Calle Sabino de Arana 40, 1° 2a
08028 BARCELONA - ESPAŅA
TEL: (34) 932 04 10 69

Philippe Cotten

Problems and solutions

IMPLANTOLOGY

What are the patients problems when they want to replace teeth with implants? What are the solutions the implantology can offer?(the pictures carried out in the Clinica Cotten)

1 - I eat with difficulty and I do not dare any more to smile.

PROBLEM CASE 1 : My teeth are completed dilapidated, I cannot remake crowns because the roots of my teeth are damaged too much. I eat with difficulty and I do not dare any more to smile, I have shame of the esthetics of my teeth.

SOLUTION CASE 1 : Fixed bridge over implants with ceramic crowns.

2 - (video): I suffer from an ageing of the mouth and I don't want to avoid having a complete amovible prosthese.

PROBLEM CASE 2 - I suffer from an ageing of the mouth and I want to avoid having a complete amovible prosthese. "My face appears older and I don't want anymore removable dentures."

SOLUTION CASE 2 - Fixed dentures over implants at the upper and lower jaw witout any bone graft. Prostheses fixed 2 days after the surgery of the implants.

3 - I have periodontal diseases, faded dental roots and damaged teeth.

PROBLEM CASE 3 - I have periodontal diseases, faded dental roots and damaged teeth.

SOLUTION CASE 3: Fixed denture over implants al maxilar.

4 - I lose my teeth gradually.

PROBLEM CASE 4 : I lost several teeth and those which remain me are very mobile and must be extracted. But I don't want to wait several months before having my fixed prostheses in my mouth.

SOLUTION CASE 4: After extraction of the teeth of the upper jaw and the installation of the implants, the provisional bridge is fixed two days later.

5 - (video): My face changed since I have removable prostheses.

PROBLEM CASE 5 :My face changed since I have removable prostheses..

SOLUTION CASE 5 : Fixed prosthesis over implants allowing to compensate for the loss height of the lower base of the face.

6 - (video): I do not support any more my removable prostheses, my face has changed and I want a fixed prosthese.

PROBLEM CASE 6 : I have lost all my teeth for more than 20 years and I have removable prostheses that I do not support any more, I want fixed prostheses."

SOLUTION CASE 6 : Fixed prostheses over implants at the upper and lower jaw two days after the surgery of the implants

7 - (video): I do not suport anymore my removable denture.

PROBLEM CASE 7 - I do not support any more my removable denture because of the extreme loss of bone and gums . Example of the picture: on the nivel of the mandible, there is not any more sufficient creast for the stability of a removable prosthese.

SOLUTION CASE 7 - Fixed prostheses over implants at the lower jaw.

PROBLEM CASE 8 : Time to wait before fixed prostheses. "The solution which was proposed to me with implants was to wait several months before the installation of the fixed prostheses."

SOLUTION CASE 8 : The implants were placed at the upper jaw the day of the extraction of the teeth, and the fixed prosthese was placed two days after the intervention. CASE 8: The solution which was proposed to me with implants was to wait several months before the installation of the fixed prosthese.

8 - They need dental implants but they don't have enough bone.

PROBLEM CASE 8- I need dental implants but they say that I don't have enough bone to put in root form implants, excepted with bone graft.

SOLUTION CASE 9 - Full arch implants at the upper and lower jaw with basal implantology, without bone graft, without sinus lift, without displacement of the dental nerve.

9 - I was told I had an extreme atrophic mandible and that it's impossible to place implants.

PROBLEM CASE 9 : Atrophy extreme. The placement of implants is very difficult. My dentist told that the placement of implants was impossible.

SOLUTION CASE 10 : Fixed prostheses over implants, screwed two days after the placement of the implants in a mandible with extreme atrofy.

10 - What are the consequences (video) of tooth loss?

If you spend 6 months lying in bed or six months in a space station in the abscence of weightlessness, can you imagine that you can walk the day after getting up.? The answer is no, because your muscles and your bones have atrophied. The loss of teeth or tooth extraction without being replaced by implants causes medium and long term loss of bone, a consequence of the non-stimulation of the bone. Thus we see the faces change over time, among the holders of removable dental prosthesis. The installation of implants to replace teeth helps maintain and fix the bone.

11 - Extreme case treated with the basal implantology: Von Recklinghausen's disease of bone (Elephant Man).

The second face transplant case made in the world,with a young man of 27 years old who suffered the Von Recklinghausen's disease of bone (Elephant Man), also needed a complete rehabilitation maxilo-mandibular with dental implants. The total implantation in the maxilla and the mandible was performed by Dr. Jean-Marie Donsimoni, and could be done through the basal implantology. Other implant techniques could not solve this extreme bone deficit case.

12 - Ectodermal dysplasia or Christ-Siemens-Touraine is a genetic disease which is a result of the abscence of several or all teeth in children. This thus lead to adulthood atrophy of the mandible and maxilla. This atrophy is an indication of the basal im

Ectodermal dysplasia or Christ-Siemens-Touraine syndromis a genetic disease which is a result of the abscence of several or all teeth in children. This thus lead to adulthood atrophy of the mandible and maxilla. This atrophy is an indication of the basal implantology to place prostheses over implants without any bone graft.

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