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Occlusal Splints: Two things really boggle my mind when it comes to occlusal protection. First, it’s astonishing how some dentists don’t know how to make one properly and mistakenly believe that a vacuum retainer is enough. Second, it’s baffling how little patients care about protecting their investment with this small but essential device.
Occlusal splints are one of the most crucial treatments following a full mouth rehabilitation.
Immediate implants are rarely contraindicated; however, in such cases, I prefer an early placement protocol, typically six weeks post-extraction.
Here, you can observe the optimal angulation of the implant placed alongside bone augmentation, as well as the excellent facial tissue contour.
Here’s a case of a patient with failing dentition that required a full mouth reconstruction and rehabilitation. We performed the procedure using 12 implants with an immediate placement and loading protocol. The result was a beautiful transformation for a remarkable individual, completed in just a few months.
هذه حالة مريض يعاني من فشل في نمو الأسنان ويحتاج إلى إعادة بناء الفم بالكامل وإعادة تأهيله. لقد أجرينا الإجراء باستخدام 12 غرسة مع بروتوكول وضع وتحميل فوري. وكانت النتيجة تحولًا رائعًا لشخص رائع، تم الانتهاء منه في غضون بضعة أشهر فقط.
DOH APPROVAL # LAHA-2024-005484
MOH LICENSE: 6G6Z0NDA-230823
One of the key advantages of dental implants, from the perspective of a surgical prosthodontist, is the ability to modify and perfect the arch form. While many dentists might not fully grasp the significance of arch form in relation to dynamic occlusion, it is essential.
In this particular case, we successfully transformed a patient’s wide class III occlusion mandibular arch form into an idealized class I occlusion.
If you ask any dentist or even a prosthodontist, they’ll tell you that one of the most challenging procedures is an anterior restoration, particularly a dental implant.
Here, we successfully placed a dental implant using an early placement protocol, just six weeks after removing the tooth, with excellent results.
إذا سألت أي طبيب أسنان أو حتى أخصائي تقويم الأسنان، فسيخبرك أن أحد أصعب الإجراءات هو الترميم الأمامي، وخاصة زراعة الأسنان.
لقد نجحنا هنا في زرع غرسة أسنان باستخدام بروتوكول الزرع المبكر، بعد ستة أسابيع فقط من إزالة السن، مع نتائج ممتازة.
DOH APPROVAL # LAHA-2024-005484
MOH LICENSE: 6G6Z0NDA-230823
This is part of a comprehensive full-mouth prosthodontic rehabilitation involving crowns, veneers, implants, and bridges.
A skilled Prosthodontist selects the most ideal and minimally invasive prosthetics for the specific needs of each patient.
2 year follow up!
Veneers sometimes have a bad reputation, often due to poor preparation or application. However, when done correctly, they can be phenomenally life-changing. Here’s an example of two simple veneers with a two-year follow-up, showing healthy teeth and gums!
Immediate implants have truly revolutionized the field! In this case, we successfully positioned all implants, including the canine, immediately after extraction.
In this full arch rehabilitation using 5 dental implants, you can see how we expertly managed the placement of a full arch prosthesis with access screws positioned correctly, despite the implants being placed freehand. This highlights the importance of a Prosthodontist’s expertise and experience, particularly when they are the ones placing the implants.
A Class II Division II case!
As prosthodontists, our training provided us with a profound understanding of occlusion in both static and dynamic movements. This expertise enables us to manipulate certain cases effectively. Specifically, in this instance, we can adjust the patient’s guidance to achieve a more harmonious shallow dynamic occlusion.
Full mouth rehabilitation can make a significant difference. In the previous rehabilitation, the patient couldn’t even close his mouth due to an excessive vertical dimension.
Class III malocclusion!
I could easily give a two-hour lecture on this full mouth rehabilitation. The amount of effort involved in diagnosis, occlusion, and vertical dimension adjustments was immense.
It’s a fantastic case with an excellent outcome!
used in this case!
This physician visited the office due to a failed implant in the canine area. We removed the old implant, thoroughly cleaned the site, and immediately placed a new implant with bone augmentation. The hard and soft tissue contours were successfully restored, resulting in a very pleasing outcome.
used in this case!
Simplicity is the ultimate sophistication.
This case is a perfect example of how complex yet simple-looking dental procedures can result in the most minimally invasive and esthetic outcomes.
By combining crowns, veneers, and esthetic reshaping, this patient achieved the smile they’ve always wanted.
Minimally invasive dentistry is when you look at each tooth individually whether you end up doing a crown, veneer or an onlay.
Of course the wider the mix of different prosthetics the tougher, but isn’t that what we’re trained for!
Multiple splinted teeth, bridges and fractured restorations. Not to mention the arch form!!
Sometimes we as dentists do the most harm to our patients with our ignorance towards education and experience.
This is the story of a lovely 30 year old man that underwent a full mouth rehab by a dentist who clearly did not know what he/she was doing!
Had to replace multiple teeth with implants and DECREASED his vertical dimension by 3mm.
To all patients out there, VERIFY your healthcare provider before doing such drastic work!
I beautifully simple early implant placement protocol with bone augmentation and immediate loading.
Simplicity is the ultimate sophistication
Where to even start?!
1. Midline shift
2. Canine conversion
3. Unesthetic Proportions
4. Shade
5. Open margins
6. Overcontoured
And the list goes on…
Mastering occlusion is one of the most concepts in dentistry
You agree?
Very difficult case with an irregular occlusal plane and guidance and rehabilitated with implants, crowns and veneers
Another poorly done rehabilitation by a poorly trained dentist. Unfortunately we see these cases pretty commonly.
Unnecessarily splinted teeth
FDPs
Malocclusion
Open margins and overhangs
Mal-aligned teeth
Etc etc
Full mouth rehab fully digital with
CAPTION 📄
Did you know bone grafting at 6 weeks improves the success in bone grafting than immediately after extraction when lacking buccal bone?
1. Assessed restorability of the two molars
2. Extracted teeth (immediate implants not possible)
3. At 6 weeks, GBR done with primary closure
4. At 4 months, wonderfully reconstructed bone
5. Implants placed as single stage (healing abutment)
6. Restored with two separate screw retained crowns.
Proper smile design, diagnosis and planning is an absolute necessity in these cases.
The changes we mad me:
1. Canted occlusal plane
2. Narrow buccal corridor
3. Diastema
4. Color
5. Shape
6. Form.
Here’s a lower FDP reconstructed on 3 implants with bone augmentation
Smile makeover!
Implant placement with simultaneous bone augmentation WITHOUT any vertical incisions.
Note the gingival contour, profile and papillae fill.
Subtle improvements in color, arch form and crowding
2 year follow up!
Full mouth rehabilitation with implant supported prostheses!
(Permission taken from the patient)
hard and soft tissue!
Simultaneous implant placement and bone augmentation with soft tissue manipulation.
Restored with PFZ screw retained crown!
Stay tuned for facial view photos 🔥
The subtle beauty of gingivectomy and -plasty with veneers and crowns to optimize the smile!
(Permission taken from the patient)