DENTAL & ZYGOMA IMPLANTS
THE SOLUTION TO REPLACE MISSING TEETH
Get Dental Implants in Fort Lauderdale
Are you looking for permanent tooth replacement using dental implants in Ft Lauderdale or Broward County? Are you seeking a BOARD CERTIFIED ORAL & MAXILLOFACIAL SURGEON surgeon with advanced training in ALL areas of implants, bone grafting and jaw reconstruction?
At the Sultan Center for Oral Facial Surgery, Dr. Leslie Sultan has been providing advanced dental/zygoma implant care for over 30 years!
Dr. Sultan is one of the few providers for ZYGOMA implant placement in South Florida!
At the Sultan Center of Oral Facial Surgery in Fort Lauderdale, FL, Dr. Sultan and his staff provide most state of the art technology in the areas of:
- DENTAL implants and ZYGOMA implants
- ALL ON 4 / TEETH IN A DAY techniques
- Combined extraction / immediate implant placement
- Cone Beam CT (CBCT) in office / most advanced state of the art scanner
- Computer guided surgery for the most accurate implant placement
- Bone grafting and bone regeneration
- PRP AND PRF
What are Dental Implants?
Dental implants are tooth root replacements made from titanium which are inserted into the jawbone, providing a foundation for replacement teeth that look, feel, and function like natural teeth. Once a dental implant is surgically placed into the jawbone, the bone bonds with the titanium, creating a strong foundation for artificial teeth. After a period of healing (OSSEOINTEGRATION), small attachments (ABUTMENTS) are then screwed to the implant. These protrude through the gums, providing the foundation for placement of replacement teeth, bridges, or dentures.
Dental implants, for example, with the “All-On-4” technique in Ft. Lauderdale, FL, or any other technique, help preserve facial structure, preventing the bone deterioration that occurs when teeth are missing. Patients who have lost teeth regain the ability to eat virtually anything, knowing that teeth appear natural and that they can smile with confidence. So it’s no wonder that more and more patients are turning to dental implants as a better alternative to dentures and dental bridges. Studies have shown that the long term success rates for dental implants exceed those for root canals, crowns, and bridges.
In fact, dentists and insurance companies have both agreed that placement of a dental implant is now the standard of care for replacement of a tooth.
What is the “All-On-4” technique?
Conventional reconstruction of the fully edentulous jaw can involve more than one procedure, potential bone grafting, and possibly up to 2 years of treatment before a final implant supported appliance can be inserted.
At the Sultan Center for Oral Facial Surgery in Fort Lauderdale, we offer our patients the “All-On-4” technique for their dental implant treatment. Also known as “Teeth in a Day” or “Immediate Loading”, the concept behind this technique is the ability to attach a screw retained, implant supported bridge to specially placed implants, all in the same day.
In order for the technique to be successful, Dr. Sultan has mastered the use of Computer Guided implant placement at specific locations and angles via the use of computer generated surgical guides. Using a Cone Beam CT Scanner (CBCT) located in the office, along with close cooperation of the restorative dentist and laboratory technician, this innovative concept in treatment offers many advantages:
- Long term, cost effective solution to PERMANENT tooth replacement
- Eliminates (in the vast majority of cases) the need for bone grafting
- Faster treatment and healing time
- Flexible restorative options
- Scientifically proven and well documented (over 15 years of evidence based studies)
Please be aware that “All-On- 4” is a concept, and does not specifically indicate you will have only 4 implants placed. Although the majority of patients do very well with 4 implants, certain conditions warrant the placement of additional angled implants to “over-engineer the case” or require the placement of specifically designed ZYGOMA or cheekbone implants for additional support.
THE NO BONE/NO PROBLEM SOLUTION TO REBUILDING THE UPPER JAW
When and Why are they Used?
Depending on patterns of bone loss over time, not all patients missing teeth in the upper jaw (MAXILLA) have sufficient bone for the “All on 4” technique. In these instances, Dr. Sultan may recommend the placement of ZYGOMA implants to provide additional support where conventional implants can not.
The upper jaw is divided in to 3 zones based on the type of tooth loss. When there is insufficient bone in one or more zones, conventional “All on 4” implant placement may not be enough to support a full complement of tooth replacement.
Originally designed for patients suffering from bone loss due to cancer or trauma, the ZYGOMA implant is indicated to make use of available bone in the CHEEKBONE to avoid use of extensive bone grafting for conventional implant placement. These implants are made of titanium and are 4-5 times the length of conventional dental implants. Once placed, they act and are restored similarly to standard implants.
The use of Computer Guided Surgery, “All-On-4” technology and Zygoma Implants require specialized training over and above that of most implant surgeons.
The proper use of ZYGOMA implants for those patients missing much of their upper jaw allows for successful treatment of the vast majority of edentulous patients WITHOUT THE NEED FOR BONE GRAFTING!
NO BONE?……..NO PROBLEM!!
Dr. Sultan has trained extensively with the inventors of the ZYGOMA implants both in the United States and Europe. He utilizes the EXTRAMAXILLARY placement technique, avoiding trauma to the maxillary sinuses. He is one of the very few providers of advanced ZYGOMA IMPLANT PLACEMENT IN SOUTH FLORIDA!
The decision between the use of the above techniques vs. conventional implant surgery is based on your condition, the type of final appliance, and a decision between you, your restorative dentist, and Dr. Sultan.
What about the Traditional Approach for Dental Implants?
The traditional approach for the placement of dental implants involves two stages. The first surgical phase involves placing the implants in the jawbones. For the first 2 to 4 months following surgery (depending upon each individual situation), the implants are beneath the surface of the gums, gradually bonding with the jawbone. You should be able to wear a temporary tooth replacement and eat a soft diet during this time.
After the healing phase, the second phase begins. Dr. Sultan will uncover the implants and then refer you back to your restorative dentist to place the final restoration on top of the implants. Average treatment time is 3 to 6 months. Should special bone or soft tissue grafting be required, treatment time may be longer. Most patients experience minimal disruption in their daily life.
Am I a Candidate for Dental Implants?
The majority of patients with missing teeth can successfully undergo implant placement. Those patients that have decreased resistance to infection, or medical conditions complicating anesthesia, should discuss these issues in detail with their physician and Dr. Sultan at the consultation.
What are the Success Rates of Dental Implants?
With ever improving materials and techniques, most patients can expect their dental implants to last 20 to 30 years, or longer! Remember, long term success depends on a number of factors, including:
- Optimal treatment planning
- Surgical technique
- Final restorations
- Patient oral hygiene
- Materials used
The primary goal in the dental implant treatment process is the placement of a final restoration (tooth, bridge, denture) in an ideal position, that looks as natural as possible. In order to facilitate this process, Dr. Sultan works as a team with your restorative dentist throughout all phases of treatment. A Cone Beam CT scan is necessary to evaluate bony anatomy and density.
The Surgical Procedure
Dental Implant Presentation
To provide you with a better understanding of dental implants, we have provided the following multimedia presentation. Many common questions pertaining to dental implants are discussed.
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The Single Stage Implant and the Immediate Restoration
An alternative treatment option, if possible, is to place a dental implant immediately into a fresh extraction site at the time of tooth removal. This technique offers several advantages over the traditional 2-stage protocol:
- Shortens treatment time
- Reduces amount of surgery needed
- Placement of immediate temporary crown or bridge
Dr. Sultan will discuss all your surgical options at the time of consultation.
Fractured central incisors
Teeth removed, implants placed
Fixed temporary bridge
Tooth Socket Preparation
Once a tooth is removed, the surrounding bone and soft tissue shrinks. Left alone, the contours of the available bone may be reduced so much that implant placement may be difficult without the need for a bone graft. A common sense alternative is to place a particle type bone graft directly in the tooth socket at the time of tooth removal. This not only preserves the anatomy for implant placement, but many times it also avoids another, more involved bone graft.
Graft placed at time of tooth removal
Socket ready for implant
Replacement of Individual Teeth
Single Tooth Replacement
Multiple single implants vs. bridge
Fully Edentulous Conditions:
Removable Implant Supported Dentures
Locator “Snap On” Overdenture
Implant retained porcelain metal bridge
Implant retained plastic bridge (Hybrid)
Failing lower dentition
Placement of implants/fixed bridge
Immediate fixed prosthesis
Bone Grafting Issues
When patients have a lack of bone to support dental implants, bone grafting can be predictably placed to help enhance implant support. Natural bone can be obtained from various sites inside the oral cavity, as well as the hip, knee, or even the skull. Artificial bone can also be utilized alone or in combination with natural bone. Repositioning of the upper and lower jaws can be performed simultaneously with implant placement, to correct abnormal jaw relationships in conjunction with missing teeth.
Assessing Implant Stability
When a dental implant is placed in the jawbone, a process known as osseointegration takes place. By forming both a biological and mechanical bond to the bone, implants can be safely loaded with long term, predictable results.
However, circumstances occur when an implant may not successfully heal within the bone, or may take longer than the normal time period to integrate. This could result in a prolonged period of healing, additional procedures, or even removal of the implants.
Conventional methods of testing implant stability include evaluation of dental x-rays and attempts at finger manipulation of the implants with a small amount of torque. Unfortunately, these methods are somewhat subjective and can be misleading for long term predictability.
Bone density is a critical factor in implant stability. Many factors affect bone density, including:
- Age and sex
- Bone metabolism and disease
- Previous infection
- Previous trauma
Dental Implant Technology
Dental Implant Technology
Diagnostic imaging of the jawbones using a Cone Beam CT Scanner assists in objectively measuring the bone density surrounding the implants. CT scans are extremely valuable in the pre-surgical planning, as it can assess critical anatomy and areas of variable bone density that will affect the success of implant placement. CT scans should be used in both the planning and post-surgical phases of treatment.
Another objective method of assessing implant stability in the jawbone is by the use of the Osstell ISQÂ® device. Using a technique similar to a tuning fork, called Resonance Frequency Analysis (RFA), objective measurements of stability are recorded. Using this technique, not only can initial stability be assessed, but long term progression as well. The ISQ is an international standard now used by the most prominent implant surgeons.