IMPLANT RECONSTRUCTIVE DENTISTRY

Porcelain veneers are the best, most durable and conservative treatment for discolored teeth. Under the right occlusal conditions, proper material selection, and ideal cementation techniques they could be almost as durable as a full coverage restoration. This patient had maxillary veneers placed many years back. She presented with the chief complaint of; receding gums, cement line staining and incisal edge wear. Through CAD planning and IOS STL images superimposition, we developed a proposal that was shown to the patient in Exocad. These new lateral and central incisor veneers had properties that allowed us to block out the dark color of her teeth. She was able to smile with confidence again.

We are proud to be at the forefront of clinical advances in implant dentistry. We are collaborating with the best craniofacial centers in Houston and Austin to be able to plan and deliver fixed prosthesis to patients that otherwise wouldn’t be able to get any teeth at all. Using the KLS Martin IPS implant system: a combination of orthognathic surgery custom plates and dental implants, we are now able to reconstruct hopeless partial of fully edentulous patients. Our model less, fully digital protocols that use stereophotogrammetry and digital intra-oral scanning, warranties precise fit and measurement of the desired fixed restoration. The following case, probably one of the first ones in the U.S., depicts the entire sequence: from the diagnostic phase, to the final prosthesis. We made an impossible case, a true reality.

Placing implants prior to the completion of growth and development, poses a challenge for the restorative dentist. On this patient implants were placed at a very early age:

This patient fell face first onto a concrete surface. Our oral surgery colleague referred her over for a comprehensive treatment plan and for planning for interim restorations prior to removal of her fractured teeth. Through digital impressions and computer planning, we 3D printed a removable RPD and single provisional in less than 1 hour.  Implants were placed on sites 9, 10 and Fixed Dental Prosthesis was delivered.  Custom gold hue abutments were used to retained a Zirconia bridge. 
The patient was very happy about the outcome. 😇🦷🙌🏼

Implant Reconstructive Dentistry
___________________________
📞 713.664.9900
💻 www.implantshouston.dental/

Cranio-facial patients with temporomandibular disorders are very challenging to manage.  This patient developed TMJ osteoarthritis after orthognathic surgery.  She ended with severe mandibular atrophy and very limited opening.  She underwent a right condylectomy with a coronoid transplant to the Right mandibular ramus.  Additionally she a had severe tongue thrust habit, extreme bruxism, poor mandibular dentition, and she had severe class III malocclusion. 
 
In coordination with the oral surgeon we phased the mandibular extractions and dental implants.  We did a hybrid plan, that included digital and conventional approaches  to fabricate her interim and definitive prostheses.  All implants were placed parallel to each other, as planned.  We used locator RT-X abutments.
 
The patient’s functionality and self-confidence was regained.  Another happy patient.

Implant Reconstructive Dentistry
___________________________
📞 713.664.9900
💻 www.implantshouston.dental/