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Dentist |
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Maxillofacial Surgeon |
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First
contact
 Usually
your first contact takes place at your dentist. He examines your
teeth, gaps or your old prosthesis. After diagnosis he will
inform you how to treat you including different opportunities.
Probably he takes casts and x-rays to complete diagnosis and
comes to an agreement with the maxillofacial surgeon. |
Start |
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next
week |
Surgical
consultation
We analyze "your bone situation" clinically.
Additionally we evaluate the x-rays. We reflect the phone call
of your dentist as well as our diagnosis. Then different
possibilities of prosthetic and implant reconstructive
procedures are shown. Starting with very simple techniques,
ending with high end luxurious prosthetic reconstructions.In
case of long lasting toothless bone augmentations of sinus lift
procedures have to be done. We use either iliac crest or
material procduced synthetically.Pros, contras and costs will be
discussed.
All procedures are coordinated with the dentist. Then all
costs are estimated in writing. According to your personal
idea as well as your decision of the anaesthetic procedure
a scedule is done. Eventually an oral hygiene procedure is
arranged too.
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Second
Consultation
During the second consultation the definite prosthetic
treatment plan is fixed. Your dentist will gives you his
estimated costs in wpinted form. Now you know the exact amount
of costs.
In very special cases you can apply a takeover of the
resulting costs. Private insurances should know these costs in
advance too. |
after
2 weeks |
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Often
different diagnostic procedures have to be done in advance:
- Casts of the upper and lower jaw
- x-rays to assess your teeth and your bone as well
- pictures of your face and profile as well as from your teeth
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preprosthetic procedures:
Sometimes pretreatment of decaved teeth or extractions have to
be done in advance. Your dentist will do these procedures about
two weeks before implant surgery is planned.
- Rehabilitation of all caries-affected teeth
- Treatment of inflammation of the gingiva
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after
3 weeks |
Preoperative Maxillo-Facial
Treatment:
- removal of teeth
- removal of useless third molars,
- resection of dental apex
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Wax-Up
In
difficult situations the casts are mounted into a dental articulator.
Then plastic teeth are placed position into ideal position
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prosthetic planning |
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surgical planning |
drilling guide
According to the prosthetic wishes a drilling guide is produced. It
is used intraoperatively but also during the ct-scanning in order to
check the amount of bone needed later on. That`s the way
the exact position of your implant is determined in difficult
situations. We do not need it in easy single toothless situations. |
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Implant-Surgery
 During
this main procedure the implant is placed as planned before.
Eventually a provisional denture is placed over the wound
immediately. |
postsurgical dental treatment
- Further rehabilitation of the lasting teeth
- Treatment of the gingiva
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3 month
(lower jaw) 6 month
(upper jaw) |
Exposure
procedure
During
this surgery the cover screw is uncovered and a elongated screw
is placed instead: Sometimes the surrounding gingiva has to be
treated surgically too. |
Prosthetic
treatment
Casts are mounted into the dental articulator showing
the implant and allowing the production of the definite
prosthetic reconstruction.
This lasts for some weeks |
2 weeks later |
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- Quarterly dental consultation
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Oral hygiene every half year
- X-ray examination after one year
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