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You are here: Metal-Free Dental Implants in Maryland / Tag: oral surgery

Tag Archive for: oral surgery

Bone Reconstruction Prior to Implant Placement

14 Jan 2012 / 0 Comments / in (CBCT), Case of the Month, Guided Bone Regeneration, news/by Sammy Noumbissi DDS MS

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.

 

Dead and Infected Teeth: Do You Want Them Mummified or Replaced?

  • Dead and Fractured Root Canal Tooth

    Dead and Fractured Root Canal Tooth
28 Dec 2011 / 0 Comments / in Hot Topics, Root Canals/by Sammy Noumbissi DDS MS

the problem with root canalsA root canal is the hollow that exists in the middle of the tooth where the nerve is seated.

There is a soft part of the root canal which is referred to as the pulp or pulp chamber. When a tooth is diseased from decay or distress often a root canal dentist also called endodontist is called in to repair or remove the center of the tooth removing the nerve and pulp, but leaving the now dead tooth behind.

Having a dead or dying tooth remain in the mouth can cause serious concerns. There are healthier and more predictable alternatives to root canal treatment, but if the dentist is not holistic or biological in his/her approach to oral health there is a good chance that the patient is not given a choice about what procedure should be performed.

There are three  important facts to know before you make that appointment for your root canal:

  1. A root canal is in essence the mummifying of a dead tissue or organ left inside your mouth. If you had an organ failing would you have it preserved and left in your body?
  2. Despite the best efforts of modern technology there is absolutely no way to remove all of the infected material in an embalmed tooth.
  3. With the infected material left behind eventually the bacteria will leak out of the root canal and attack your immune system.

Step one…

A small hole is drilled into the middle of the tooth which allows some access to the inner chamber. Once inside the chamber the nerve, lymph and blood vessels are accessible.  A tiny path or canal runs to the tip of the root where the canal receives its blood supply.  The front teeth or anterior teeth have a single canal and the back teeth or posterior teeth for two to four canals, depending on where the tooth is located.

The main canals can be partially cleaned using a very small file, but each tooth has miles of very minute tubules that cannot be reached or entirely cleaned. However the smallness of the tubules does not stop dozens of bacteria from living comfortably inside. This is unfortunate because not even one white blood cell (our own natural defense system against bacteria) can enter the tubules.  Since the blood supply to the tooth is gone antibiotics are ineffectual because they need the blood stream to be carried throughout the body.

Step two…

The tooth is sealed off creating essentially a tomb. Soon this mini-tomb is filled with a type of bacteria that thrives in an oxygen free environment called anaerobic bacteria. As a matter of fact they multiply at an alarming speed and soon seek a vent to escape the confines of the tomb.  Sometimes the root canal seal is ineffective or perhaps there is a micro-fracture in the wall of the tooth. Either of these scenarios is perfect as an escape route for the anaerobic bacteria.

Additionally root canal treatments contribute to infection or sickness in the body because of the toxic gases that are emitted by the now contaminated root canal tooth or teeth. These toxic gases are actually neurotoxins and over time the buildup of gases creates a strain on the immune system.

Sealants and Microbes

The substance most dentists use to seal a root canal is gutta percha. Gutta percha comes from a tree in SouthEast Asia. It is a natural rubber which has been used for many years in dentistry. When warmed up it is very pliable and easily packs or fills the root canal space.  However, when the sealant cools is shrinks which allows bacteria to leak though the top of the tooth.

Another substance used as a sealant is Biocalix.  Research has shown that this man made sealant breaks down within 12 to 18 months allowing bacteria to invade the bloodstream and potentially infect the entire body.

Energy Blockage

Teeth are connected to the body through meridian pathways.  Energy flows through these meridian pathways throughout the body, but when a tooth dies a blockage occurs which thwarts the flow of energy to all the systems on that meridian. For example: an infection in a maxillary first molar may block the flow of energy to the stomach or breasts as they are on the same meridian pathway. In a recent study out of 60 women with breast cancer; 57 had a root canal on a tooth situated on the breast meridian.

The root canal procedure cannot effectively seal or prevent the leakage of toxic bacteria into the body. Even if the root canal could be sealed completely the flow of energy would be interrupted and the flow of energy for that system would be gone thus leaving it open to infection and failure.

Root Canal Failure

The growing colony of anaerobic bacteria finds an escape route and invades the bloodstream and an infection begins.  In many cases the patient does not know there is a problem until it is too late.  By then the infection has spread and the patient is in danger of sustaining bone loss and a lack of support for the teeth involved.

The patient now must undergo a second invasive procedure called an apicoectomy. The procedure comprises of an incision in the gum near the tip of the root and the debriding (scraping) of the infected area. Then the tooth is retro-filled with an amalgam filling which is placed directly into the tip of the root. The material used for the procedure is often an amalgam of silver and usually contains other metals including mercury which is another serious issue.

A Healthier Choice for Treating a Dead Tooth

It is often better for patients to extract or remove a tooth rather than undergo root canal therapy. The removal of a failed root canal can be a costly and uncomfortable procedure: Because the tooth is already dead there is a danger of the tooth becoming brittle and as a result often break or chip into pieces during the extraction. Removal of the dead tooth and the placement of a clean compatible appliance can ultimately be the healthiest and most cost effective option to the invasive root canal re-treatment and apicoectomy procedure.

At Miles of Smiles Implant Dentistry, we often recommend patients who have had a tooth extracted get it replaced with a biocompatible ceramic dental implant. For more information about these new implants, you can read more at Zirconia Implants.

Clinical and Histologic Evaluation of a Mineralized Bone Allograft (PUROS) in Human Maxillary Sinuses

  • Sinus Graft Histology

    Sinus Bone Graft Histology

07 Dec 2011 / 0 Comments / in Publications/by Sammy Noumbissi DDS MS

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) …

38.997127 -77.02239199999997

Testimonials

The training gave me lot of confident in doing implant cases. I really appreciate the training and the practical application, really hands on. Bone grafting, bone expansion, maxillary sinus lift and better understanding of CBCT, thanks to Dr. Sammy for sharing his skills and knowledge.Dr. Susan Escasinas, Manila Philippines
“It was a smart decision when I joined the implant training with DIO Implant and Dr. Sammy Noumbissi. I have gained my confidence and pushed me beyond my limitations in my dental practice.”  Dr. Amiel Caspillo
I chose Dr. Noumbissi, because he teaches other dental surgeons, how to place the zirconia implants. I figured if he was the teacher, he really knew what he was doing. I have not been disappointed. He has done an excellent job, and when we ran into some unusual issues, he knew how to trouble shoot and make it work. I am so glad I chose to have him do my implant work, and would highly recommend him to anyone looking for a dental surgeon to do their ceramic/zirconia implants. He is so good, that he has patients coming from all across the U.S. as well as internationally.C.V.
I would like to comment on the excellent care, that I have received, at Miles of Smiles Dental. I have been impressed with Dr. Noumbissi’s integrity, professionalism and caring throughout the complex issues that arose, in the process of doing my zirconia implant. I came to him, with … Multiple Chemical Sensitivity (MCS), and have been impressed with his willingness to work with me, to assure that I receive non-toxic treatments.C.V.
We are now 100% finished, and I could not be happier or more pleased with the results. I never, ever thought I would feel good about my smile or my ability to eat/speak etc correctly again, never thought that all the damage could be undone. It takes a special and very competent person to take you from disaster to complete satisfaction and joy – and Dr. Noumbissi did that!Sylvia J.
In the process of having 20+ year old full mouth implants replaced, (a) former dentist used an inappropriate procedure, ended up breaking a bone in my jaw, other mistakes that caused permanent nerve damage and literally did not finish the procedure. I was devastated — until meeting with Dr. Noumbissi.Sylvia J.
Following unbelievable mistakes from a former dentist, Dr. Noumbissi was recommended to us by my husband’s dentist. When my husband asked if Dr. Noumbissi was the absolute best doctor to go to, his dentist replied with …..”I sent my mother to him, that is how good he is”. He was absolutely right, and we will always be grateful for the recommendation and for Dr. Noumbissi!Sylvia J.
Hi Dr. Sammy! Thank you for the wonderful lecture.Dr. Tarriela
Dear Dr. Sammy, How are u? I’m Dr. Jaizen, I would like to thank you for sharing your time and techniques in our convention. We learn a lot of interesting ways, to give our patients the best possible treatment. Congratulation for a job well done! Best Regards, JaiZenDr. Jaizen
Hi Dr. Noumbissi, If you recall my wife Marie was a patient of yours. She is very happy with the dental work you performed. We wanted to keep in touch.Bob and Marie J.

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