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Full Mouth Dental Implants: Malo Titanium Bridge with Zirconia Crowns

Dr. Vijay Deshmukh, Chief Implantologist, Smilex International Dental centre, Pune, India

Loss of all teeth happens due to severe periodontal disease or high DMF index since childhood. Early multiple dental caries leads to early root canal treatment and teeth loss due to root fracture or loss of crown structure due to ill-fitting crowns.

My experience of more than 30 years in implantology I had seen multiple approaches for restoring full arch cases. 30 years before we were happy doing over denture on two implants. Patients’ expectation was minimal and they were looking for fixed dentures to chew food. Then for nearly 2 decades we practiced PFM bridges, commonly known as ceramic bridges. They are still in use for multiple cost-conscious patients.

Last 6 years we have been working on the -4 concept by Dr. Paulo Malo. Which is giving us very good results for immediate loading and restoring those cases with hybrid -titanium dentures. Our immediate loading cases success rate is 99%. We use three different world class implant systems for immediate loading Nobel Bio care active implants, Straumann BLX implants and B&B EV implants. The advance aggressive threads are giving outstanding primary stability torque of 60 to 80 Ncm.

Use of 17- and 30-degree abutments are giving us high aesthetic results in the aesthetic zone, the screw access holes are much palatal. Last 3 years we upgraded to digital intraoral scanner for high degree of recording the positions of implants and soft tissue around implants. Digital technology and inhouse Cone beam CT scan help us in planning cases. With digital impression technology we can make immediate impressions after surgery without causing any discomfort to the surgical site.

Digital scans are also helping us prepare surgical guides and also immediate temporary bridges by using PMMA 3D printing technology. All new technology is adding to accuracy in the clinical outcome, but also adding cost per procedure. Latest software, digital tools, newer learning is adding a huge learning curve for both implantologist, implant prosthodontics and implant technician. We have the best dentist in Pune, India. Our team of An implantologist has experience from 10 years to 32 years.

Best Dental Implant centres work as a team of specialist working on a common goal of giving advanced implantology. We also see a huge demand of patients of dental implants for high aesthetics. Last 3 years the latest design of Malo zirconium bridges are happily accepted by full arch implant cases. Separate zirconia crowns give a high aesthetics and also repairability of the prosthesis in case of damages to any specific tooth. Naturally these high-end Malo zirconia bridges are expensive and also need a good team to deliver them. Smilex international dental centre, pune is equipped with latest technology and expert team of best implantologist in Pune.

Our implant team works with advance technology to deliver outstanding results, so we insist all implant cases for a six-monthly follow-up and good oral hygiene care for long term success of Prosthesis. (Author can be reached on smilex.deccan@gmail.com)

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