The Ackerman Clinic

#subperiostealimplant #maxillofacialsurgery #digitalsurgery #klsmartin #3dprinting #implantrehabilitation #zygomaticimplants #reconstructivesurgery #allon4 #oralsurgery #dentalimplants #bharathputtur… | Bharath Puttur

When quad zygomatic implants fail — what’s next? When a patient comes in after a failed quad zygoma reconstruction, you know the margin for error is zero. This case presented one of the most challenging scenarios in maxillofacial implant reconstruction: 👉 Severe anterior maxillary wall loss 👉 Minimal residual bone 👉 Previous surgical failures Instead of attempting further grafting or another zygomatic revision, we took a different route — a custom subperiosteal implant, digitally designed using the KLS Martin IPS system. 💡 The key was precision in design — not aggression in surgery. Bone mapping identified every viable area of cortical thickness for fixation. The framework was designed to avoid any bone removal, maximising anchorage from the zygomatic arches and bodies. Custom drill and marking guides ensured minimal intra-operative adjustment and a precise passive fit. Prosthetic pillars were positioned digitally to maintain optimal restorative space (8–10 mm from the occlusal plane). The result — a stable, functional, and aesthetic reconstruction for a patient who had lost hope after multiple failed attempts. For me, this case reinforced an important truth: Innovation in surgery isn’t always about doing more — it’s about doing it smarter, gentler, and more predictably. 📸 Images: Digital workflow showing bone thickness mapping, guide design, pillar positioning, and final framework. — Mr Bharath Puttur The Ackerman Clinic – New Milton, Hampshire 🌐 https://lnkd.in/eH_Xzw4q #SubperiostealImplant #MaxillofacialSurgery #DigitalSurgery #KLSMartin #3DPrinting #ImplantRehabilitation #ZygomaticImplants #ReconstructiveSurgery #Allon4 #OralSurgery #DentalImplants #BharathPuttur #TheAckermanClinic #SurgicalInnovation

The Art and Science of Full-Arch Rehabilitations Have you ever considered that full-arch rehabilitation involves more than just placing implants and attaching teeth? I shared the same perspective… | Bharath Puttur

The Art and Science of Full-Arch Rehabilitations Have you ever considered that full-arch rehabilitation involves more than just placing implants and attaching teeth? I shared the same perspective until a particular case transformed my outlook completely. Full-arch rehabilitation is akin to conducting an orchestra rather than playing a single instrument. Let's delve into why by exploring the four essential pillars for successful full-arch cases: - **Biological Foundation**: Assessment of bone quality, evaluation of soft tissue, and considerations for periodontal health. - **Biomechanical Framework**: Analysis of load distribution, hierarchy in material selection, and design of occlusal schemes. - **Functional Integration**: Adaptation of speech patterns, muscle reprogramming, and considerations for the temporomandibular joint. - **Esthetic Architecture**: Planning for facial support, dynamics of the lips, and designing the emergence profile. While algorithms appreciate before and after photos, they don't reveal the profound journey between those two snapshots. ♻️ In a recent intricate full-arch case completion, I learned a valuable lesson: True success encompasses more than perfect implant placement, precise prosthetic design, and beautiful aesthetics. It encompasses patient education, emotional support, team coordination, and a long-term vision. My approach involves: - Creating a detailed consultation roadmap. - Presenting a visual treatment timeline. - Setting recovery expectations. - Coordinating with the support team. - Establishing a post-treatment care protocol. Instead of fixating on achieving the flawless "after" picture, focus on mastering the transformative journey between those shots.