Bone Reconstruction Prior To Implant Placement

Today there is an increasing amount of people who choose to have their teeth replaced with dental implants. In some cases the replacement is immediate meaning that once teeth are removed, during the same surgery implants are placed to replace those previous teeth. The advantage of replacing a tooth with an implant at the time of extraction is that the amount of bone loss at the site of extraction is greatly minimized.  However for most people the decision or option to have their teeth replaced comes long after their teeth were lost, and after years of wearing removable partials, dentures or having fixed bridges anchored to adjacent teeth. The problem often encountered in  such cases is that the bone in the area where the teeth have been missing shrinks and there is significant loss of volume and height making it challenging to place implants . A bone augmentation or reconstruction procedure is then necessary and occasionally must be done prior to and in preparation for implant placement, this is what is commonly called a bone graft.

When situations of bone loss or long term absence of teeth present themselves the first step is to obtain the proper information for accurate diagnosis. A clinical and ultra low radiation 3D X-ray is taken of the jaw to be treated, the x-ray unit we use in our practice is called a Cone Beam CT Scan (CBCT) and it provides an accurate view and analysis of the problem. The slide show below shows how by means of clinical pictures and  dental CT scan we are able not only to plan the volume of bone that needs to be augmented but also with a second scan assess the success of the bone graft.

What Implant Systems Are You Trained In?

Dr. Sammy Noumbissi | Maryland's Premier Implant SpecialistHi, I’m Dr. Sammy Noumbissi, America’s Implant Dentist and Zirconium Implant Expert. As an expert in my field of Implant Dentistry, I am committed to keeping you Healthy!

One of the biggest problems I see in Implant Dentistry is the lack of information available to patients. Dentists are always ready and willing to place an implant, but rarely is a patient fully informed of the risks, benefits, and OPTIONS available to him or her.

MY GOAL IS TO CHANGE THAT

That’s why I have created a series of videos designed to help YOU get the information you DESERVE so you can make an informed decision that could affect your health, your smile, and your confidence for the rest of your life.

WHEN YOU REGISTER FOR MY FREE NEWSLETTER, I’LL GIVE YOU A COPY OF EVERY VIDEO I HAVE ABOUT DENTAL IMPLANTS (INCLUDING THE MOST FREQUENTLY ASKED QUESTIONS I RECEIVE… ALONG WITH THE QUESTIONS YOU SHOULD BE ASKING YOUR IMPLANT DENTIST). I’LL ALSO GIVE YOU A COPY OF MY E-BOOK ON CERAMIC DENTAL IMPLANTS… ALL FREE.

MY GOAL IS TURN THE INDUSTRY UPSIDE DOWN BY ACTUALLY GIVING PATIENTS — NO MATTER WHO YOUR DOCTOR IS — THE IMPORTANT INFORMATION YOU SHOULD KNOW REGARDING DENTAL IMPLANTS AND YOUR OVERALL HEALTH.

IN THESE — FREE — VIDEOS, YOU’LL DISCOVER ALL THESE TOPICS AND MORE!

  • THE POSSIBLE DANGERS OF TITANIUM IMPLANTS!

  • SHOULD YOUR TITANIUM IMPLANTS BE REPLACED?

  • THE DIFFERENCE BETWEEN A BRIDGE AND AN IMPLANT.

  • ARE IMPLANTS UNIVERSAL?

  • SAME-DAY IMPLANTS… ARE THEY SAFE?

  • HOW LONG DO IMPLANTS LAST?

  • HOW MUCH MONEY WILL AN IMPLANT ACTUALLY COST?

  • WHAT MAKES ZIRCONIUM IMPLANTS UNIQUE?

  • AND… WHY YOU SHOULD CARE

You owe it to your health — and yourself — to get the information you deserve. Use the form on the right to register for my newsletter today and I will give you all my best information so you can make an informed decision when it comes to replacing a tooth.

How Does Miles Of Smiles Handle Insurance

Hi, I’m Dr. Sammy Noumbissi, America’s Implant Dentist and Zirconium Implant Expert. As an expert in my field of Implant Dentistry, I am committed to keeping you Healthy!

One of the biggest problems I see in Implant Dentistry is the lack of information available to patients. Dentists are always ready and willing to place an implant, but rarely is a patient fully informed of the risks, benefits, and OPTIONS available to him or her.

MY GOAL IS TO CHANGE THAT

That’s why I have created a series of videos designed to help YOU get the information you DESERVE so you can make an informed decision that could affect your health, your smile, and your confidence for the rest of your life.

WHEN YOU REGISTER FOR MY FREE NEWSLETTER, I’LL GIVE YOU A COPY OF EVERY VIDEO I HAVE ABOUT DENTAL IMPLANTS (INCLUDING THE MOST FREQUENTLY ASKED QUESTIONS I RECEIVE… ALONG WITH THE QUESTIONS YOU SHOULD BE ASKING YOUR IMPLANT DENTIST). I’LL ALSO GIVE YOU A COPY OF MY E-BOOK ON CERAMIC DENTAL IMPLANTS… ALL FREE.

MY GOAL IS TURN THE INDUSTRY UPSIDE DOWN BY ACTUALLY GIVING PATIENTS — NO MATTER WHO YOUR DOCTOR IS — THE IMPORTANT INFORMATION YOU SHOULD KNOW REGARDING DENTAL IMPLANTS AND YOUR OVERALL HEALTH.

IN THESE — FREE — VIDEOS, YOU’LL DISCOVER ALL THESE TOPICS AND MORE!

  • THE POSSIBLE DANGERS OF TITANIUM IMPLANTS!

  • SHOULD YOUR TITANIUM IMPLANTS BE REPLACED?

  • THE DIFFERENCE BETWEEN A BRIDGE AND AN IMPLANT.

  • ARE IMPLANTS UNIVERSAL?

  • SAME-DAY IMPLANTS… ARE THEY SAFE?

  • HOW LONG DO IMPLANTS LAST?

  • HOW MUCH MONEY WILL AN IMPLANT ACTUALLY COST?

  • WHAT MAKES ZIRCONIUM IMPLANTS UNIQUE?

  • AND… WHY YOU SHOULD CARE

You owe it to your health — and yourself — to get the information you deserve. Use the form on the right to register for my newsletter today and I will give you all my best information so you can make an informed decision when it comes to replacing a tooth. Click Here

Clinical And Histologic Evaluation Of A Mineralized Bone Allograft (Puros) In Human Maxillary Sinuses

This study was conducted by Dr. Noumbissi in 2000 and published in the Journal od oral Implantology in 2005. This project was part of Dr. Noumbissi thesis project while in training in dental implantology at Loma Linda University’s Graduate Program in Implant Dentistry in California.

This evaluation of one 100% mineralized bone allograft was the first of  its kind and the results were groundbreaking. An allograft is bone harvested from another individual of the same species, that means in this case that the material used was human bone.This article  is often referenced in implant publications by other authors. It is also widely quoted by lecturers and speakers around the world.

Please follow this link to read the article: Noumbissi et al Article JOI

Clinical Histologic, Histomorphometric Evaluation of Mineralized Solvent-Dehydrated Bone Allograft (Puros) …

Oral Surgery

WHAT ARE WISDOM TEETH?

Also called third molars, wisdom teeth usually make their first appearance in young adults between the ages of 15 to 25. Because most mouths are too small for these four additional molars, an extraction procedure, sometimes immediately after they surface, is often necessary.

WHEN SHOULD WISDOM TEETH BE REMOVED?

The following symptoms may indicate that the wisdom teeth have erupted and surfaced, and should be removed before they become impacted — meaning, the teeth have surfaced and have no room in the mouth to grow. However, each individual may experience symptoms differently.

Symptoms may include:

  • Pain infection in the mouth,
  • Facial swelling
  • Swelling of the gum line in the back of the mouth

Most oral health specialists will recommend an immediate removal of the wisdom teeth, as early removal will help to eliminate problems, such as an impacted tooth that destroys the second molar.

WHAT PROBLEMS ARE OFTEN ASSOCIATED WITH IMPACTED THIRD MOLARS?

  • Bacteria and plaque build-up
  • Cysts development (a fluid-filled sac)
  • Tumor development
  • Infection
  • Jaw and gum disease

WHAT IS INVOLVED IN THE EXTRACTION PROCEDURE?

Wisdom tooth extraction surgery involves removing the gum tissue that presides over the tooth, gently detaching the connective tissue between the tooth and the bone, removing the tooth, and suturing the opening in the gum line.

WHAT IS A DRY SOCKET?

Dry Socket is the most common complication of extraction. (removing a tooth) Most commonly associated with wisdom teeth extractions & lower molar extraction. Dry Socket is one in which the patient is having pain due to the loss of the blood clot from the socket following extraction, thus exposing the bone to air, food, and fluids. Patient experiences excruciating pain along with an offensive odor. This often occurs two or more days after an extraction and can last about 5-6 days.

This condition occurs most commonly –

  • In individuals who smoke before their recommended time. Smoking: decreases healing, decrease blood supply to the protective blood clot, brings toxic products to the area, injuries the gum tissue and the negative pressure of sucking removes the blood clot from the surgery site.
  • If you do not care for your extraction site as instructed by staff.
  • Not following your home care instructions.
  • Sucking action from smoking, sneezing, coughing, spitting or sucking, within the first 24 hours.
  • Women taking oral contraceptives are more susceptible.

Dental Emergencies

HOW TO HANDLE A DENTAL EMERGENCY?

According to the American Dental Association, the difference between saving and losing a knocked out tooth, is the thirty minutes following the incident.

To save the tooth, follow these steps:

  • Rinse the tooth in tap water.
  • Avoid scrubbing the tooth.
  • Insert the tooth into the empty socket quickly.

If you are uncomfortable inserting the tooth, put the tooth in milk or water Get to the dentist immediately.

COMMON DENTAL EMERGENCIES

  • Broken tooth/Fractured tooth
  • Canker sores
  • Operculitis