OUR solution N°2 : GOLD DAMAGE CONTROL
OUR URGENT ANSWER TO THE SOS WHEN YOUR TEETH FALL OUT
TO TRY TO SAVE YOUR SMILE IN ONE PROCEDURE
A "ONE SHOT" SURGERY UNDER GENERAL ANESTHESIA
THE SMILE DESIGNER SOLUTION N°2 : THE "GOLD DAMAGE CONTROL
AN ALMOST "AD INTEGRUM" RESTORATION OF THE AESTHETICS OF YOUR SMILE
IMPLANT SURGERY IN A "ONE SHOT" PROCEDURE
"A PROBLEM WITHOUT A SOLUTION IS A PROBLEM BADLY POSED
OUR PROTOCOL TO SAVE YOUR SMILE: THE "GOLD DAMAGE CONTROL
TWO "ALL ON 10/8" IMPLANT-SUPPORTED BRIDGES WITH EXTENSIONS
A QUASI "RESTITUTIO AD INTEGRUM" SOLUTION TO SAVE YOUR SMILE
WHEN THE IMPENDING LOSS OF YOUR TEETH MAY MAKE YOU FEEL UNSOCIAL
OUR NUMBER TWO SOLUTION: THE “Gold Damage Control MCI”:
This is a protocol for placing implants in immediate loading to save your smile and your posterior mastication, as quickly as possible, without pre-implant bone grafting, even if there is significant resorption in the molar sectors.
This protocol of rescue thanks to the placement of implants at the fastest is carried out according to the following scheme operative:
– The placement of a maximum and optimized number of implants from premolar to premolar or “All on 10” in the maxilla and “All on 8” in the mandible.
– The realization of two complete implant-supported bridges from premolar to premolar, WITH two extensions at the ends of the bridge, to replace the first molars and sometimes even the second molars.
This is the most successful and extreme form of our protocol to save your smile and your posterior mastication, without having to perform pre-implant bone grafts, in case of serious decay of your teeth of your teeth and your smile.
Ne call our our solution at Smile Designer the “Gold Damage Control MCI”.
– “Damage Control” : because our protocol will allow to control the damage that your teeth and your smile very quickly in a one shot intervention.
– “Gold: because this protocol comes closest to our protocol number 1 of “restitutio ad integrum”. of your teeth and your smile: the “Gold Standard” . Indeed, even if this version of MCI requires two extensions posterior molars at the implant-supported bridge for complete the dental arch , it allows an optimal dispersion of the mastication forces by placing a maximum number of implants.
Our protocol “Gold Damage Control MCI” protocol allows a perfect reconstruction of your dental arches, even in the emergency of a rapid desocialization, consequence of the ineluctable loss of your teeth, associated with a large bone resorption posterior maxillae, especially the upper jaw.
In the technique “Gold Damage Control MCI technique, we are able to place 10 implants in the maxilla despite the posterior maxillary bone resorption (in particular in ).
That is, 5 implants symmetrical on each side of the sagittal line median: ALL on 10.
The particularity of this technique is that: the implant-supported bridge, in immediate loading on the implants placed, supports a last molar in extension, on each side and at its posterior ends
Some favorable clinical cases allow the indication of “Gold Damage Control” in MCI:
The indication allows for ten implants in the maxilla (five implants on the left and five on the right) instead of only six to eight implants in the case of “Damage Control” or “Domino
surgeries”.
– Dimensions of the bone volume of the maxilla necessary and sufficient for the placement of implants in All on 10/8 ;
– Associated with moderate resorption of the anterior alveolar bone to the premolar regions;
– A resorption of molar regions prohibiting a “Gold Standard”.
BUT, there is always with a posterior terminal tooth in extension: the last molar.
The particular configuration of our “Gold Damage Control is a very favorable variant of our “Damage Control MCI”.
It is very close to our “Gold Standard MCI”.
Since with 10 implants in the maxilla and 8 implants in the mandible, the reconstruction is almost identical to a total reconstruction “ad integrum”, even if the last molar is in extension and therefore cantilevered.
This variant is the most successful and extreme of the “Damage Control MCI.
It allows not only an immediate reconstruction of the whole arch, but also an optimal setting of the bite, which is called “perfect molar occlusion”.
This type of occlusion allows to block the bite in the backward molar position (centric relation) and to protect the temporomandibular joint or TMJ.
This immediate rescue version of our MCI protocol has all the advantages of the “Damage Control MCI with most of the advantages of the “Gold Standard MCI” protocol.
This technique allows the replacement of the anterior teeth of the maxilla:
Thanks to an Immediate Loading of 10 dental implants, by an implant-supported aesthetic bridge from right premolar to left premolar, with posterior extensions replacing :
- The second premolars
- Or the first molars
- Or sometimes, the second molars.
In the case of mandibular MCI:
The replacement of all the teeth in the lower jaw with implants is achieved by placing 6 to 8 dental implants.
Their Immediate loading is performed with a supported implant-supported prosthesis from right premolar to left premolar, with or without a posterior premolar or molar extension.
The addition of molar extensions at the ends of the bridge allows molar wedging even if these teeth are not supported by implant abutments.
- The biggest advantage of our solution is an almost immediate global reconstruction of the dental arches, in a desperate situation that requires the rapid extraction of all the residual teeth, WITHOUT having to perform pre-implant bone grafts to reconstruct the jaws;
- The second biggest advantage, corollary of the first, is the quasi immediacy of this protocol, with a resocialization by an extremely fast treatment of the patients;
- It is almost as AESTHETIC as our “Gold Standard” solution, thanks to the integration of the ceramic teeth of the dental prosthesis (implant-supported bridge) in a reconstructed gingival festoon, thanks to bone grafts and the use of platelet concentrates such as PRF;
- It replaces all the teeth from right molar to left molar, but with a cantilevered extension on the molars;
- It is extremely stable mechanically due to the multiplicity of fixations on the dental implants which allows a homothetic and harmonious dispersion of the mastication forces on the metallic and osseous structures;
- The power of the bite is comparable to that of the natural bite;
- The occlusal setting is almost complete on the molars. This allows a perfect posterior mastication;
- It allows a very good stability of the tempo-mandibular joints or TMJ. That is, the two joints of the lower jaw at the base of the skull, just in front of the ear canal. This wedging of the joints helps to avoid joint pathologies. In particular, dislocations that generate different disorders summarized in the Algo-Dysfunctional Syndrome of the Manducatory System or ADMS;
- The comfort provided by the rapid surgery performed in the operating room in a single operation: the extraction of teeth combined with the placement of implants allows the reconstruction of the patient’s smile and the minimum of his masticatory function during the healing process;
- The comfort of the rapid installation of the implant-supported bridge, which can be resiliated three to four days later under light sedation in the office, allows the patient to be re-socialized while awaiting global treatment;
- The patient’s resocialization is almost immediate. Especially for people with stomatophobia and suffering from a rapidly deteriorating smile.
- The indication for this protocol is subject to the availability of implantable alveolar bone of sufficient volume. In particular, in the anterior and posterior sectors of the maxilla up to the premolars;
- The main interest of this protocol is to avoid the need for pre-implant bone grafts. In some cases, however, it will be necessary to reconstruct the jawbone that holds the teeth in place beforehand in order to place the maximum number of dental implants;
- Its high cost due to this great technical complexity;
- The high cost of the surgical tray. That is to say: the costs of the operating room, anesthesiologist and nurse;
- The need to extend the implant prosthesis posteriorly, with always a risk of fracture or fatigue of the materials and even of the bone structure at this level;
- Not having a full arch in the posterior can create, for some people, a feeling of “emptiness” and/or unpleasant posterior food stuffing.
Our result: your brand new smile in a single implant placement procedure and the delivery of two resilient implant-supported bridges with an acrylic glass or PMMA type cosmetic, in immediate loading and esthetics, a few days later.
Replacement of all maxillary teeth with an immediate loading of 10 dental implants with an aesthetic implant-supported prosthesis, supported from molar to molar, WITH extensions at the posterior ends.
Replacement of all the teeth in the mandible with an immediate loading of 8 dental implants with an aesthetic implant-supported prosthesis, supported from molar to molar, WITH extensions at the posterior ends.
In these clinical result images
the result has
after six to twelve months of healing. Resilient bridges with PMMA cosmetics are replaced by implant-supported permanent bridges with ceramic cosmetics. Ihere on the picture)
They are screwed or cemented onto the dental implants along the entire length of the jaw, from premolar to premolar or from molar to molar, WITH posterior overhangs.
See details of the protocol and clinical cases in the corresponding chapters.
Warning: Even if we show satisfactory clinical results in our presentation pictures, they can never be a promise of similar success in your own clinical situation. Each person is different and each clinical case is unique.
Our result: your brand new smile in a single implant placement procedure and the delivery of two resilient implant-supported bridges with a PMMA cosmetic, in Immediate Loading and Esthetics, a few days later.
Warning: Even if we show satisfactory clinical results in our presentation pictures, they can never be a promise of similar success in your own clinical situation. Each person is different and each clinical case is unique.
Why do we call this dental implant technique “Gold Damage Control MCI”?
The term ” Damage control” is given to our solution for implant placement with immediate loading. It is derived from US Navy jargon that describes the ability of a severely damaged ship to reach a shoal, run aground and then be refloated after repair.
I
his term happens to combine the essential elements,
applied to implant surgery in MCI,
of our solutions, number 2:
“Gold Damage Control MCI”
and number 3
:
“Damage Control MCI”,
developed by Smile Designer.
Explanations:
It is very common for people to be in a catastrophic dental situation because their teeth are either already lost or are doomed in the short term. Moreover, it is often observed that in cases of periodontitis, bone resorption is very advanced, complicating the placement of implants.
In these unfavorable situations, few protocols allow for both immediate and quasi “ad integrum” repair.
According to a standard operating protocol, implant surgeons begin by extracting the teeth, possibly with bone grafts to fill in the alveoli. Then, four months later, after post-extraction bone healing, they place the implants.
Eventually, if the decision is made to replace the extracted teeth with implants immediately, the implants are usually placed in a nursing home for several months. That is, they are not loaded, but left in the bone, with a temporary removable prosthesis (denture).
This lack of immediate loading is also frequent when implants are placed after the four months of post-extraction healing. Because scar bone is not a “native bone” suitable for implantation in MCI.
En conclusion :
In unfavorable cases, few protocols, apart from the MCI implant techniques, allow for the replacement of all the teeth of the smile with an aesthetic prosthesis in less than a week, with a single surgical procedure, as in our “one shot” technical solutions:
“Damage Control MCI
and
“Gold Damage Control MCI”.
Moreover, even fewer protocols allow, on the one hand, to succeed in this first “ad integrum ” restitution of your smile and, on the other hand, to restore the chewing function of the premolars, even with strong posterior bone resorptions, and even the molars in certain favorable clinical cases.
With our “Gold Damage Control MCI” protocol , we are able to not only replace all the teeth in the smile, but also restore chewing function down to the premolars and even the molars.
This technique can be performed in less than a week to meet the demands of patients in serious and urgent distress.
Even though the bone resorption situation in the posterior sectors has created such a bone atrophy that it is impossible to place implants, thanks to our implant-supported bridge technique with posterior extensions, we manage to save the occlusal situation and stabilize the patient on all functional and aesthetic levels.
YOU ARE UNIQUE!
CLINICAL CASES OF SMILE RECONSTRUCTION WITH
OUR SOLUTION 2 "GOLD DAMAGE CONTROL" IN MCI
THE FILM OF THE INSTALLATION OF "IMPLANTS IN AESTHETIC AND IMMEDIATE LOADING".
SURGERY FOR THE PLACEMENT OF IMPLANTS IN "MCI":
THE RIGOROUS METHOD OF IMPLANT PLACEMENT IN BI-MAXILLARY MCI
UNDER GENERAL ANESTHESIA
SMILE DESIGNER & DENTOPHOBIA PRESENTS ITS MCI RESCUE PROTOCOL
FOR EDENTULOUS CASES WITH LOW BONE RESORPTION
WITH THE URGENT, ALMOST AD INTEGRUM RETURN OF YOUR SMILE
GOLD DAMAGE CONTROL" IN MCI: ALL ON 10/8
WHAT ARE THE MAIN INGREDIENTS OF THE “GOLD DAMAGE CONTROL” PROTOCOL?
Here is the recipe for our protocol “Gold Damage Control MCI Our best solution for almost “ad integrum” repair (return to the normal state after the damage) of people suffering from a total rehabilitation of their smile. A A very fast solution without pre-implant bone grafting for the rescue of people suffering from edentulism and an urgent, almost total rehabilitation of their smile.
Immediate loading of 10 implants in the maxilla and 8 implants in the mandible by a complete MCI bridge WITH two extensions from premolar to premolar or from molar to molar in the most favorable case. BUT with an optimized posterior terminal premolar support, to support the implant-supported bridge and distribute the masticatory loads with a minimum of overhang for a maximum gain of molar masticatory forces.
- PLACEMENT OF A MAXIMUM OF 10 DENTAL IMPLANTS PER ARCH, AS A PERMANENT REPLACEMENT FOR SMILE TEETH ENLARGED TO PREMOLARS/MOLARS WITH POSTERIOR EXTENSIONS.
- PLACE A MAXIMUM NUMBER OF ANTERIOR IMPLANTS TO RECREATE THE GINGIVAL SCALLOPING OF THE SMILE.
- PROVIDE A COLLAGENOUS FRAMEWORK THANKS TO ALLOGENIC AND XENOGENIC BONE GRAFTS.
- PROVIDE TISSUE GROWTH FACTORS CONTAINED IN AUTOLOGOUS PLATELET-RICH FIBRIN.
- INSTALL, A FEW DAYS AFTER THE OPERATION, THE MCI RESILIENT FLANGE WITH AN ACRYLIC GLASS COSMETIC COVER
- CFAO MACHINING IS BASED ON OPTIMIZED RESEARCH USING SMILE DESIGN AND CFAO DIGITAL TECHNOLOGIES.
- THE “GOLD DAMAGE CONTROL” BRIDGE MCI IS INSTALLED 6 TO 12 MONTHS LATER WITH A COSMETIC CERAMIC COVERING (which replaces the resilient bridge, with a cosmetic covering of PMMA acrylic glass, which is transitional during the healing phase.
digital planning of mCI implant procedures
At Smile Designer, our dental implantologists prefer Our immediate loading implant protocols that maintain MAXIMUM control of the operator during control.
We are not, however, strangers to pre-operative “implant planning” protocols with “surgical guides”.
surgical guides”.
Implant planning based on the patient’s CBCT scan can be used to produce an “implant guide” for intraoperative use or even intraoperative “surgical navigation” planning.
This “flight plan” or physical guide, made before the operation, helps the surgeon to respect the “surgical path”: that is to say the positioning and the axes of the implants that must perfectly fit into the “prosthetic corridor”, that is to say the prosthetic dental arch that replaces the natural dental arch.
Some of our implantologists are very familiar with these techniques and solutions and have even made a few videos on these subjects: you will find a series of films on this site below, devoted to a digitalized surgical navigation system.
It is a computerized robotic system that allows, following the acquisition of a scanner and a computerized planning of the placement of implants, to perform this intervention with a digitalized surgical guide. A radar guides the surgeon’s hand on the computer screen. This allows us to verify that the position and axis of the implants are in accordance with the pre-operative planning.
The guiding principle of our technical solutions is to compact all surgical procedures into a single operation:
Even if these tools are quite interesting (especially for the time because the technique is old) the habit and the experience of many protocols led our surgeons to prefer the methods we describe.
This means that extractions, implant placement, bone grafts, blood samples for platelet concentrates, and implant impressions for implant-supported prostheses are all performed in the same operating time.
However, as it is very difficult to foresee all the contingencies and scenarios for a single surgical procedure, this is even more true in the case of a cascade of surgical procedures.
Therefore, even with computer planning based on the CT scan, our implantologists consider that “you can’t operate on a CT scan”. There is often an imponderable operative event, such as a situation that is, on the scanner, worse or even better than the one that was planned.
That is, “the surgeon’s freedom and ability to adapt immediately to a non-compliant situation during the operation is paramount in our protocol”:
That is why we do not want to be trapped in an already planned operating protocol, either by a physical guide or by computer-assisted navigation.
We favor operating protocols that allow the surgeon to maintain full freedom of adaptation during the operation so that he can optimize the cascade of surgical interventions that will be performed, during the operating time, under general anesthesia.
Of course, this opinion is only binding on our practice.
Some talented colleagues are much more comfortable with this type of assistance during surgery.
Even though we do not use intraoperative guidance tools such as physical or digital implant guides, all our procedures are duly planned on a computer using implant planning software:
The main criticism that we have of physical or digital implant guides is that they are difficult to adapt immediately intraoperatively to all the hazards that cannot be identified on the scanner.
This immediate and instinctive “adaptation” during surgery is in the surgeon’s DNA.
However, it has the disadvantage of being too technically dependent on the experience and training of the operator.
Because as the saying goes in the implantology world: “you can’t operate on a scanner”! Even though this examination is totally indispensable.
Preoperative implant planning techniques
and intraoperative implant navigation
The intraoperative constraints of a preliminary programming with implant planning and/or surgical navigation software
At Smile Designer, the he power of our MCI protocols is their extreme plasticity, which allows the surgeon to adapt to the patient’s particularities and to the vagaries of the surgery.
Our implant surgeons do not exempt themselves from a prior programming of their intervention with implant planning software.
However, the per operative constraints of a prior programming with with implant planning software, by nature fixed, leave little freedom of adaptation to the surgeon during the implant placement procedure.
At Smile Designer, on the other hand on the contrary, all our MCI protocols protocols leave all the necessary latitude to our surgeons to express their knowledge and long experience. Thus, they can adapt the main framework of our MCI protocols to the clinical case in progress.
This means that when a difficult operative situation occurs during surgery that could not be detected beforehand during the simulation in an implant planning software, thanks to the initial scan, the surgeon must be able to modify his surgical plan. Just like an airplane pilot has to change his flight plan in an unexpected storm.
Nur MCI protocols are adaptable to all clinical cases and all sizes:
Not all patients are the same size. Therefore, a small lady of 50 kg is not operated on like a big man of 100 kg.
The volume of the jaw, its dimension, the masticatory force are different from one clinical case to another. In some cases, our basic protocol will have to be modified, for example by placing more or fewer implants.
Our result: your brand new smile in a single implant placement procedure and the delivery of two resilient implant-supported bridges with a PMMA cosmetic, in Immediate Loading and Esthetics, a few days later.
Warning: Even if we show satisfactory clinical results in our presentation pictures, they can never be a promise of similar success in your own clinical situation. Each person is different and each clinical case is unique.
VIDEO: Preoperative implant planning techniques and intraoperative surgical navigation.
THE FILM OF A DENTAL IMPLANT INSTALLATION assisted by digital navigation
Introductory phase to dental implant placement with digital robotics-assisted surgical planning and navigation
