TSIII Implant System

Source: http://www.osstemuk.com/products/implants/ts-system/tsiii/

Osstem TS Implant System

The TS Implant System is the most popular implant used by implantologists. Every medical case can benefit from a short and minimally invasive treatment which is reasonably priced and is very predictable when choosing from a large range of implant prosthetics.

The TS implants not only sticks out because of the excellent design with an efficient corkscrew thread, self-tapping ability and dual thread, but also support a sustainable primary stability.

Our TS system has a morse taper connection, providing a superior connection between the implant and the abutment. There is no micro gaps; the entry of bacteria and resulting bone loss is prevented.

The feature of the platform switching and the ingenious drill concept of the Taper Surgical Kit guarantee a long term success for the stabilisation of hard and soft tissue. Every surgery can be performed with excellent aesthetic results based on the wide range of prosthetic components for the TS System.

Characteristics of TS Implant System

SA: Sand blasted with alumina and Acid etched surface

- Optimal morphology: Combination of crater and micro-pit

- Optimal surface roughness: Ra 2.5~3.0㎛

- Early cell response: 20% faster than RBM

- Early bone healing: 20% faster than RBM

- Early loading possible after 6 weeks of placement.

Source: http://www.osstemuk.com/products/implants/ts-system/

Bone Graft

While the need for bone grafting has been significantly reduced, it has not been eliminated entirely. However, in most cases it is now relegated to small minimally invasive interventions that can be managed quite easily in an ambulatory (office) setting. Furthermore, while bone grafting of earlier years involved harvesting and using large quantities of the patient’s own bone (autogenous grafts), today we can often use processed bone that has been harvested from animals (i.e., cows).

These grafts are termed xenografts and are generally comprised only of the mineral content of natural bone, have been sterilized and have had all organic material removed. Using bovine bone (cow bone) as a graft material has become commonplace in most oral surgical offices today and has been a tried and proven technique for many years. A simplified explanation for the success of this form of grafting is that a bovine bone graft is placed to act as a “biological placeholder.” Initially, it mechanically prevents the collapse of the surrounding tissues, whether that is bone or soft tissue. Then, through a process called “guided tissue regeneration,” the human body is fooled biochemically to recognize the graft as natural bone and over time resorbs and replaces it with the patient’s own native bone. Although major autogenous bone grafts are still occasionally required to provide a home for dental implants, the most common bone grafting required involves one or a combination of the following three simpler outpatient procedures: The Alveolar Ridge Preservation Graft or “Socket Graft” The Autogenous Ramus/Chin Graft or “Block Bone Graft” The Subantral Graft or “Sinus Lift Procedure” When considering dental implants as an option, it is a likely possibility that your surgeon will discuss one or a combination of these grafts with you as a pre-requisite to optimize your treatment plan. Therefore, an explanation ensues below to clarify what each of these grafts is for and how they are typically accomplished.


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Teeth Contouring & Reshaping

Dental Contouring & Reshaping
For individuals who have chipped, cracked or irregularly shaped teeth, dental contouring and reshaping can be just the ticket for a more beautiful smile. What is tooth contouring and reshaping?

Tooth reshaping, or contouring, is one of few instant treatments now available in cosmetic dentistry. Dental reshaping and contouring is a procedure to correct crooked teeth, chipped teeth, cracked teeth or even overlapping teeth in just one session.

The dental contouring procedure can even be a substitute for braces under certain circumstances. It is also a procedure of subtle changes. A few millimetres of reduction and a few millimetres of tooth-coloured laminate can create a beautiful smile when performed by a cosmetic dentist, with no discomfort to you. Tooth reshaping, or dental contouring, is commonly used to alter the length, shape or position of your teeth. Who is a candidate for tooth contouring and reshaping?

If you want your teeth to appear less crowded, lack chips and fractures, and have decreased overlaps or to be without pits or grooves in the enamel, this procedure should be discussed with your cosmetic dentist. With a little dental contouring, you can make a huge difference in the way you feel about your smile. Good cosmetic dentistry can give you a smile that is the envy of others. Tooth contouring by a cosmetic dentist does require that you have normal, healthy teeth.

Tooth reshaping, or tooth sculpting, is a safe and conservative way to improve your smile. Teeth may become weaker if large amounts of enamel are removed, tooth reshaping should be limited to minor changes or combined with veneers or bonding for the best smile. Overview of tooth contouring and reshaping

Dental reshaping and contouring is a procedure to correct crooked teeth, chipped teeth, cracked teeth or even overlapping teeth in just one session. This procedure is even a substitute for braces under certain circumstances. This is also a procedure of subtle changes. A few millimetres of reduction and a few millimetres of tooth-coloured can create a beautiful smile when performed by a cosmetic dentist, with no discomfort to you. Tooth reshaping, or dental contouring, is commonly used to alter the length, shape or position of your teeth. How is tooth contouring and reshaping accomplished?

Preparation for dental contouring and reshaping is a team effort with your cosmetic dentist. Some dentists in cosmetic dentistry even use computer imaging to show you how you will look after the procedure.

Your cosmetic dentist will take x-rays to evaluate the size and location of the pulp of each tooth to ensure that there's enough bone between the teeth to support them.

The cosmetic dentist will mark your teeth with a pencil prior to performing the procedure. This helps the cosmetic dentist in their sculpting process. As your cosmetic dentist sculpts the tooth, imperfections are artfully eliminating or minimized. A sanding drill or laser may be used to remove small amounts of surface enamel gradually. Abrasive strips are then moved back and forth between your teeth to shape the actual sides of your teeth. Then the teeth are smoothed and polished. Usually anaesthetic is not needed. Teeth contouring and reshaping usually takes one to three visits.

Contouring teeth may also help correct small problems with bite. It is common for bonding to be combined with tooth reshaping to achieve a beautiful smile. Types of Tooth Contouring and Reshaping Procedures

There are actually several ways to change the appearance of your teeth. Many times these various procedures are combined in different ways to deliver that smile of your dreams.

Tooth Contouring and Reshaping
The reshaping of your teeth is a procedure that involves the removal of a very small amount of tooth structure to help achieve a more desirable smile. Chipped or fractured areas are smoothed out and specific angles or edges can be rounded or squared. Contouring creates better alignment and can create a more feminine or masculine smile. It is sometimes done to prevent chipped areas from getting worse. Tooth reshaping is a conservative way to improve the teeth. Since teeth can become weaker if large amounts of enamel are removed, this procedure is limited to minor changes or combined with veneers or bonding for a terrific smile.

Dental Veneers
Veneers are sometimes used in conjunction with contouring. Dental veneers are very thin pieces of specially-shaped porcelain or plastic that are glued over the front of your teeth with little or no anaesthesia needed. They are the cure for teeth that are severely discoloured, chipped, have small holes or pits, misshapen or crooked, or for the correction of unwanted or uneven spaces. Unlike crowns, veneers won't require the dentist to remove much of the tooth itself. Veneers are created from an impression taken in your cosmetic dentist's surgery. Your custom veneer is then glued directly onto your tooth.

Tooth Bonding
Basically, bonding will cover any natural flaws applying a thin coating of a plastic material on the front surface of your teeth. After this, your cosmetic dentist will apply a bonding material sculpt, colour and shape it to provide a pleasing result. A high-intensity light then hardens the plastic, and the surface is finely polished. This procedure often accompanies contouring and teeth reshaping procedures. How much does tooth contouring and reshaping cost?
Your dental insurance is likely to cover tooth contouring and reshaping only if it is needed as a result of an accident, but this is a relatively inexpensive procedure. The cost depends on how much the dental reshaping is needed, but average costs are approximately £30 to £200 per tooth. Pros and Cons of a tooth contouring and reshaping Advantages:

Your dentist can remove only a small amount of tooth enamel, contouring your problem tooth into a more pleasing shape for an improved smile. The tooth contouring procedure is quick, simple, painless, and inexpensive. Disadvantages:

There are limits. You may be at risk for tooth breakage and decay if too much enamel is removed your teeth. If your teeth were uneven because you grind them, they'll become uneven again until the grinding issue is resolved. Your dental insurance is likely to cover tooth contouring and reshaping only if it is needed as a result of an accident.

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Immediate Implant Treatment

Immediate implant placement after extraction allows reduce the time that Propdental patients have to wait to have teeth and offers a predictable treatment option for tooth replacement. This is most important in the anterior maxilla, the so-called esthetic zone and in cases of full mouth replacement.

Immediate load implants after extraction benefits Propdental patients by decreasing healing time, reducing resorption of the alveolar bone, and achieving optimal esthetic results. Immediate implant placement after extraction

Following tooth extraction, a socket often presents dimensions that are greater than the diameter of a dental implant. In Propdental Barcelona Dental Clinic this gap is filled by guided bone regeneration techniques placing biooss within the walls of the surgically defect. The main objective of provisionalization on immediate load implants is to combine tissue preservation with the bone preservation that follows immediate placement.

Once the dental implant is inserted, and using the latest implantology techniques we also attach the tooth/ teeth within the same day with the advantage that as well as the convenience and quality of the treatment, we gain time. The patient comes into our dental clinic with his or her teeth in a bad condition and needing extractions and leaves the Propdental dental clinic already with new fixed teeth within that one same day.

Teeth in a day have proven to be as successful as conventional technique under a standard loading protocol. Controlling micromotion is the key difference between the success and failure of osseointegration of immediate load implants.

Micromotion can be reduced through broad anteroposterior distribution of the immediately loaded implants combined with cross-arch stabilization of the edentulous arches with a rigid prosthesis.
American Academy of Implant Dentistry have recognized that the difficulty, of providing anterior tooth replacements lies in preserving the hard and soft tissue components that surround natural teeth.
It has not been established how much bone is preserved when implants are placed immediately after extraction, and further research is warranted to clarify the bone remodeling process. Success in immediate placement and loading of implants is based on several clinical parameters. Therefore, this treatment concept can be applied in everyday clinical practice to properly selected cases that have good primary stability and sites with a fully preserved extraction socket with no bone dehiscence.
Immediate implant placement and immediate load implants can be proposed on the following situations on Propdental Dental Clinic.
Single-tooth replacement: extraction of a single tooth followed by immediate implant placement and immediate provisionalization. Replacement of multiple adjacent teeth: extraction of a few, adjacent teeth in a partially edentulous arch, followed by immediate placement of implants with immediate provisionalization. Total arch replacement: extraction of a few hopeless teeth resulting in a completely edentulous arch, followed by placement of implants that coincide with extraction sockets; then immediate provisionalization and loading. Total mouth replacement (two arches): extraction of a few hopeless teeth resulting in a completely edentulous patient, followed by placement of implants that coincide with extraction sockets in both arches; then immediate provisionalization and loading.

Advantages of the immediate implants
Immediate dental implants are inserted within the same surgical act that carries out the extraction of the tooth to be replaced. For the insertion of the dental implants we often take advantage of the bone left following the dental extraction in order to insert the dental implant.
Inserting the immediate dental implant at the time of the dental extraction enables us to save time, preserve the gum and minimise the bone reabsorption which always takes place after a dental extraction.
The advantages of immediate implants are that they are quick compared to deferred dental implants and they essentially shorten the rehabilitation treatment. In deferred implants you normally wait 3-6 months after the dental extraction before inserting the dental implants and, once the implants are inserted, it is necessary to wait a further 3-6 months to attach the fixed teeth.
Another of the advantages of immediate load implants is that of reducing reabsorption of the bone after the extraction, thereby obtaining better cosmetic results as the variation of the gum is barely appreciable.
In Propdental we can achieve an unbeatable dental implant aesthetics with cosmetic dental rehabilitation on dental implants with zirconium.

Here at Eximus Dental we have the best dentist for the job, with her vast knowledge of Implants and a Diplomate to show for it, she will guide you with her gentle hands and you will walk away a new person, better and with a happier smile.


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Oral & Maxillofacial Surgery

Oral & Maxillofacial surgery (OMS) specializes in treating many diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the Oral (mouth) and Maxillofacial (jaws and face) region. It is an internationally recognized surgical specialty. In some countries around the world, including the United States, Canada and Australia, it is a recognized specialty of dentistry; in others, such as the UK and most of Europe, it is recognized as both a specialty of medicine and dentistry and a dual degree in medicine and dentistry is compulsory.

In several countries oral and maxillofacial surgery is a speciality recognized by a professional association, as is the case with the Dental Council of India, American Dental Association, Royal College of Surgeons of England, Royal College of Surgeons of Edinburgh, Royal College of Dentists of Canada, Royal Australasian College of Dental Surgeons and the Brazilian Federal Council of Odontology (CFO).

In other countries oral and maxillofacial surgery as a specialty exists but under different forms as the work is sometimes performed by a single or dual qualified specialist depending on each country's regulations and training opportunities available.

Source: Wikipedia

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Sinus Lift Surgery

A key to implant success is the quantity and quality of the bone where the implant is to be placed. The upper back jaw has traditionally been one of the most difficult areas to successfully place dental implants due to insufficient bone quantity and quality and the close proximity to the sinus. If you've lost bone in that area due to reasons such as periodontal disease or tooth loss, you may be left without enough bone to place implants.
Sinus lift surgery can help correct this problem by raising the sinus floor and developing bone for the placement of dental implants. Several techniques can be used to raise the sinus and allow for new bone to form. In one common technique, an incision is made to expose the bone. Then a small circle is cut into the bone. This bony piece is lifted into the sinus cavity, much like a trap door, and the space underneath is filled with bone graft material. Your periodontist can explain your options for graft materials, which can regenerate lost bone and tissue.

Finally, the incision is closed and healing is allowed to take place. Depending on your individual needs, the bone usually will be allowed to develop for about four to 12 months before implants can be placed. After the implants are placed, an additional healing period is required. In some cases, the implant can be placed at the same time the sinus is augmented.
Undergoing sinus lift surgery has been shown to greatly increase your chances for successful implants that can last for years to come. Many patients experience minimal discomfort during this procedure.

Source: Perio.org

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Dentures

A denture is a removable replacement for missing teeth and surrounding tissues. Two types of dentures are available -- complete and partial dentures. Complete dentures are used when all the teeth are missing, while partial dentures are used when some natural teeth remain.
Complete dentures can be either "conventional" or "immediate." Made after the teeth have been removed and the gum tissue has begun to heal, a conventional denture is ready for placement in the mouth about eight to 12 weeks after the teeth have been removed.
Unlike conventional dentures, immediate dentures are made in advance and can be positioned as soon as the teeth are removed. As a result, the wearer does not have to be without teeth during the healing period. However, bones and gums shrink over time, especially during the healing period following tooth removal. Therefore a disadvantage of immediate dentures compared with conventional dentures is that they require more adjustments to fit properly during the healing process and generally should only be considered a temporary solution until conventional dentures can be made.

A removable partial denture or bridge usually consists of replacement teeth attached to a pink or gum-colored plastic base, which is sometimes connected by metal framework that holds the denture in place in the mouth. Partial dentures are used when one or more natural teeth remain in the upper or lower jaw. A fixed bridge replaces one or more teeth by placing crowns on the teeth on either side of the space and attaching artificial teeth to them. This "bridge" is then cemented into place. Not only does a partial denture fill in the spaces created by missing teeth, it prevents other teeth from changing position. A precision partial denture is removable and has internal attachments rather than clasps that attach to the adjacent crowns. This is a more natural-looking appliance.

Are There Alternatives to Dentures?
Yes, dental implants can be used to support cemented bridges, eliminating the need for a denture. The cost is usually greater, but the implants and bridges more closely resemble the feel of real teeth. Dental implants are becoming the alternative to dentures but not everyone is a candidate for implants. Consult your dentist for advice.

Source: WebMD.com

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