PreTreatment picture 1
Facial View
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PreTreatment Picture 2
Lingual View of the Maryland Bridge
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Maryland Bridge Removed
Remnants of the bridge
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Post Bridge Removal Picture
Crown Preparation done on Lateral Incisors & Canines for Metal Free Crowns .
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Post Implant Implant Placement Picture
Two KOS 3.0x10mm One Piece Implants placed in missing 31 & 41 regions.
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Post Implant Placement X Ray
3.0x10mm KOS Implants in 31,41 regions .
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Immediate Temporary Joint Acrylic Bridge Picture
Temporary Acrylic Bridge provided on the same day for patient convenience .
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Individual Metal Free Crowns Cemented
Cemented with Panavia F - dual cure cement .
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Another picture with teeth in Occlusion
Sufficient overbite achieved .
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Placement of One Piece KOSB Implant in Missing Right Upper Premolar Region to Support Three Unit Metal Ceramic Bridge:-
Missing 14,15. 16 Previously Root Canal Treated, but the coronal part has decayed SSB .
Gold Screw Posts & Light Cured Composite Build up on 13 & 16- SSB.
New Bridge Cemented -SSB.
Replacement of Missing Right Upper Central Incisor Utilizing One Piece KOS E Implant :-
Missing 11, Patient was wearing a removable partial denture( RPD) for last ten years - TSP.
Pre Treatment IOPA X Ray- TSP.
KOS E implant inserted- TSP.
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Three Gold Plated Screw posts Fitted in 16, Core Build up done . KOS Bendable Implant inserted in 15 region - SSB.
KOS Bendable Implant Placed in 15 Region - SSB.
Post Treatment OPG - SSB.
11 RPD- TSP.
Immediate Acrylic Temporary Crown cemented - TSP.
Post Implant insertion X Ray- TSP .
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Replacement of Missing Left Upper Canine Utilizing Uniti Equinox Implant:-
Pre Treatment Photo- Missing Left Upper Canine -RK.
Metal Ceramic Crown Cemented -23-RK .
Uniti Equinox Implant placed in 23 region - RK .
Missing Right Lower Second Premolar -45- SKC.
Pre Treatment Intraoral Picture - 45- SKC .
Post Metal Ceramic Crown Cementation Photograph -SKC .
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Abutment Attached to Uniti Implant - RK .
Pre Treatment X Ray- Missing 23 - RK .
Abutment attached to Implant -RK .
KOS Single Piece 3.7x15mm Implant placed -SKC .
Post Implant Insertion Photograph - 45- SKC .
Post Metal Ceramic Crown Cementation Photograph - SKC .
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Replacement Of Loose Lower Front Teeth Utilizing BCS Implants:-
Patient lost an Upper front tooth & lower front teeth except mobile left lateral incisor , in a car accident -BS .
Upper Removable Partial Denture Provided . Lower Left Mobile Lateral Incisor extracted . Two BCS 3.5x14mm Implants placed in 32 & 42 regions -BS.
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Post Treatment Photograph -BS.
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Pre Treatment Intra Oral X Ray- BS.
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Post Implant Placement Intra Oral X Ray -BS.
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Replacement of Missing Left Lower Second Premolar & First Molar Utilizing two One Piece KOS Implants:-
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Pre Treatment X Ray . Patient has missing Left Lower First Molar -36- JSG .
Nobel Biocare Select Tapered Implant Placed in 36 region & Cover Screw Attached - JSG .
Abutment Attached to Implant after four months- JSG .
Metal Ceramic Crown cemented - JSG .
Picture of Abutment - JSG .
Another View of the abutment - JSG.
Metal Ceramic Crown Attached - JSG .
Another View - In Occlusion - JSG .
A Picture from Pushpa Gujral Science City , Kapurthala .
Missing Left Central Incisor . Patient was wearing a removable Partial Denture for a long time - VR .
Uniti Equinox 3.7x13mm Implant Placed & cover Screw Attached -VR.
Abutment Attached after 4 months -VR.
A View of the Abutment - VR .
Metal Ceramic Crown with cervical Pink Cearmic Cemented . View with a forced smile - VR .
View with normal smile - VR .
Sundram -B-2/ 147 Civil Lines , Hoshiarpur .
Pre Operative Picture . Missing Right Lower First Premolar-44 . Poor fitting 45-47 Metal Ceramic Bridge - KS .
Pre Operative X Ray of 44 Region - KS .
Pre Operative OPG. Missing 44, 36 Mesio Occlusal Deep Caries - KS .
One Piece KOS 3x12mm Implant was placed . 45-47 Bridge was Removed - KS .
X Ray of 44 Region after Implant placement - KS .
44,45-47 New Metal Ceramic Bridge Cemented - KS .
Another View of 44,45-47 Metal Ceramic Bridge - KS .
Carving of Teeth in a soap by Mr Gulzar .
Pre Operative Photo .Left Side . Patient Has Anterior Open Bite ---AK
Pre Operative Photo. Right Side --AK
Pre Operative Photo Missing 44-48,35-38,---AK
Pre Operative OPG taken with our own Digital Panoramic Machine --AK
Post Operative Photo ---AK
Post Operative Photo. Right Side ---AK
Post Implant Placement Photo--Three one piece KOS Implants on Right Side & two one piece KOS Implants on left side -AK
Post Treatment Photo ---AK
Post Operative OPG - Shows three One Piece KOS Implants on Right & two on Left Side -AK
Pre operative OPG - Missing 46,14,17,36 & 37- MR
Post Implant Placement OPG shows Five One Piece KOS Implants - MR
Missing 14 & 46-MR
KOS Implants placed in 14 & 46 region -MR
Crowns cemented in 14 & 46 region -MR
Missing 46,36 & 37 - MR
Three KOS Implants placed in 46 & 36& 37 Regions- MR
36,37 Crowns Cemented - MR
Missing 26
After KOS Implant ( One Piece )Insertion
Missing 47
47 Region After Nobel Direct ( One Piece ) Implant Insertion
Missing 36 with retained root
36 After Nobel Biocare 4.3 X16 Implant ( Two Piece) Insertion
PD Kaur- Abutment in 36 Region
Intraoral View
PD KAUR- Post Crown Cementation Picture
Metal Ceramic Crown in 36 region
RS - Pre Teatment IntraOral Picture
Pre Treatment Picture
OPG revealing maxillary sinus floor dipping in 16 region .
Pre Treatment OPG - RS
Post Treatment Photo -RS
Post Treatment OPG shows two BCS & one KOS - One Piece Implants with no need for Sinus Lift .- RS
RK - Pre Treatment Intra Oral Picture
RK -Missing 14,15
RK - Post Implant Placement Intraoral Picture
RK - Post Implant Placement X Ray .
Two KOS One Piece Implants in Missing 14,15 region
RK - Post Immediate Temporary Crowns Placement Intraoral Picture
RS - Pretreatment X Ray
Missing 46
RS - Post Implant Placement X Ray
KOS Single Piece Implant
RS - Post Implant Placement Picture
RS - Post Immediate Acrylic Temp Crowns Placement Picture
SS - Pre Treatment X Ray
Missing 36
SS - Pre Treatment Intra Oral Picture
Missing 36, 37 Mesially Tilted
SS - Post Implant Placement X Ray
KOS Single Piece Implant inserted
SS - Post Immediate Acrylic Temp Crown Intra Oral Picture
PS- Missing 16
PS- KOS 4.1x8 mm & KOS 3.0x10mm
Two KOS Single Piece Implants in 15,16 Region
TSS - Pre Operative OPG
TSS - Post Operative OPG shows three Single Piece KOS Implants on both Right & Left Sides .
JSP- Pre Operative X Ray . Missing Upper Central Incisors
JSP - Pre Operative Picture
JSP - TWO Single Piece KOS Bendable Implants placed .
JSP - KOSB Implants Placed
JSP - Permanent Crowns Cemented
JSP - Smile after permanent crowns placed .
JSB - Missing Lower Central Incisors
Post Implant Placement Picture
JSB - Post Implant Placement X Ray shows two KOS Single Piece Implants .
JSB- Post Permanent Crown placement picture .
Pre Treatment OPG - SM
Three KOS Implants Placed in 45,46,47 Region - SM
Metal Ceramic Crowns Placed - SM
Missing 36 with resultant narrowing
X Ray of Missing 36 region with mesial tilting of 37 .
X Ray of Single Piece KOS Implant in 36 region .
KOS Implant in 36 region Oral View
Crown Placed on 36
Missing 11,21 Grade II Mobile - GSJ
X Ray of 11,12 region -GSJ
X Ray of 11,12 region shows two BCS Implants -GSJ
12 Extracted , BCS Implants placed in 11,12 region - GSJ
Cast Copings cemented to increase abutment length
Metal Copings cemented to increase abutment Length - GSJ
21-13 Acrylic Crowns placed -GSJ
Pre treatment photo - Missing 34 - SH
Missing 34 - SH
Two Piece Nobel Biocare Implant & abutment placed in 34 region - SH
34 Temporary Crown Cemented - SH
Pre Treatment X Ray, 15 Deep Mesial Caries, 14 Root Stump - GKD
15 RC Treated, Prepared for Crown,14 Extracted , Nobel Biocare Implant Placed-GKD
14 Abutment Attached to Implant after 4 months-GKD
14 Metal Ceramic Crown Cemented- GKD
Post Treatment Photo - GKD
Dr Navdeep Saini - About to Enjoy a Helicopter Ride in Orlando , Florida ,USA , October 2010 .
Pre Treatment Picture - Missing lower Central Incisors . Lateral Incisors are Grade III Mobile . Patient already wears a two teeth removable partial denture, but, does not want another partial denture with four teeth .
Pre Treatment X Ray .
Lateral Incisors Extracted . Two BCS Implants 3.5x14 mm placed immediately in their sockets .
Post Implant Placement X Ray .
Heat Cured Acrylic Resin Bridge cemented .
MANAGEMENT OF CASES WITH ALL MISSING TEETH
CASE 1
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CASE 2
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CASE 3
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To view this patient`s video, please copy & paste this link on your browser: http://youtu.be/6GGbXLDyOzo
CASE 4 :-
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CASE 5:-
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CASE 6:-
This lady patient was using a lower full denture for the last 4 years ,but, did not feel comfortable as the denture would keep on moving, causing frequent sore mouth & she could gulp only semisolid food . Four single piece KOSK Ball Implants were placed in lower jaw & Nylon Caps picked up in the existing denture . Now she is totally comfortable with the denture & enjoys eating whatever food that she wants to eat .
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To see this patient`s video please copy & paste this link on your browser: http://youtu.be/EcY7O11XZFs
Please note: This website has been designed by Dr Navdeep Saini, without professional help from any quarter. Suggestions from visitors are welcome.
