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Detailed case summaries — implant dentistry by Dr. Kedar Bakshi
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Detailed case summaries — implant dentistry by Dr. Kedar Bakshi
Real clinical cases performed with OsseoSure mechanical osteotome instruments at Sai Smile Dental Care Clinic, Vasai East. Before-and-after documentation of ridge split, indirect sinus lift, bone condensation, bone expansion, and atraumatic extraction by Dr. Kedar Bakshi, implantologist with 28+ years experience and India's first dental implant design patent holder.
Indirect Sinus Lift in 0.7mm Bone — 4 Year Follow-up: Only 0.7mm bone available below sinus in upper left second premolar. Achieved 9mm+ sinus lift with stable and aesthetic results. Precise 3D implant positioning using manual osteotomes. Preserve and Perform philosophy of OsseoSure.
Indirect Sinus in 2.5mm Bone: 2.5mm average bone height below sinus with compromised bone density. 8mm lift achieved with 8 months healing. Stable bone levels documented.
Indirect Sinus Lift in 2mm Bone: Available bone of 1.26mm under the sinus. Successful lift with abutments splinted using intra oral welding technique. Excellent parallelism achieved.
2mm Available Bone Under Sinus — Upper Left First Molar: Successful 9mm indirect sinus lift with OsseoSure in upper left first molar from only 2mm starting bone.
Indirect Sinus in 3.5mm Bone — 8 Year Follow-up: Soft bone, 3.5mm available. Implant placed with OsseoSure manual osteotomes. 8 year follow-up showing stable bone levels.
Graft-less Indirect Sinus in Soft D4 Bone: 7mm bone under sinus, bone density only 36 HU (D4). 3mm sinus elevation without any graft. Autogenous sinus floor bone acts as natural graft material. Only 2 OsseoSure tips used.
Ridge Split in 4.9mm Bone with Angulation Correction: Badly broken root piece site. CBCT showing unfavorable bone angulation. Drill-less osteotomy with OsseoSure achieving bone expansion and angulation correction for perfect aesthetic outcome.
Ridge Split in 2.3mm Bone AND Indirect Sinus in 1.46mm Bone: Combined case — upper left first premolar ridge split with only 2.3mm crestal width, plus indirect sinus lift with only 1.46mm bone in upper left first molar. Both procedures using OsseoSure. Final result: 3-unit implant-supported bridge in metal-free zirconia composite.
Bone Expansion in 2.8mm Crestal Width: Upper left lateral incisor with only 2.8mm crestal width and unfavorable bone angulation. Drill-less osteotomy with OsseoSure achieving correct 3D implant position for optimal aesthetics.
Bone Expansion in 4.5mm Bone — Lower Right First Molar: Implant placed with bone expansion using OsseoSure. No drills used. Drill-less osteotomy achieving adequate expansion for implant placement.
Rehabilitation of Atrophic Right Maxilla: Complex case — 2mm crestal width in lateral incisor, 3.5mm in first premolar, 1.5mm bone under sinus in second premolar, plus large periapical lesion. Ridge split and indirect sinus lift with OsseoSure. Post-treatment CBCT showing excellent bone gain. Very good marginal gingiva levels confirming successful 3D positioning.
Extraction of Badly Broken Root Canal Treated Lower Left First Molar: OsseoSure 50-micron periotome tip used for atraumatic extraction. Highly flexible tip severs periodontal ligament without bone damage. Thin buccal plate preserved for future implant placement. Video documentation available.
Atraumatic Extraction of Badly Broken Upper Left Canine: Architecture preserved through controlled extraction with OsseoSure periotome. Video documentation available.
Extraction of Fractured Lower Right First Molar: Vertical fracture with intra oral swelling. Extracted without tooth sectioning using OsseoSure periotome and F1 tip. Buccal bone preserved. Video documentation available.
Extraction of Badly Broken Root Canal Treated Lower Right Second Molar: Atraumatic extraction with perfectly preserved bone using OsseoSure periotome tip. Socket maintained for implant. Video documentation available.
Narrow and Soft Bone — Upper Left First Premolar: Crestal width 4mm, bone density minus 72 HU. Atraumatic extraction followed by drill-less osteotomy with OsseoSure bone condensation tips. Implant placed with improved torque values despite extremely soft bone.
All cases performed by Dr. Kedar Bakshi at Sai Smile Dental Care Clinic, Vasai East, Maharashtra. OsseoSure — Precision Mechanical Osteotome for Ridge Expansion, Sinus Lift & Atraumatic Extraction.