AGUIDETOTHEBENEFIT
OFDENTALIMPLANTSApermanentalternativetodentures!
Restoreyourteethand
winbackyourlife!
Werecommendusingthisguidetolearnaboutthebenefitsof
DentalImplants,theAll-On-4procedureandZygomaticImplants.
Disclaimer
East Coast Oral Surgery provides oral health information to
improvethedentalhealthofourcommunity.Westrivetoprovide
thebestpossibleinformationtoourpatientbase.Thisguideshould
be used as a general information tool, regarding some of our
procedures. It is not intended to be used for the diagnosis or
treatmentofadentalorhealthconditionandshouldnotbeusedas
a substitute for seekingdentalorhealth care fromaMaxillofacial
Surgeon.
WelcometoEastCoastOralSurgery!
AtlanticCanada’spremierdentaloralsurgeryclinic!
Dr.NachDaniel Dr.EricSt-Germain
Dr.SamerAbiNader
DentalImplants
Doyouhaveoneorseveralmissingteeth?DentalImplants
mightbeasolutionforyou!
Implants afford a safe and cost effective option for
replacingmissingteeth.
A Dental Implant replaces the tooth root and builds a stable
foundation for a crown, bridge or replacement solutions for a
toothless jaw. Once inserted into position, it looks, feels, and
functionslikeanaturaltooth.Thissmallpostmeasuringonlya
fewmillimeters becomes firmly anchored and integrated into
thejawbone.
Mostpatientswithmissingteetharegoodcandidatesfordental
implants. A consultation with one of our surgeons will help
determineyourneedswhilegivingyoutheproperinformation
tomakeaninformeddecision.
Didyouknow?Dental Implantswere actually discovered by chance. Professor Branemarkwas not a dentist
butaSwedishscientist.Hewasactuallydoingresearchonhowbloodvesselsbehaved inside
thebone.Theyaccidentallydiscoveredthattitaniumcouldfuseintothebonesafely.Hecalled
thatprocess"Osseointegration,"andconcludedthattitaniumcouldbeusedtocreateananchor
forartificialteeth.
SingleToothReplacement
MultipleToothReplacement
Didyouknow?Dentalimplantsarealong-standingsolution.Onceintegratedinthejawbone,dentalimplantsbecomelifetime
solutionforreplacingnaturalteeth.
Once the implant is surgically placed, the bone bondswith the titanium (a
processcalled ‘integration’),creatingastrong foundation forartificial teeth.
Small posts are then attached to the implant, which protrude through the
gums.Thesepostsprovidestableanchorsfortheartificialreplacementteeth.
Whenthisprocess iscomplete,anabutment isattachedtothe implantthat
willconnectthefinalcrowntocompletetheprocedure.Animplantcrownis
not susceptible to cavities butmay develop complications if oral hygiene is
notmaintainedconsistentlyovertime.
***Be advised, the costs of the crown will be separate from the actual
implantplacedbythesurgeon.Yourdentistwillusuallybetheonedoingthis
step.
Thereplacementofmultiplemissingteethcouldbecompletedwitheithera
removable conventional fixed partial denture or the placement of dental
implantsandafixedbridge. Implants insertedin thejawboneallowfixation
ofabridgewhichlooksandfeellikenaturalteethwithouttheinconveniences
ofaremovableprosthesis.
WhatarethebenefitsofDentalImplants?
***Haveyoueverbeentoldthatyoucan’thaveimplantsasyoudon’thave
enoughbone?Wemighthavethesolutionforyou.
LearnabouttheAll-on-4procedure.
•Anaturallookingsmile.
•Renewedconfidenceandabilityto
livenormally.
•Normaleatingandspeaking.
•Stableandcomfortablefit.
•Alonglastingpermanentsolution.
•Neighboringteethstayintactand
arenotdrilleddown.
ImmediateTeeth/Teethinaday
Traditionally,DentalImplantswereplacedintwosteps.Thesurgeoninstalledtheimplants,whichwere
left for three to sixmonths toheal and integratewith the jawbone.Permanent teethwereonly fitted
once the implantswere integrated in the bone. During this healing period, temporary dentureswere
given.Thishasbeenknowntobeacauseforpotentialbonelossaroundtheimplants.Newertechniques
such as the All-on-4®, allow new alternatives towards a better outcome. In today’s world, modern
implantdesignandstateoftheartsurgicaltechniquesusedatEastCoastOralSurgeryallowpatientsto
havefixedandreliableteeththesameday.Eveninextremecasesofadvancedresorptionofthejawbone
canbetreatedwithpermanentlyanchoredteethusingtheAll-on-4concept.
Benefitsoftheall-on-4treatmentconcept
§ Nomorebonegraftingprocedures
§ Fasterrecoverytime
§ Fixedteeththesameday
§ Nomoredenturesorespots
§ Improvedappearanceandconfidence
Didyouknow?Thereisscientificevidencethatpatientsmissingseveraloralloftheirteethdiminishtheirinputof
freshvegetablesandfruitsaswellasfibersandvitamins.Thesedeficiencieshaveanimpactonthe
generalhealthofthesepatientsinregardstohypertension,diabetesandothermajorillnesses.
WhatistheAll-on-4®treatmentconcept?The All-on-4® treatment conceptrefers to the replacement of all
teethonasfewasFOURdental implants,whichwillsupportthem.
This revolutionary technique allows surgeons to gain optimal
resultsastheyprovidetherequiredsupportfortotalrehabilitation
of themouth. By tilting the back implants at a 45-degree angle, it
helps overcome bone deficiencies often found in the back jaws,
eliminatingtheneedforbonegrafting.
WhenDr.DanielperformstheAll-on-4®treatmentconcept,heuses
the Nobel Clinician program as a tool for guidance. This program
allowshimtoperformablueprintofthesurgerypriortotheactual
surgery-takingplace.TheprogramalsohelpsDr.Danielfindoptimal
placementfortheimplants,maximizingfunctionandintegrationfor
patients.Italsoactsasaninformationtooltoshowpatientshowthe
processwilltakeplace.
Dr.Daniel(OralSurgeon)andDr.SamerAbiNader(Prosthodontist)
have successfully performed theAll-on-4® treatment
conceptprocedure on over 450patients in the last 10 years. The
resultshavebeenoverwhelminglywellreceivedandtheyareoneof
thefewtoofferthisserviceinAtlanticCanada.
All-on-4®treatmentconcept(Graftlesssolution)
Teethinadayprocedure!
Didyouknow?BothDr.DanielandDr.NaderteachtheAll-on-4®techniqueattheEastCoastOralSurgeryEducationCenter
togeneraldentistsandspecialists.
BoneGrafting
Insomecases,itmaybenecessarytoimprovethevolumeofboneusingaprocedurecalledbonegrafting.
Thematerialusedforthesetypesofproceduresiseithersyntheticorthepatientsbonewhichisharvested
within the oral cavity during the implant procedure or as a separate procedure performed prior to
implantplacement.
Benefitsofbonegrafting
• Byregeneratingbonetissue, it
allows patients to receive
dentalimplants.
• Forpatients that aresuffering
from periodontal disease,
bone grafting will repair the
supporting bone around the
teeth.
• Bone grafting allows to re-
establish the normal contour
of the jaw bone and improve
facialsupport.
ZygomaticImplants–GraftlessImplantSolutionForseverelyresorbedorbonedeficientupperjawBoneatrophyisanaturalphenomenonthatoccursaftertheextractionof
teeth, and which is exacerbated over time due to wearing a denture.
Patients with advanced atrophy of the jaw may not have the minimum
bone volume required to have dental implants. These patients have
traditionally been deemed unfit for conventional dental implants.
Zygomatic implantshavebecomeprovenalternativeforthetreatmentof
patientswithsevereboneloss.
Zygomaticimplantsareplacedintheupperjawwhenthereisinsufficient
bonetosupportstandarddentalimplants.Theyprovidegreatsupportfor
bridgework and allow the clinician to provide the patient with an
immediatefixedbridgethedayofsurgery.
These implants are quite longer than standard dental implants, as they
need to anchor in the cheekbone also called Zygomatic bone. This
procedureserves asanalternative tocomplexbonegraftingprocedures,
enabling patients to receive new teeth in a day. Dr. Daniel has been
providingthistreatmentsince2008andremainsoneofthefewclinician
offeringthistreatmentoptioninAtlanticCanada.
Didyouknow?Haveyoueverbeentoldthatyouneedabonegraft?
TheZygomaticImplanthasbecomeaviablesolutionforpatientswithout
severebonelostwhichdon’twanttogothrugraftingprocedures.
QuadZygomaSurgeryInsomeextremecases,theupperjawmaybedeficientinboneevenintheinteriorregion.Ifthisis
thecase,twoZygomaticimplantsmaybeinsertedoneachsideofthefaceinordertosupportafull
setofupperreplacementteeth.
BenefitsoftheZygomaticImplants
§ Noneedforbonegrafting.
§ Eliminatesdenturesandprovides
fixedteeth.
§ Immediatedeliveryandteethinaday.
§ Highsuccessrate.
Pre-OperativeProcedure All-on-4/ZygomaticImplants
Examination
Clinical assessment of your oral
and facial structures allows the
surgeontoformulateatreatment
planthatbestsuitsyourneeds.
Diagnostics
A scan is performed in order
to obtain a 3D image of your
jaw bone and determine the
besttreatmentoption.
WorkUp/Planning
Using a 3D planning
software, we are able to
obtain a blueprint of your
jaw prior to the actual
surgery-taking place. This
step allows the surgeon to
optimize implant placement
and enhance the surgical
outcome.
Consultation
TreatmentProcess All-on-4/ZygomaImplants
Implants
Following extraction of teeth
(if needed), the jawbone is
reshapedandtheimplantsare
immediately placed. Once the
implants are inserted, the
wound is closed with
dissolvablesutures.
Fabricationofthe
temporaryfixedbridge
Following insertion of the
dental implant, a fixed bridge
is fabricated and immediately
inserted. This temporary
bridge allows the patients to
regain his chewing capacity
and start functioning
immediatelyaftersurgery.
Fabricationanddeliveryof
thefinalbridge
Four months later, the
temporary bridge is replaced
withthefinalbridge.
*Dr.NachDanielperformstheAll-on-4andZygomasurgeriesatEastCoastOralSurgerywith
Dr.SamerAbiNader(Prosthodontist).Theyhavesuccessfullycompletedover450casesinthelast
10years.
Followup
The first follow-up visit is usually 7 to10 days after surgery. Dr. Daniel
willremoveanyresidualstichesandwillgooverhygieneinstructions.We
will showyouseveralmethods,whichwillallowyou tocleanyour teeth
andmaintaingoodoralhealth.
During this time, you might feel that the teeth are solid and fully
functional,butitremainsimportanttofollowasoftdiet(pasta,eggs,etc)
forthefirst3monthstomakesurethattheImplantshealproperly.
Once Dr. Daniel has confirmed that the implants have integrated
successfully(usuallyduringthe4-monthreview),youcanstarteatingall
typesoffood.Regularmaintenanceisimportantbutquiteeasy.
ReviewandMaintenance
4monthsafterthesurgeryhasbeencompleted,wewillhaveareviewof
yourmouth tomakesure the implantshave integratedsuccessfullywith
theboneandfine-tuneyourteethifrequired.Itisalsoatthistimethatwe
review the bridgewith the laboratory if need be. This review and any
laboratory adjustments are part of the package and an extension of our
greatservicetoyou.
*Importantnote:Wealwaysworkwithyourreferringdentistandhopethis
guidehelpensurethatyougetthemostoutofyourteeth.
IVSEDATIONSedationdentistryisoftenreferredtoasaservicethatisonly
forpatientswithdentalanxiety.Although thatmaybepartly
true, some patients just prefer not to be awake during the
procedure.
At East Coast Oral Surgery, wehave catered our facility to
meet the specialized needs of our services, as some hospital
settings don’t. For this reason, we offer IV Sedation for our
surgeries.Wemakesuretoofferthesafest/mostcomfortable
environmentforourpatients.
OurserviceatECOSOurgreatstaffwillbeatyourdisposalthroughouttheentire
process.Wewanttomakesureyoufeelcomfortableandall
questions are answered. They will be the first point of
contact for any questions after your initial consultation,
through the process and after. They comewith experience
andwillmakesuretotakegreatcareofyou.
Finally….
AtEastCoastOralSurgery,wearefortunatetobeinvolvedwithclinicians,specialists,nurses,treatment
coordinatorsandsupportingstafftohelpgivethebestpossiblecaretoourpatientsandhelpchangetheir
lives.Thereisasenseof fulfilmentwhenweseepatientshavea lifechangingexperienceandarehappy
withtheresultsthatweprovided.Emotionsrunhighwhenyourealisethatweaccomplishsomethingfar
greaterthanjustimprovingsomeone’ssmilesortheirfunction,butgenuinelychangetheirlife.
EastCoastOralSurgerywasfoundedonthepremisethat ‘’WEASATEAMCANALWAYSBEBETTER’’.
Wetakegreatprideinthisandmakeourselvesaccessibleandreliable.Westrivetosetthestandardby
deliveringconsistentresultswhilegivingpatientsacomfortableexperience.
Formoreinfo,callustoday:506-859-7200
WelookforwardtoservingyourneedsatEastCoastOralSurgery!
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