OUR #1 SOLUTION: GOLD STANDARD
against tooth loss and social exclusion
Rebuild your smile in a single operation
one-shot surgery UNDER GENERAL ANESTHESIA
THE SMILE DESIGNER N°1 SOLUTION: THE "GOLD STANDARD"
AN AD INTEGRUM RESTORATION OF YOUR SMILE'S AESTHETICS
ONE-SHOT IMPLANT SURGERY
"THE DETAILS MAKE THE PERFECTION, AND PERFECTION IS NOT A DETAIL.
OUR IRREFAGABLE MCI PROTOCOL: THE "GOLD STANDARD" in MCI
TWO "ALL ON 10/8" IMPLANTO-PORTED BRIDGES WITHOUT EXTENSION
A TOTAL RECONSTRUCTION SOLUTION FOR YOUR BITE AND YOUR SMILE
Our number-one solution: the “Gold standard MCI”:
This is a protocol for placing implants in immediate loading for “ad integrum” reconstruction of your smile and posterior mastication, as quickly as possible, without pre-implant bone grafting if resorption is not significant in the molar sectors.
This “restitutio ad integrum” thanks to the placement of dental implants, as quickly as possible, is carried out according to the following surgical scheme:
– Placement of a maximum, optimized number of implants, from right molar to left molar or “All on 10” in the maxilla andand “All on 8” in the mandible.
– A few days later of two complete top and bottom bridges from right molar to left molar, without extension a few days later.
This solution of placing implants in immediate loading is the most satisfactory of our protocols, both from the point of view of mastication and smile aesthetics. That’s why we call it our reference protocol for immediate implant loading.
For this reason, we will refer to it on this site as the “Gold Standard MCI”.
At the end of the protocol, final implant-supported bridges with ceramic cosmetics replace all the natural teeth from right molar to left molar, without extensions at the posterior ends, thanks to the placement of an optimal number of dental implants.
After one year’s healing, these definitive ceramic bridges replace resilient implant-supported bridges with composite cosmetics, for immediate loading and esthetics. These are placed a few days after the implant surgery.
The protocol begins with the placement of up to ten implants in the maxilla and/or eight in the mandible, molar to molar, followed by immediate loading (or MCI) with one or two Resilient Bridges and a composite cosmetic.
After six to twelve months’ healing, resilient bridges with composite cosmetics (hybrid materials) are replaced by implant-supported definitive bridges with ceramic cosmetics. They are screwed or cemented onto the dental implants along the entire length of the jaw, from molar to molar, without any posterior overhang.
This is the most advanced of our range of protocols for placing dental implants to fix a complete implant-supported bridge in immediate loading that replaces the entire arch. Indeed, the final architecture of the reconstruction structure of the arch is whole. Since all teeth are replaced, except for the very last molars without cantilevered prosthetic extensions.
That is to say that all the teeth are supported by anterior and posterior implants with a homogeneous and harmonious distribution of the masticatory pressures allowing :
– Relief of exacerbated parasitic pressures on peri-implant bone tissue as well as on metal and ceramic structures.
– The optimization of an optimal mastication as well as the wedging and the relief of the temporal mandibular joints (TMJ) in order to prevent SADAM or Algo-Dysfunctional Syndrome of the Manducatory System.
It uses all the latest technologies and techniques in surgery and biology as well as in digital machining of prostheses in Computer Aided Design and Manufacturing or CAD CAM.
Our “Gold standard MCI” solution is our most advanced protocol for the complete reconstruction of dental arches, in our Immediate Load implant-supported bridge range.
In fact, it corresponds to a restructuring of the jaws that tends most towards a “restitutio restitutio ad integrum”.
In other words, a reconstruction as close as possible to the patient’s most demanding requirements in terms of smile aesthetics and chewing comfort.
- It is the most aesthetic 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 PRF;
- It replaces all the teeth from the right molar to the left molar without any overhanging extension;
- It is the most mechanically stable due to the multiplicity of fixations on the numerous implants and a harmonious homothetic dispersion of the masticatory pressures;
- The power of the bite is comparable to the natural bite;
- The occlusal setting is complete on the molars. It allows a very good posterior mastication;
- It allows a very good stability of the Temporomandibular Joints – TMJ. That is, the two joints of the mandible with the skull at the level of the ear canals. This wedging of the TMJs avoids pathologies due to the dislocation of these joints. These pathologies are part of the SADAM ;
- The comfort of rapid surgical execution in the operating room in a single procedure: extraction of teeth, plus implants, plus bone grafts in three hours under general anesthesia in a clinic;
- The comfort of the rapid installation of the resilient implant-supported bridge. It is performed 3 to 4 days later, under light sedation, at the office;
- The almost immediate resocialization of patients in pain while their teeth and smile are rapidly deteriorating.
- The indication of this protocol is subject to the availability of sufficient implantable bone volume, particularly in the posterior sectors of the maxilla;
- The placement of a sufficient number of implants to support this large bridge usually involves the prior reconstruction of the jawbone that holds the teeth (called alveolar bone) with pre-implant bone grafts. In particular, in the posterior regions of the upper jaw with sinus fillers (or sinus lift) in the upper molars.
- The use of the cascade of pre-implant surgeries to reconstruct the maxilla corresponds to our protocol called “Domino Surgery MCI”.
- Its high cost, due to its great technical complexity.
- A cost to which is added the cost of the operating room, anesthesiologist and nurse.
Our result: your brand-new smile in a single implant procedure and the delivery of two implant-supported bridges. with composite cosmetics, 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, without extensions at the posterior ends.
Replacement of all the teeth of the mandible with an immediate loading of 8 dental implants with an aesthetic implant-supported prosthesis, supported from molar to molar, without extensions at the posterior ends.
In these clinical result images the result hasafter six to twelve months of healing. Resilient bridges with composite cosmetics are replaced by implant-supported definitive bridges with ceramic cosmetics. here on the picture)
They are screwed or cemented onto the dental implants along the entire length of the jaw, from molar to molar, without any posterior overhang.
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.
YOU ARE UNIQUE!
CLINICAL CASES OF SMILE RECONSTRUCTION WITH
OUR 1 "GOLD STANDARD" SOLUTION IN MCI
SMILE DESIGNER & DENTOPHOBIA PRESENTS ITS MCI PROTOCOL MOST ABOUTI
FOR A REstitutio AD INTEGRUM OF YOUR SMILE AND BITE
THE "GOLD STANDARD" in MCI thanks to the"ALL ON 10/8".
WHAT ARE THE MAIN INGREDIENTS OF OUR "GOLD STANDARD" IMPLANTATION PROTOCOL in MCI?
Here’s the recipe for our “Gold Standard MCI” protocol: Our best “ad integrum” repair solution for people in need of total smile rehabilitation.
Immediate loading of 10 implants in the maxilla and 8 implants in the mandible with a full MCI bridge WITHOUT premolar-to-premolar or molar-to-molar extensions, but instead WITH a posterior molar terminal abutment, to support the implant-supported bridge and distribute chewing loads without overhang.
- PLACEMENT OF A MAXIMUM OF 10 DENTAL IMPLANTS PER ARCH, AS A PERMANENT REPLACEMENT FOR THE SMILE TEETH EXTENDED TO THE MOLARS SUPPORTED BY POSTERIOR TERMINAL IMPLANTS.
- 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.
- FIT THE MCI RESILIENT FLANGE WITH A COMPOSITE COSMETIC COVERING A FEW DAYS AFTER SURGERY
- CFAO MACHINING IS BASED ON OPTIMIZED RESEARCH USING SMILE DESIGN AND CFAO DIGITAL TECHNOLOGIES.
- THE “GOLD STANDARD MCI” BRIDGE IS INSTALLED 6 TO 12 MONTHS LATER WITH A COSMETIC CERAMIC COATING (replacing the resilient bridge, with a cosmetic composite resin coating, transitional during the healing phase.
THE FILM OF AN "ALL ON 10" & "ALL ON 8" SURGERY
THE "AD INTEGRUM" REPAIR OF YOUR SMILE WITH TWO HIGH AND LOW BRIDGES ON IMPLANTS IN IMMEDIATE LOADING
Our“GOLD STANDARD” in MCI
The “Gold Standard MCI”: This is a “one shot” immediate post-extraction implantation, combined with immediate loading of implants with two bridges from molar to molar, without extension or overhang.
The “Gold Standard MCI” protocol consists of placing ten molar-to-molar or “All on 10” implants in the maxilla and eight molar-to-molar or “All on 8” implants in the mandible, to create two complete implant-supported bridges, top and bottom, with implant support at the posterior molar-to-molar level, without cantilever extension.
Bone grafts for reconstruction of the maxillary alveolar bone and the placement of dental implants are done at the time of dental extractions in a “one shot” surgical protocol, under general anesthesia, which we call “immediate post-extraction one shot implantation”.
An “Immediate Loading” of the implants or MCI:
This large aesthetic molar-to-molar implant-supported bridge is placed in Immediate Loading (ILM). This means that your new smile is delivered to you in just a few days: the fabrication and placement of MCI resilient implant-supported bridges takes less than a week postoperatively.
The guiding principle of immediate loading is to place a dental prosthesis (trans-screwed implant-supported bridge) immediately after the placement of the dental implants.
The main biological interest of the implant-supported prosthesis in MCI is to promote osseointegration of the implants.
In fact, it immobilizes all the implants rigidly together. It promotes bone healing around the implants, called osseointegration, thanks to the suppression of implant micro-movements of more than 200 microns.
In addition, the prosthetic teeth act as a tissue guide for gingival healing.
The gingiva naturally scallops around the prosthetic abutments during the healing process, giving it a very natural aesthetic.
This is our most successful protocol and the most satisfying both functionally and aesthetically.
On the one hand, the distribution of masticatory loads is harmonious over the entire arch from molar to molar.
On the other hand, the healing of the gingiva is optimal around a sufficient number of anterior and posterior implants.
Our clinical result: The replacement of all maxillary and mandibular teeth with an immediate loading of dental implants with an aesthetic, molar-to-molar supported implant-supported prosthesis, without extensions to the posterior ends.
In these clinical result images the resultsix to twelve months of healing. See details of the protocol and clinical cases in the corresponding chapters.
Disclaimer: Even though we show satisfactory clinical results in our presentation photos, they can in no way be promises of similar success in your own clinical situation. Each person is different and each clinical case is unique.
Our clinical result: The replacement of all maxillary and mandibular teeth with an immediate loading of dental implants with an aesthetic, molar-to-molar supported implant-supported prosthesis, without extensions to the posterior ends.
In these clinical result images the resultsix to twelve months of healing. 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 complex “ad integrum ” repair protocol called the “Domino Surgeries MCI”:
A cascade of reconstructive surgeries to compensate for post-extraction bone resorptions.
Post-extraction bone resorption is physiological and unavoidable.
The resulting atrophy of the jawbone requires that the placement of implants be associated, most often, with pre-implant bone grafts.
The use of the principles of regenerative dentistry with platelet concentrates such as “aPRF membranes” and iPRF-enriched bone grafts (steaky bone) is systematic.
In the posterior molar sectors, bone crest atrophy due to natural post-extraction resorption usually necessitates the use of intrasinus bone grafts, known as sinus fillers or sinus lifts.
The implants used are conventional dental implants specially designed for this type of procedure in Immediate Loading with a screw-retained bridge.
We distinguish two prosthetic steps in the general protocol of immediate loading with a screw-retained bridge:
A first “resilient” bridge with a cosmetic composite veneer, designed according to Smile Design’s aesthetic project. It is spun, in immediate loading a few days after the operation.
A second bridge with a cosmetic ceramic veneer can replace this first version once the hard and soft tissues have healed. It is also screwed onto the implants after 6 to 12 months of scar tissue maturation.
Both are screw-retained bridges. This screwing is possible thanks to the extreme precision of their design and digital manufacturing.
The metal (or zirconia) framework of the bridges is cut from a block of metal or zirconia material.
The latter is machined using CAD/CAM (Computer Aided Design and Manufacturing, i.e. CAD CAM).
This protocol is the one whose result comes closest to an ad integrum reconstruction thanks to a healing control protocol. This means a complete repair of the jaws with optimized dental and gum aesthetics.
