The short video presentation below shows the process by which Dr. Noumbissi and his team place one-piece zirconia dental implants. Assessment of the area where the tooth needs to be replaced is made clinically during a consultation but also enhanced with advanced 3D dental imaging obtained with a dental (CBCT) scan. The implant placement procedure is planned performing virtual surgery using Anatomage’s InVivo implant planning software. Once the planning is completed, the data is uploaded to Anatomage’s laboratory, a computer generated surgical guide is printed and returned in the mail in as little as 48 hours. The surgical guide allows for precise and virtually error free implant placement but also negates the need for large flaps and excessive bone exposure. This minimally invasive protocol reduces surgery time, improves implant placement accuracy, greatly reduces post surgery discomfort and drastically reduces healing time.
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On Thursday and Friday August 2 and 3, 2012 we successfully completed our two-day-summer session zirconia implantology training and certification course. In attendance were seven doctors from five US States and Canada. This course on the Z-Systems one-piece ceramic dental implants was focused on case selection, advanced clinical and radiographic diagnostics, treatment planning and guided surgery. The first day was consisted of lectures on implant prosthetics and surgery planning. We concluded the day with a live surgery demonstration by Dr. Noumbissi on one of his patients.
Friday August 3, we focused on the use of the InVivo implant planning software from Anatomage during the 3D implant placement planning session. The basics of how to plan for and use three-dimensional data to order surgical guides were covered The use of guide handles when placing ceramic dental implants was also taught during this course. One very unique feature of this second session is that we used real patient jaw models generated from the dental CT scan models submitted by the participants. Therefore they were able to practice on a stereolithographic reproduction of their own patient jaw in preparation for the surgery they would perform when they return to their respective offices.
Congratulations to Drs. Lowell Weiner, Robert Johnson, Marylin K. Jones, Robert Clinton, James Lewer, Paul Wilke and Eric Taylor who attended this certification course. Very Much thanks to Z-Systems USA, Anatomage, Northern Virginia Dental Laboratories and Technology4Medicine for their support.
Sammy Noumbissi DDS MS
Dr. Sammy Noumbissi from Miles of Smiles Implant Dentistry now proudly places both CeraRoot and Z-Systems zirconia ceramic, metal-free dental implants at his office in Silver Spring, Maryland.
Thursday, May 10, 2012 Silver Spring, Maryland — Ceramic implant dentist, Dr. Sammy Noumbissi, offers patients from the Washington DC and Maryland area metal-free, ceramic (zirconia or zirconium oxide) dental implants at his CeraRoot and Z-Systems certified dental practice.
Ceramic, metal-free dental implants are a natural and biological solution to dental implants. They provide natural looking, comfortable, permanent, and attractive replacements for natural teeth, eliminating the need for painful and unattractive dentures and partials.
At Miles of Smiles Implant Dentistry, Dr. Noumbissi believes in a holistic and biologic approach to dentistry as a whole and more specifically dental implantology. Maintaining the integrity and health of your mouth and teeth is increasingly proven to be paramount to your overall health; today more than ever the mouth-to-body connection is well established and having all your teeth allows for better nutrition and health. As such, missing teeth should be replaced. The best option?
“Dental implants,” says Dr. Noumbissi. “However, the only option in the United States up until January 2011 were titanium implants. We are now offering ceramic metal-free dental implants; these biocompatible dental implants have been the tooth replacement of choice in Europe for several years. They are made of a natural ceramic material called zirconia and, by virtue of its superior biocompatibility, it has a higher bone integration rate than the widely used titanium implants.”
Zirconia is one of the hardest substances known to man — harder even than titanium. Also, because it is white it allows for natural and superior esthetic results. Therefore, ceramic implants eliminate the gray metal lines that often show through gums with traditional titanium implants.
For patients who are sensitive or allergic to many materials, ceramic dental implants can be a terrific option. There is no known allergy to zirconia and, unlike titanium, implants they will not corrode.
Patients now have the choice of a material that is esthetic, strong, pure, biocompatible and capable of being used for single teeth, long span dental bridgework and even for a full mouth of teeth replacement.
Call now to receive more information: (301) 588- 0768 or visit www.milesofsmilesdental.net
About Dr. Noumbissi:
Dr. Noumbissi is a certified dental implantologist for both CeraRoot and Z-Systems dental implants — the only FDA approved ceramic implants in the United States. His office provides Maryland and Washington DC residents with safe, effective, lasting dental implants. For more information about Dr. Noumbissi please call 301-588-0768 or visit online: http://MilesofSmilesDental.net
Dr. Sammy Noumbissi
On Thursday and Friday August 02 and 03, 2012 we will host our second session of Real TimeVisual Dental Education™ for 2012. This will be a two-day zirconia implantology training and certification course. A total of twelve (12) C.E. credits will be awarded for both days. This course will feature the Z-Systems one-piece ceramic dental implants and will cover the areas of case selection, advanced clinical and radiographic diagnostics, site specific implant selection, guided surgery and one-piece zirconia implant temporization modalities.
This Real Time Visual Dental Education™ program will consist of over-the-shoulder hands-on surgical and prosthetic exercises and live surgical and prosthetic demonstrations on zirconia implants. Participants to this course will be introduced to the InVivo implant planning software from Anatomage during the 3D implant placement planning session. Each participant will practice implant placement on a stereolithographic model of a real patient along with a surgical guide generated specifically for that case. Early registrants (before July 01, 2012) will be able to submit CT scan data of their own patient and therefore will be able to practice on a stereolithographic model of their own patient. All participants will keep the stereolithographic models and the surgical guides for future reference.
On Friday August 03, the second day of the course two real-time live surgical procedures and a live implant restoration session of zirconia implants will be performed by Dr. Noumbissi on live patients. Attendance for this course is limited to six dentists and will be held in our Silver Spring implant practice.
This course is designed to provide the clinician with the ability to confidently integrate one-piece zirconia dental implants in their practice.
This course will enable participants to:
- Understand the rationale behind the use of Yttrium-Stabilized Zirconia as a dental implant material.
- Recognize indications for successful placement of zirconia dental implants.
- Identify the prosthetic need for implant site preparation and/or preservation.
- Proper and predictable selection of temporization techniques for one-piece zirconia implants.
- Utilize CBCT (cone Beam CT scan) and virtual implant planning software to increase case success.
- Appropriate selection of permanent restorative materials.
CANCELLATION AND CHANGES
As natural dentists, our goal is to treat the whole person through the use of safe, natural and pain free methods.
Our innovative approach to dental care focuses on the health and wellness of the mouth in relation to the whole body, including identifying and treating issues pertaining to allergies and autoimmune disorders. In addition to providing allergy testing, we are able to recommend a variety of natural and herbal products that can help support the immune system – helping to bring our patients to a greater state of overall wellness. Knowing what can cause an allergic reaction in our patients sets us apart from practices used in traditional dentistry.
Dealing with itchy, swollen eyes combined with a persistent runny nose is something we commonly associate with a case of seasonal allergies, but for many people these symptoms and more also follow each time they visit the dentist. Allergic reactions in the dental office can be caused by normally innocuous materials or medications.
Allergic reactions to materials may include:
• Itchy, swollen eyes
• Runny nose
Masks, gloves and syringes in the dental office are typically made of latex; a natural rubber harvested from trees. For some people, prolonged exposure to latex dust from powered gloves is enough to trigger an allergic reaction. In addition, a small number of patients may also experience allergic reactions to local anesthetics used to numb the mouth and gums during dental procedure, but the materials used for fillings and repairs can be of even greater concern for patients with immune disorders or allergy issues.
Sensitive Patients Require More Care
Latex and local anesthetics are not the only materials that can stir up an allergic reaction, reactions can occur from many other chemicals and materials found in some dental materials or medications. Reactions to various metals or amalgams used in traditional dentistry can start out as an allergic reaction, which over time can create serious toxic effects on the body. Today we are finding an increasing amount of individuals that are allergic to and occasionally rejecting titanium dental implants, as well as being sensitive to the crowns that are placed over the implants. In addition to metals used in fillings and bridges, it is important to be aware that all dentists use a wide assortment of cements, anesthetics, bonding materials, temporary appliances, denture materials and more – and every one of these substances can potentially cause a negative reaction once placed in the sensitive environment of the mouth.
Fortunately for our patients, holistic dentists are constantly alert to the potential for compatibility issues with the materials used in our practices. We work hard to make sure that our patients are able to tolerate any substance introduced into the mouth.
Preventing Allergies before They Start
Where allergies to latex and some medications present a fairly temporary exposure, allergies from devices or materials set permanently into the mouth present a larger issue for sensitive patients. There simply is not any one combination of materials that are compatible for every person since every patient presents their own unique physiology. However, there are some materials that are recognized as better tolerated by more people than other materials. For example with regards to dental implants instead of titanium, we are providing ceramic dental implants which are made of zirconia. People with weakened immune systems have a particularly difficult time finding substances that can be tolerated, but fortunately there are ways to test everyone for compatibility.
The most common types of tests used by holistic dental offices include:
• Clifford Materials Blood Test
• Electro-dermal Screening (EAV)
• Applied Kinesiology
A blood test will offer results that are based on true allergens. Specifically the Clifford Materials Test is a blood test that will determine if a blood serum sample will react to known dental materials. Although this test can provide valuable information about existing allergies, results may not be as comprehensive when it comes to testing for materials the patient has not yet been exposed to.
Applied kinesiology is based upon the activity of muscles and the relationship of muscle strength to health. This test is based on bio-feedback and will give strictly ‘yes’ or ‘no’ answers. Using applied kinesiology we are able to test both commonly used items and items that a person has never been exposed to, and by using the body’s biofeedback abilities, identify those items that weaken the individual.
Electro-dermal screening is performed by using a machine that tests dental materials according to their compatibility with the patient’s acupuncture meridian system. This test will allow us to determine more than just what materials are compatible, but which materials appear to be optimal for a particular patient. As with muscle testing, we can determine reactions to substances and elements the patient has never previously been exposed to.
Natural Dentistry Works to Keep You Safe
Unfortunately many people don’t realize that the substances and materials mainstream dentists use, but do not test for compatibility, may be causing some serious health issues in their patients. Many long-term problems can start out as something as innocuous as an allergic reaction at the time of placement. To compound the problem, there is much evidence pointing to a correlation between allergies and autoimmune disorders. In other words, if the source of the allergy is not pinpointed and avoided, then potentially the resulting reaction could manifest itself as an autoimmune disorder.
While allergies to latex and anesthesia might commonly prevent allergy prone patients from visiting the dentist, holistic dentists are unique in that we have the ability to prevent issues before they start. Once evaluated for compatibility patients are much more likely to have good results, and so much less likely to experience an allergic reasons. Patients can also do their part by completing the medical history form in detail, outlining known allergies and past reactions to specific materials and drugs. Together we will make sure your dental experience is safe, healthy and as pain-free as possible.
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.
This is a case report published in Prexion3D’s December 2011 newsletter. All phases of this case were completed by Dr. Noumbissi. A patient had a missing tooth in the anterior maxilla, 3D dental imaging technology (CBCT) and software (InVivo5) were utilized to adequately and accurately plan the placement and temporization of a metal free zirconia dental implant.
The CBCT radiation from the Prexion is extremely low compared to medical CT scanners. The InVivo 5 software was used to perform virtual implant placement prior to surgery. From the implant placement simulation a surgical guide was generated using CAD/CAM technology. The surgical guide was then utilized to place the implant in a precise manner allowing for much safer and more predictable implant placement.
Sammy Noumbissi DDS MS
The case presented here details the process by which Dr. Noumbissi uses dental Cone Beam Computed Tomography (CBCT) technology also commonly called 3D dental imaging to diagnose and plan the course of treatment for all our implant patients. This technology has been available in our practice since 2007. The images obtained from the CBCT are reconstructed with a specialized software called InVivo5 (www.Anatomage.com).
The diagnostic aspect of the InVivo5 software allowed Dr. Noumbissi to visualize the patient’s bone and determine prior to surgery the volume (height and width) and the quality (density) of the bone at the projected implantation site. Critical anatomical structures like the floor of the nose in relation to the implant were also evaluated in a three-dimensional manner.
The implant planning aspect of InVivo5 software made it possible for Dr. Noumbissi to select the precise implant size and type specifically indicated to replace this patient’s front tooth. A surgical guide was also generated from the CBCT data;the surgical guide makes it possible for Dr. Noumbissi to transfer the virtual plan to the patient during implant placement.