Full Mouth Reconstruction with Implant Supported Prosthesis
Over the years, dental implants and techniques have evolved to allow the Oral Maxillofacial Surgeon to offer patient’s high quality predictable options in rebuilding terminal dentitions with prosthesis that provide nice esthetics and function while minimizing the number of implants needed, and the amount of surgery required. In the past, when patients had terminal dentitions or had no teeth at all, it required prolonged treatment along with extensive bone grafting to rebuild missing bone to allow implant placement to support missing teeth. Today with the assistance of advanced imaging such as CBCT along with refined techniques, we can now provide patients the opportunity to go from a terminal dentition or no teeth at all to non-removable, permanent teeth in a mater of a few days, while minimizing the need for extensive bone grafting. This treatment is complex and requires close collaboration between the surgeon and your restorative dentist or prosthodontist. Some individuals advertise one stop treatment where one individual provides both surgical and restorative care. Scientific research has shown that the highest success rate is provided by the care being provided through a collaborate model where a trained and certified surgeon provides the surgical care in cooperation with the expertise of a restorative dentist. We are now able to use angled implants to properly position implants to support permanent fixed prosthesis. Many have heard the term All-on-4. This is a term introduced to describe the technique of utilizing angled implants positioned to avoid structures of the jaws such as nerves and sinuses. This allows proper positioning of implants to support permanent bridges while minimizing extensive bone grafting. There are many variations of the technique such as All-0n-6 or Tefoil technique. Zygomatic implants also fit into this category. These are simply techniques that have been developed to utilize the patients existing anatomy to place implants to support permanent bridges. This also allows us as dental professionals to esthetically replace bone a soft tissue that has been lost over the years due to dental disease. This helps to reestablishing proper facial symmetry and a more youthful appearance of the face and smile. Long term studies of greater than 15 years have shown a greater than 95% success rate utilizing angles implants. We at Oral and Maxillofacial Surgery Specialists would be happy to assist you if you are struggling with the ability to eat due to a poor fitting denture or very poor teeth.