Wednesday, December 28, 2011

Hair Transplant contd....


 how we prepare the grafts for the hair transplant
Donor site sutured with PDS

Monday, December 19, 2011

Grafts for hair restoration...

Prepared Grafts

Hair Restoration Procedure

Hair transplantation is about transplanting the bald resistant hair follicles from the back of the head to the balding areas on the top of the head.The state of art hair transplantation procedure that we recommend is called Follicular Hair Unit Transplantation.

A typical session of between 1,500 to 3,000 grafts normally involves a full day of surgery on an out patient basis. The amount of grafts you will need ultimately depends on your degree of hair loss, now and in the future, and on how full you desire your hair to be.

Patients are given local anesthesia in the donor and recipient areas. The graft is taken from the occipital region and then prepared. Incisions are placed at the recipient site.The incisions are very small and less invasive. This results in more rapid healing.Following surgery patients will typically feel some amount of soreness and numbness, with some mild discomfort.

Immediately following surgery a patient’s recipient area is typically pink with scabs forming around the micro incisions. These hundreds of tiny incisions will heal rapidly within a week to ten days.
During the first few days after the surgery a person’s hair transplants will be noticeable if there is no previous hair to mask these temporary scabs. However, most patients feel comfortable being in public without wearing a hat within 5 to 7 days following surgery.

Normally it takes between three to five months following surgery before the transplanted hair follicles begin to grow new hair. The transplanted hair grows in very thin initially and gradually grows thicker and fuller over time. After one year a patient’s transplanted hair will be fully mature and will continue to grow for a life time.

Sunday, December 18, 2011

Hair Transplant

Another beautiful case we did today...:)



Grafts at recipient site


Placed approximately 1200 grafts at the recipient site.

Monday, November 28, 2011

Veneers...

Before                                       After

Dental veneers are a form of cosmetic dentistry in which a layer of tooth-colored porcelain or composite is placed over the outer surfaces of your teeth to correct worn tooth enamel, uneven tooth alignment or spacing, discoloration and chips or cracks.

Veneers may eliminate the need for more extensive treatments. Other benefits of veneers include durability, an improved smile appearance, and the need for little-to-no removal of tooth structure compared to crowns.

Friday, November 25, 2011

Socket Preservation...

Socket Preservation is a procedure in which graft material or scaffold is placed in the socket of an extracted tooth at the time of extraction to preserve the alveolar ridge.Without socket preservation, the bone quickly resorbs.

After tooth extraction, the alveolar ridge will commonly decrease in volume and change morphologically. These changes are usually clinically significant and can make placement of a conventional bridge or an implant-supported crown difficult. If bone resorption is significant enough, then placement of an implant may become extremely challenging. Post extraction maintenance of the alveolar ridge minimizes residual ridge resorption and, thus, allows placement of an implant that satisfies esthetic and functional criteria.

Another Case...

Implant #13 + bone graft

Friday, October 28, 2011

More...

Natal teeth are teeth that are already present at the time of birth.Natal teeth usually occur in pairs and generally develop on the lower gum, where the central incisor teeth will appear. 

The exact etiology is not known. Infection,febrile states, trauma, malnutrition, superficial position of the tooth germ,
 hormonal stimulation and maternal exposure to environmental toxins have been implicated as causative factors.



Natal teeth are usually not well formed, but they are firm enough that, because of their placement, they may cause irritation and injury to the infant's tongue when nursing. Natal teeth may also be uncomfortable for a nursing mother.


Frequently, natal teeth are removed shortly after birth while the newborn is still in the hospital, especially if the tooth is loose and the child runs a risk of aspiration, or "breathing in" the tooth.

Thursday, October 27, 2011

Natal teeth...


               

                                              Few days old infant...my youngest patient.



                                                Natal Teeth...extracted.









                                                                                                     

Thursday, October 13, 2011

Source of bone grafts...

Bone augmentation is a term that describes a procedure used to "build" bone so that dental implants can be placed. These procedures typically involve grafting (adding) bone or bonelike materials to the jaw. The graft can be your own bone or be processed bone. After grafting, you have to wait several months for the grafted material to fuse with the existing bone. Synthetic grafted materials either cause surrounding bone to grow into the graft or cause cells around the graft to change into bone.After bone augmentation, dentists usually wait four to nine months before placing implants.

Most bone augmentation procedures involve the use of bone grafts. An excellent choice for a bone graft is your own bone. This most likely will come from your chin or ramus (the back part of your lower jaw). If your dentist cannot get enough bone from these areas, he or she may need to get bone from your hip or shin bone (tibia) instead. The hip is considered to be a better source because the hip bone can provide a large amount of bone.

Synthetic materials also can be used for bone grafting. Newer products, such as bone morphogenetic protein-2 (BMP-2), also are available. BMP-2 stimulates certain body cells to turn into bone, without grafting.

Sunday, October 2, 2011

Bone grafts



A case of mine...
-extracted #23 to #26 and placed bone graft
-Sutured graft in place with chromic gut 4.0
-Tx planned for dental implant

Thursday, September 15, 2011

Types of Implants...

Today, most dental implants are made of titanium. This metal has special qualities that make it useful for implants.Titanium develops a thin film on its surface that protects it from corrosion. It is resistant to acids, salt solutions and oxygen, among other things. Titanium also is almost completely nonmagnetic. It is extremely strong for its weight.Perhaps most important, the body does not reject titanium implants as foreign objects.

There are several types of implants. Your dentist decides which type of implant to use based on certain criteria.

Root-Form Implant
Root-form implants are called endosseous or endosteal implants. This means that they are placed in the bone.

Sub-periosteal Implant
The subperiosteal implant is a custom-made metal frame that sits precisely on top of the bone, but under the gums.

Mini-Implant
These small implants are usually about 2 millimeters in diameter. This is almost half the size of many traditional root-form implants.They are placed in the same way as larger root-form implants.

Wednesday, September 7, 2011

Significance of Dental Implants

       
Dental implants can positively affect a person’s quality of life by improving:


  1. Esthetics
  2. Improved Self esteem and Regained confidence
  3. Function: Efficient chewing of food enables proper digestion and thus assures good health
  4. Speech
  5. Role in overdentures:
    • Comfort: Dental implants eliminate the discomfort associated with dentures. As the jawbone shrinks, the fit of a person’s dentures change. Since dentures sit on top of the jawbone and gums, this can result in a slipping or rocking sensation. Exposed nerves and irritated gum tissue may contribute to discomfort.
    • Speech: With poorly fitted dentures, the teeth become susceptible to slipping. As a result, facial muscles attempt to compensate by tensing up to hold the teeth in place. The result is speech that includes mumbling, slurring, or clicking sounds.
    • Eating:The average patient with excellent fitting dentures eats at 15 to 20 percent efficiency, when compared with a person with normal teeth. As the jawbone deteriorates, the chewing efficiency is reduced even more, making it difficult to chew many kinds of food. Dental implants work like normal teeth, restoring efficiency and food selection.
    • Reliability:Dental implants have very high success rates. A dental implant can also last for decades, if cared for properly. With good oral hygiene, dental implants may even last a lifetime.

Tuesday, September 6, 2011

Implants...

Implant Site Preparation

The gum tissue is opened to expose the bone area where the implant will be placed. In situations where there is insufficient bone structure, bone grafting may be a recommended procedure.

Once healthy bone material has been established, a special drill is used to prepare the bone to receive the implant.

Placing the Implant

After the bone has been prepared, the implant is placed and the tissue is sutured.

The Healing Process - Osseointegration

The healing process takes three to six months. This is the amount of time it usually takes the implant to become part of the lower jaw, commonly referred to as osseointegration.

The sutures are typically removed seven to fourteen days after surgery.

Attaching the Post

When the gum tissue is ready, a special post is attached to the implant. It is the support for the new porcelain crown.

Placing the Crown

After the impressions  a crown is made and shaded to match your existing teeth. The crown is then slipped over the post and cemented.

The Completed Implant

The final prosthetic crown appears as a natural tooth.