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Amarik Singh D.D.S., M.S.

P e r i o d o n t a l Implant A S S O C I AT E S

17W 662 Butterfield Rd. Suite 208 Oakbrook Terrace, IL 60181

p 630.424.9404

f 630.424.8303

drsingh@pidentists.com

www.pidentists.com

Welcome to the latest edition of the Periodontal Implant Associates newsletter, Second Quarter w 2010. A lot has been going on around here, and we have even more planned for the coming weeks and months. Dr. Amarik Singh has been making headlines (the good kind!), and there’s a great deal of useful and interesting information for you on the pages which follow.

NEW TECHNOLOGIES

CASE STUDIES

OFFICE UPDATE

We have recently incorporated the latest technology in diagnostics and treatment, The Galileos 3D Cone Beam Imaging Scanner by SIRONA. Page 2

The all on 4-5-6 concept was developed to provide edentulous patients with costeffective and efficient restorations. Read about our recent cases. Page 3

We are proud to announce the arrival of our newest associate, Dr. Rastogi. We have also undergone an expansion to double the size of our office. Page 5


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Newsletter May 2010

Introducing the Periodontal Implant Associates Galileos 3D Cone Beam Imaging Scanner from SIRONA At Periodontal Implant Associates we are dedicated to your patients and committed to staying on the cutting edge of technology. As a result, we have recently incorporated the latest diagnostic technology and are now offering a 3-D imaging solution for you and your patients. We now have the Galileos 3D Cone Beam Imaging Scanner. This machine provides both three-dimensional and cross-sectional views that are much more accurate than traditional two-dimensional x-rays. 3-D scans provide detailed views of facial anatomy that enable our doctors to determine the quality and density of the bone when treatment planning implant cases. With this information, our periodontists can also mark vital anatomical structures such as the alveolar nerve and the maxillary sinus and position the implants according to prosthetic needs. The following is a list of the major benefits the Galileos 3D Cone Beam Imaging Scanner will provide for your patients: • • • • • • • • • • •

Dramatically less radiation than traditional CT scans. A quick and comprehensive scan in less than 15 seconds. Immediate 3-D reconstruction of patient’s mouth, face and jaw. Better communication between surgeon, patient, and general dentist. Patients better understand their treatment options. Improved case presentation and higher case acceptance. Accurate diagnostics and prosthetic-driven planning. Ability to perform guided surgery which allows for the safest, least invasive, and most predictable implant placement. Prefabrication of provisional and in certain cases final restoration to be delivered same day as surgery. Ability to provide patient or doctors with high quality 3-D images via CD or email. Increased patient comfort and peace of mind.

Look for the featured article in our next edition, “Galileos meets Cerec.” This article will review the link between Galileos scans and Cerec machines which will allow for the most ideal prosthetically driven implant placement, decreased patient chair time, and increase profit for the restoring dentist.


Newsletter May 2010

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Case Study : All on 4-5-6 The All n 4-5-6 concept was developed to provide edentulous patients and / or patients with hopeless dentition with cost-effective and efficient restorations using 4-6 implants to support an immediately-loaded full-arch prosthesis. This innovative treatment approach has several benefits. Angled posterior implants will help avoid relevant anatomical structures (mandibular nerve and maxillary sinus) which therefore eliminates the need for invasive (and costly) bone grafting procedures. Patients are able to leave the office with fixed prosthetics the same day as implant surgery. The procedure can be combined with computer guided 3-D diagnostics to ensure safe and minimally invasive surgical therapy and increase accuracy of implant placement. The following case studies show examples of the procedure: These case studies are patients of Dr. Mark Ligocki and Dr. Jim Ballesteros. Dr. Ligocki is a private practitioner in the Oak Brook area. Dr. Ballesteros is a private practitioner in the Burr Ridge area. Both are currently active members of the Periodontal Implant Associates Advisory Board. Patient 1 had her teeth removed, 6 implants placed and the all acrylic interim prosthesis delivered the same day as surgery. She returned to Dr. Ballesteros 3 months later to have the final prosthesis (acrylic teeth with metal bar substructure) fabricated and delivered. Utilizing a technique developed by Dr. Singh, this final prosthesis was fabricated and delivered within 3 one hour appointments by Dr. Ballesteros. Patient 2 had her hopeless maxillary teeth removed and 4 implants placed in the maxilla. She also had 3 single fixtures placed in sites 19, 29 and 30 with healing caps. The all acrylic interim prosthesis was delivered the same day of the surgery by Dr. Singh. She will now wait for approximately 3 months to allow for integration. Following this healing period, she will return to Dr. Ligocki to have her lower implants restored and to fabricate the final maxillary prosthesis (acrylic teeth with metal bar substructure) within 3 one hour appointments utilizing Dr. Singh’s technique. For more information on this innovative and new technique offered by Dr. Singh for your patients, contact Dr. Singh directly or visit www.pidentists.com.

PATIENT 1

PATIENT 2

Intraoral photo of patient with hopeless remaining maxillary teeth.

Intraoral photo of patient with hopeless remaining maxillary teeth.

Panoramic xray showing bone loss and recurrent decay.

Panoramic xray showing bone loss and recurrent decay.

Clinical photo showing removal of hopeless teeth and placement of 6 implants in maxilla.

Intraoral photo following removal of hopeless teeth and placement of 4 implants in maxilla.

Panoramic xray showing insertion of final prosthesis (acrylic teeth with metal framework substructure).

Panoramic xray showing insertion of interim all acrylic fixed prosthesis immediately following surgery.

Intraoral photo showing insertion of final prosthesis.

Intraoral photo showing insertion of interim prosthesis same day of surgery.

Clinical photo of patient with final prosthesis.

Clinical photo of patient immediately following surgery and delivery of interim prosthesis.


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Newsletter May 2010

Soft Tissue Grafting Soft tissue grafting also know as gingival grafting, enables the practitioner to correct gums that have pulled away from the tooth leaving the root of the tooth exposed. Aggressive tooth brushing and periodontal disease are the leading causes of gum tissue recession, resulting in the tooth’s root remaining visible. Leaving the roots exposed can lead to a decrease in esthetics, loss of supporting bone, an increase in tooth sensitivity, plaque build-up, increase your risk of future recession and ultimately tooth loss.

tissue is carefully placed in a specific location. The patient’s natural tissue is then used to cover the donor tissue and stitched in place. Conclusion In conclusion after a few weeks the graft site blends perfectly in the patient’s mouth. The soft tissue graft strengthens and restores the gums, protects the root surfaces and increases the appearance of the patient’s smile. Ultimately leaving your patient overjoyed and with a natural esthetic appearance.

Preventative Procedure Once the cause of the gum recession has been identified, soft tissue grafting can be performed by covering the exposed root in order to repair the loss of gum tissue, prevent future decay and recession. In addition, providing the patient with a beautiful healthy smile and improving overall appearance. New Grafting Materials In the past soft tissue grafting required that you removed a piece of tissue from the roof of the patient’s mouth, to be used as the graft material. Obtaining tissue from the palate typically increased pain and discomfort for the patient. However, now with the use of donor tissue, patient’s comfort level has increased considerably and the limitations associated with retrieving tissue from the roof of the mouth are eliminated. Common and Predictable Procedure Over all, soft tissue grafting is a very common and predictable procedure. The first step in the procedure is to numb the area of the mouth, where the gum has receded. Then an incision is made and the gum is gently separated from the tooth creating a flap that allows us access to the area. All plaque and tartar are removed from the root of the tooth and the donor

Intra-oral photo of recession and mucogingival defects of teeth #11 / 12.

Intra-oral photo following CT grafting showing root coverage and gain of keratanized tissue on teeth #11 / 12.


Newsletter May 2010

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In the News Lecture Invitations - UIC | Nobel Biocare | Osteohealth Earlier this year Dr. Singh was invited to lecture at University of Illinois Dental School to students, residents, faculty members, and international students on the newest advances in implant dentistry. The lecture was such a hit that many students have asked to shadow him at the office and have requested him to return for another presentation. Dr. Singh has recently been invited by Nobel Biocare to lecture to both dental students and the military in Atlanta. Dr. Singh has been asked by Osteohealth to lecture on the newest techniques in bone grafting procedures. CHICAGO’S FIRST CHOICE FOR DENTAL IMPLANTS Dr. Singh has recently been named “Chicago’s first choice for dental implants” by Randy Alvarez, the host of The Wellness Hour, a leading medical news program seen throughout the country. Dr. Singh Bartending for Charity Dr. Singh is committed to a charity event to raise money for children’s diabetes. Look forward to seeing him as the guest bartender of the evening. Dr. Singh promises to do his best Tom Cruise ( “Cocktail”) impersonation.

New Addition Periodontal Implant Associates is proud to announce the arrival of our newest associate, Dr. Amita Rastogi. Dr. Rastogi was born and raised in California. She then received her dental degree at Temple University in 2006. Following her graduation from dental school, she went on to receive her specialty degree in Periodontics from New York University where she was the chief resident prior to graduating. Dr. Rastogi is looking forward to getting to know you and your team.

Office Expansion

In order to better serve your patients, we have recently undergone an expansion to double the size of our office.


Upcoming Events

Thank-You Notes

STUDY CLUB

LIVE SURGERY LECTURE

Introducing benefits of Galileos

Featuring Dr. Singh performing Live

3D Cone Beam Imaging Scanner

Guided Surgery utilizing 3-D cone

Technology by SIRONA.

beam technology. September, 2010

June, 2010 ADVISORY BOARD MEETINGS CEREC MEETS GALILEOS

Topics to be determined and

This lecture will review the link

meetings to be held in summer and

between Galileos scans and Cerec

fall of 2010

machines which will allow for the most ideal prosthetically driven

CHARITABLE EVENT

implant placement, decreased

Help us raise funds for children’s

patient chair time, and increased

diabetes at Il Poggiolos in Hinsdale.

profit for the restoring dentist.

This event will feature Dr. Singh as

July, 2010

the guest bartender of the evening. June, 2010

ENDOPERIO PATHOLOGY This lecture will discuss the

STAFF APPRECIATION NIGHT

relationships between endodontic

Lets all get together for some good

and periodontic pathology in the

food, good company, and relaxing

mouth. August, 2010

fun. Fall, 2010

PERIODONTAL IMPLANT ASSOCIATES 17W 662 Butterfield Rd. Suite 208 Oakbrook Terrace, IL 60181 ph (630) 424-9404 fax (630) 424-8303 http://www.pidentists.com

Dr. Singh and the entire team at Periodontal Implant Associates would like to thank all you for the kind words, generous gifts, and most importantly for joining us to celebrate together our one year anniversary. The teamwork and friendships we have developed with all of you has been the driving force in our first year of business. We look forward to growing together and to many future celebrations. We would also like to thank our most recent presenters at our study club and advisory board meetings: Dr. Schefdore for his outstanding presentation on the link between systemic health conditions and dental problems. Jim Jain for sharing his valuable knowledge with all our advisory board members on Internet Marketing and Website Optimization.

Pia  

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