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Video Details
部分無歯顎での多数歯抜歯とインプラント埋入のマネジメント

Description:
In this surgical technique video, Dr. Maurice Salama details the decision making process as well as the application of interdisciplinary methodology utilized to manage a complex case requiring multiple extractions, implant placement and temporization.

Date Added:
5/31/2010

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
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Online Videos / Surgery / Implant / Managing Multiple Extraction and Implant Placement in a Partially Edentulous Arch




Questions & Comments
kevin potocsky - (6/27/2013 2:29 PM)

very good explanation of your thinking and logic during treatment planning. We know that you always have the patient well being as the top priority. great work

Maurice Salama - (6/26/2013 5:50 AM)

George; A fair opinion but this patient had a HIGH caries score and was a dental phonic and recovering addict. If we perform crown lengthening and endo then restore with conventional bridge he would likely return with root caries and the need for implants md a new reconstruction. Every case and patient poses different and unique challenges. What seems "barbaric" to You may have been the correct decision for this individual. Dentistry often requires tough decisions especially in cases like this one. Always ask WHY are they in the position they are today? what are the causes? Genetic predispoaition to disease? Can they alter their behavior enough to make the changes needed (diet, Oral hugiene) can they afford to retreat the case again later on? Your comment does not take any of the above into consideration. But it is easy to criticize and have an opinion. Dr. Maurice Salama

GEORGE GIOKAS - (6/26/2013 4:40 AM)

its barbaric to remove healthy teeth

mansour mirzaie - (9/6/2011 3:49 PM)

as usual very nice,clean and perfect presentation from Dr.salama.thank you for sharing with us your experiences.

sharon goodwin - (12/30/2010 5:11 PM)

Dear Dr Salama; very nice case thank you.On looking at the final impression,were you planning to keep the remaining natural teeth as individual units and do a distal cantilver for the first molar teeth or extract the remaining teeth and do a full arch splinted restoration with a distal cantilver of a first molar?
On immediate provisionalisation of the case I noticed there were no posterior occluding units on the lower arch.Do you prefer to keep the posterior maxillary immediate loaded implants in the maxilla free from occlusion?
Thank you for your answers.

Maurice Salama - (9/18/2010 5:37 AM)

Luigi; Very good question and discussion. Yes, it was possible to treat a few of the teeth here, the 2 canines and one central incisor, with endodontics, crown lengthening, post and core with build-up. But, this patient had a history of rampant decay and genetic predisposition to decay. Obviously, this is a costly treatment on a young man approx. 32 years of age who wants longevity of the reconstruction. Implants would avoid the problem of leakage and recurrent decay that may risk key abutments if we maintained a few teeth. So, the decision is not whether we could save a few teeth but is it a better long term solution. In addition, how would we break up the final prosthetic case?? We know we should avoid splinting teeth with implants and if we save a few teeth it may require more bone grafting, sinus lifts and implants where there is now little bone like the posterior maxilla. No right or wrong answers with this case, just clinical decisions made based upon the patient's history and desires. Thank you for the great post, Dr. salama

Luigi di Bari - (9/18/2010 1:20 AM)

dear dr. salama, why did you extract more tooth in good health??? it was possible to do endodotic treatment and prepared them with prostodontic! is not good????

Luigi di Bari - (9/18/2010 1:20 AM)

dear dr. salama, why did you extract more tooth in good health??? it was possible to do endodotic treatment and prepared them with prostodontic! is not good????

Luigi di Bari - (9/18/2010 1:20 AM)

dear dr. salama, why did you extract more tooth in good health??? it was possible to do endodotic treatment and prepared them with prostodontic! is not good????

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