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9 Russell Young In 1980, Russell Young joined Tom Friedman and established Omega Ceramics dental laboratory. Two of the most respected technicians and dental prosthetists in their field, Tom & Russell ensure that they remain on the cutting edge of dental technology with an emphasis in the laboratory on craftsmanship, quality and aesthetics. Omega is considered today to be the premier laboratory in Australia for dental ceramics, acrylic prosthetics, and Implant rehabilitation. Mr Young is a devout master ceramist who has gained p r o m i n e n c e both nationally and internationally. As the technical director of the Implant Team Academy and head of the implant department at Omega Ceramics, Mr Young applies his skills and knowledge in aesthetics and occlusion to implant rehabilitation. 8

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11 1965: The first patient was treated with dental implants. He was 34.

12 He died in 2007, in 2007,.with his teeth...with his teeth.

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14 smile a pleased, kind, or amused facial expression, typically with the corners of the mouth turned up and the front teeth exposed : he flashed his most winning smile she greeted us all with a smile he pleased her with his smile Its a n established scientific fact that the muscles used to smile release substances into your body that make you feel better. 13

15 facts Dental dysfunction can affect nutrition and well-being, as the types of food that can be consumed are often limited - and it can also be an aesthetic problem, changing a person s entire personality. facts of the matter. Many people with dental problems avoid matter smiling, which cause them to appear less social, and perhaps introverted. The pattern is the same for problems when eating. Traditional false teeth are not always reliable, and there are foods and dishes you can only dream of tasting. Dental health makes life easier in every way. 14

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21 immediate teeth Traditionally, the procedure had been performed in two steps. The dentist began by installing the implants, which were left for three to six months to heal and integrate with the jawbone. During the healing period, the patient was given a temporary denture until the permanent teeth could be put in place in the next stage. Today, modern implant design and state-of-the-art surgical techniques allows most patients to have fixed teeth fitted within a few days from the surgery. To get it right, a detailed work-up is done before the surgery to design your smile. After the implants are placed, teeth are set in wax in Madame Tussauds style, and tried in your mouth for aesthetic fine-tuning. You get to approve your teeth before we finish. A small percentage of patients may need to improve the volume or quality of their bone with bone grafting prior to the placement of implants in a staged approach. 20

22 teeth keyhole surgery The future is here. New technology from Nobel Biocare ('Nobel Guide') enables the transformation of a patients X-rays into a 3-Dimensional digitised model. This allows the surgeon to pre-plan the operation and place the implants safely and accurately in a single session using a computer generated guided surgical stent. In certain cases, the same digitised model can be used to fabricate the actual teeth to be fitted at the same time as the implant surgery. The major advantage of the guided surgical technique is the minimal amount of manipulation of the soft tissue due to keyhole surgery. This significantly reduces the healing time and discomfort that may be associated with traditional dental implant surgical techniques. This method is not suitable for all patients. It may be used in patients who have good bone or those who have had bone grafting. Patients with a terminal dentition who still have their teeth are often not suitable, nevertheless other advanced options may be considered. 21

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24 l-on-4 Key Benefits Optimal results Immediate teeth Easy to clean Cheaper to maintain Avoids bone grafting Shortened treatment time Featured Treatment: Upper All-On-4 with prosthetic gum replacement 23

25 all PRE-OPERATIVE PROCEDURES Examination Diagnostics Work-up The first step is to make an appointment for an oral examination to go over treatment alternatives and determine which solution works best for your very individual needs and expectations. An OPG and CAT scans are usually required to determine implant positions in full arch rehabilitation. If you are suitable for keyhole guided surgery, a special stent will be made to wear during your scan. Photos and models are used to plan the optimal set-up of the replacement t eeth f o r aesthetics, function and speech. Surgical stents are then fabricated to guide the i m plant placement according to the work-up. 24

26 -on-4 YOUR TREATMENT Implants Try-in Smile DAY 1 The jaw bone is res haped wit h alveolectomy and the implants are placed in the same visit. The wounds are then closed with dissolvable sutures and impressions o f t h e implants are taken for the next stage. DAY 2 The teeth are set in wax and tried in your mouth within hours a fter surgery. A n y necessary adjustments are made as required with your input. You get to see what your teeth look like before we finish. DAY 3 Your replacement teeth are inserted. We aim to give you a reason to smile with confidence. The initial set of teeth will function for up to 2 years. You can then decide on your options for the final set. 25

27 beauty a combination of qualities, such as shape, color, or form, that pleases the intelect or aesthetic senses, esp. the sight : I was struck by her beauty PHRASES [as beautiful] the beautiful people fashionable, glamorous, and privileged people the body beautiful an ideal of physical beauty 26

28 pink aesthetics Your smile is essential. What makes it beautiful? For good aesthetics in a smile there needs to be harmony between the teeth, gums and the lips. Providing you with beautiful teeth may not be enough without healthy-looking gums. In most patients who have lost or are about to loose all of their teeth the gums lack good form that is essential for a beautiful smile. In such patients, prosthetic gum replacement is the only way to ensure predictable results and a beautiful smile. To achieve this, reduction and reshaping of the underlying bone, or alveolectomy, is preformed at the time of implant placement. It s not only about teeth. The pink aesthetics (gums & lips) is often what makes the difference between ordinary and extraordinary results. w Featured Treatment: Upper rehabilitation on implants with prosthetic gum replacement 27

29 lip aesthetics Want your lips back? LIP SUPPORT Featured Treatment: Upper rehabilitation on implants with prosthetic gum replacement The bony ridges of the jaws provide support to the lips. Following extraction of teeth the bone resorbs over time and the lips loose their support. This is one of the most common attributes of an aged look. When dentures are made to replace the teeth, they are made with plastic extensions, or flanges. The primary function of the flanges is to help with the retention of the dentures, but they also add bulk to the lips. Whether there is too much bulk, as seen in the picture in the top left, or inadequate support, the flanges of a denture may often lead to unnatural aesthetics or fake looking teeth. 28

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31 lip aesthetics LIP FORM The shape of the lip in many patients is dependent to some extent on the position and orientation of the teeth. In total rehabilitation on implants, there are no flanges. The reduction and reshaping of the underlying bone, or alveolectomy, facilitates optimal positioning of the replacement teeth and enables prosthetic gum replacement that mimics the shape of natural bony ridges leading to more natural lip aesthetics. Plastic Surgery Featured Treatment: Featured Treatment: Upper and lower rehabilitation on implants with prosthetic gum replacement (without plastic surgery) Certain patients may benefit additionally from simple plastic surgery procedures to enhance the lips, or reduce wrinkles. Such procedures may be performed by referral to an appropriate specialist plastic and reconstructive surgeon. 30

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34 ZrO2 zirconia The premium choice for a final porcelain bridge. The final bridge is generally fitted within 6-24 months of your immediate replacement teeth. Traditional methods of constructing the final implant bridge involved the use of a cast gold substructure to support the teeth. Today s technology allows the use of zirconia or titanium substructures instead. These materials are more biocompatible and are precision milled, leading to superior adaptation over the implants and improved tissue health. Titanium substructures may be used to support acrylic teeth (standard) or zirconiaceramic teeth (premium) whereas the zirconia substructure is designed especially for direct layering of ceramic teeth for improved light transmission (above right) and natural aesthetics (prev. page). Zirconia-ceramic teeth are the premium choice for aesthetics and comfort, whether on titanium or zirconia substructures. Each tooth is individually created in porcelain by a master ceramist. Whilst more expensive, the lifespan of zirconia-ceramic replacement teeth can be expected to be in excess of years, compared to 5-8 years with acrylic. 33

35 Ti Featured Treatment: Total upper & lower rehabilitation on implants with acrylic teeth on titanium framework and prosthetic gum replacement 34

36 ZrO2 Featured Treatment: Upper rehabilitation on implants with zirconia-ceramic bridge and prosthetic gum replacement 35

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38 zygoma Zygomas are long implants that are inserted into the underside of the cheek bones to support a complete set of replacement teeth. These implants are especially designed for bony-deficient upper jaws. They may be offered to patients who are not suitable for the standard all-on-4 procedure and who wish to avoid bone grafting. The procedure is generally performed in hospital under general anaesthetic together with an appropriate oral and maxillofacial surgeon who is specially trained in this field. Key Benefits Immediate teeth Avoids bone grafting Featured Treatment: Upper All-on-4 Zygomas Courtesy Dr Paulo Malo, Lisbon 37

39 bone bone grafting In certain cases it may be necessary to improve the volume or quality of bone with bone grafting prior to the placement of implants. Bone grafting is a surgical procedure that replaces missing bone with a material called a bone graft. The most common grafting procedures in total rehabilitation are described below: Onlay Graft This procedure is used to restore bone width in the front of the upper jaw. Bone is taken from the hip and transplanted to the jaw. Treatment is performed in conjunction with an oral and maxillofacial surgeon under a general anaesthetic in hospital. Featured Treatment: Bony defect (left above) treated with a sinus graft (left below) 38

40 grafting Sinus Graft The sinus graft is today part of routine dental surgical care used to restore bone height in the back of the upper jaw. A bone mineral called Bio-Oss is used in combination with bio-active growth factors derived from your own blood to help grow new bone. Bio-Oss is a safe and effective bone graft material from specially processed bovine sources. Because of its similarity to human bone, it is highly successful in helping new bone to form. Platelet Rich Plasma (PRP) is derived at surgery from your own blood using state-of-the-art equipment. It contains large reservoirs of bio-active growth factors that have the potential to greatly accelerate the normal healing process, naturally. Thanks to such advances in bone regeneration technology, using Bio- Oss with PRP may eliminate the need for additional surgery to obtain your own bone to use as the graft. Sinus Graft Procedure: 1. The sinus is accessed from inside the mouth and the membrane which lines it is gently elevated 2.The Bio-Oss bone graft particles are placed beneath the membrane 3.The implant is placed at the time of surgery or after healing 4. The grafted bone not only replaces missing bone, but also helps your body regenerate natural bone and improve bone volume for implant placement 39

41 confidence the feeling or belief that one can rely on someone or something; a feeling of self-assurance arising f r o m o n e ' s appreciation of one's own abilities or qualities : he's brimming with confidence [in sing. ] he could bite with a confidence he never had. 40

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43 smile you don t have to be born with a beautiful smile have to have one.

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45 Featured Treatment: Zirconia Bridge on Implants explore your options!

46 freedom the power or right to act, speak, or think as one wants without hindrance o r restraint : we have the freedom of choice the s tate o f being physically unrestricted and able to move or function easily : my dad had the freedom to enjoy life t h e power o f selfdetermination attributed to the will; the quality of being independent of fate or necessity. u n r e s t r icted use o f something 46 freedom to enjoy life

47 ...your smile is...your smile is essential! essential!

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49 Contact Details: Our Partners, who help make it happen: Burwood Hwy Burwood East Victoria 3151 AUSTRALIA Tel: MALO HEALTH GROUP Interest Free Payment Plans OMEGA DENTAL LABORATORY Leaders in Implant Dentistry Copyright 2008

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