A 50-year-old patient presented with severely compromised maxillary dentition and complete absence of posterior maxillary bone bilaterally, with less than 1 mm of residual bone available for implant placement. The posterior teeth had been extracted several years earlier due to cystic pathology on one side and failed prosthetic treatment on the other.
The remaining anterior teeth also had failing, long-standing post-and-core restorations, requiring comprehensive rehabilitation. The bite was reverse in this case.
CBCT evaluation revealed severe bilateral posterior maxillary bone deficiency. Two treatment options were discussed: direct sinus lift with bone grafting or zygomatic implants if adequate bone regeneration could not be achieved.
Bilateral direct sinus lifts were performed approximately 10 months ago using xenograft and PRF. After adequate healing and bone formation, two posterior implants were placed bilaterally using fully guided surgery.
The remaining seven anterior teeth were extracted, followed by placement of four immediate implants using Nobel Biocare active implants with Tiultra surface for better soft tissue healing and through fully guided stackable bone level guide / stent approach. Bone grafting was done in sockets where there was more jumping distance between implant and buccal plate. The extractions were done atraumatically to preserve buccal plate. Primary stability was excellent, with insertion torque exceeding 35 Ncm. Multiunit abutments were placed on four implants for screw retained prosthesis.
A fixed provisional restoration was delivered on the four anterior implants, providing an All-on-4 provisional prosthesis for aesthetics. The reverse bite was corrected in provisional prosthesis. Bredent PMMA with bar was given as provisional prosthesis. The posterior implants were intentionally left submerged and excluded from the provisional restoration to allow undisturbed healing.
After the planned six-month healing period, the posterior implants will be incorporated into the final maxillary restoration.
Genetics plays a significant role in oral health, just as it does in many aspects of human health. Certain genetic variations can influence an individual’s susceptibility to various oral conditions and diseases. Here are some key aspects of how genetics affect oral health:
Tooth Development: The development of teeth is influenced by genetic factors. Genes regulate the formation, eruption, and positioning of teeth, which can impact dental alignment and the risk of malocclusions (misalignments of teeth).
Enamel Strength: The quality and strength of tooth enamel are partially determined by genetics. Some people may have stronger enamel, making their teeth more resistant to decay, while others may have weaker enamel, making them more prone to cavities.
Saliva Composition: Saliva helps protect teeth from decay by neutralizing acids and providing minerals that strengthen enamel. Genetic factors can influence the composition of saliva, affecting its ability to protect against dental caries (cavities).
Immune Response: The body’s immune response to oral pathogens and bacteria can also be influenced by genetics. Some individuals may have a stronger innate defence against oral infections, while others may be more susceptible.
Periodontal (Gum) Disease: Genetic factors can contribute to an individual’s risk of developing periodontal disease. Certain gene variants may lead to an exaggerated immune response, increasing inflammation and the risk of gum disease.
Taste Perception: Taste preferences and sensitivity to certain flavours, like sweetness, are partly determined by genetic factors. These preferences can impact an individual’s dietary choices and, consequently, their oral health.
Cleft Lip and Palate: Cleft lip and/or palate are congenital conditions that affect the formation of the upper lip and/or the roof of the mouth. These conditions often have a genetic basis.
It’s important to note that while genetics can influence oral health, it is not the sole determinant. Good oral hygiene practices, a balanced diet, and regular dental check-ups are crucial for maintaining oral health, regardless of one’s genetic predisposition.
Dr. Pankti Patel, the best dentist in Ahmedabad, is the chief dentist & diagnostic expert at the best dental clinic in Ahmedabad, which is Teeth Care Centre. She has extensive knowledge and experience and is a top dentist in Ahmedabad, allowing her to provide comprehensive and personalized care to her patients. Understanding the genetic factors that contribute to oral health can help in the early identification of potential risks and personalized approaches to preventive care and treatment. However, more research is needed in this field to fully comprehend the complex interactions between genetics and oral health.
Cosmetic dentistry can make you more attractive, restore self-esteem and give you an increased confidence in life. You deserve to look and feel great when you smile. With cosmetic dental treatment carefully tailored for you by top cosmetic dentist of Ahmedabad, you can have the smile you deserve.
WHY YOU SHOULD CONSIDER COSMETIC DENTAL TREATMENT?
Your smile can be seen beyond 300 feet
Smiles are valuable in human interaction – 93% of people perceive a smile as a valuable asset.
Best smile People are more likely to be hired and more likely to be offered a higher salary.
People age 15 to 50 chose “sexy smile most appealing” in the opposite sex.
84% of men and women believe an unattractive smile negatively impacts career success.
POINTS TO CONSIDER BEFORE CHOOSING GOOD COSMETIC DENTIST:
– Many clinics often claim to have ultra-modern technology, please do not rely them right away. Instead, kindly check whether the equipment they use are a world-renowned brand or substandard. – Dentist must have digital smile designing software to see final results even before starting the treatment. – Specialty in cosmetic dentistry: Make sure that the dentist is specialized in cosmetic procedures. – Dentist must have a good artistic hand: Ask for pre-post pictures of veneers treatments done by them. – Dentist should be certified and should have done fellowships or advance education in cosmetic procedures. – Dentist must have enough experience in cosmetic procedures. – Always go for the reviews of existing patients. – Always go for the second opinion.
POINTS TO CONSIDER BEFORE CHOOSING TREATMENT ABROAD: Click Here
WHAT PROCEDURES COME UNDER COSMETIC DENTAL TREATMENT?
Teeth Whitening
Aesthetic Tooth Build Up
Veneer
Braces Treatment
Black Triangle Correction
Crown & Bridge
Gummy Smile Correction
Gum Depigmentation
Full Mouth Reconstruction
Smile Make Over
WHAT ARE THE COMMON PROBLEMS TREATED WITH COSMETIC DENTISTRY?
Short teeth – Whether due to genetics or gradual wear, short teeth seldom convey the message that you’re hoping to get across. Short teeth can make a smile look small and weak, and cause you sensitivity/discomfort. If your front teeth are abbreviated, you may be interested in porcelain veneers. These restorations add length and structure, and they do so without giving themselves away as dental work. Veneers are ideal for front teeth because they are thin, durable, and aesthetically ideal. They also require less tooth reduction than crowns, leaving much of your natural teeth intact.
Crooked teeth – Crooked front teeth are common and widespread. It’s rare for a smile to develop in a completely straight way. If you weren’t able to receive orthodontic treatment as a child, or your front teeth have become crooked in adulthood, there are still options. If your front teeth are only mildly crooked, veneers may actually straighten them, without requiring orthodontic treatment.
Gaps between teeth – Gaps may form as a result of gum recession, genetics, periodontal disease, or shifting teeth. They’re easily resolved with dental bonding, a same-appointment solution. Dr. Pankti Patel will shape tooth-colored dental composite chair side, then bond it in place and harden it with a curing light.
Chipped or cracked teeth – Accidents happen, and it’s not rare for a tooth to become slightly chipped. If the problem is superficial, bonding could resolve the problem. If it runs deeper and the tooth is cracked, a veneer or a crown will improve the tooth’s appearance while strengthening it structurally.
Discoloured or spotty teeth – Whether your teeth are yellow from drinking coffee, tobacco use, or daily glasses of red wine, they don’t have to remain darkened. Teeth whitening will break up staining compounds within the enamel, leading to a brighter, happier smile that you’re excited to show off. If your teeth refuse to whiten, veneers will give them a new, superficial layer
Missing Teeth – Missing teeth can be one of the most frustrating problems people face when it comes to their smile. In addition to being unsightly and embarrassing, missing teeth can cause serious long-term deterioration to the jaw and jeopardize the health of adjacent teeth.
Gummy Smile – Many people are self-conscious about having a gummy smile, where the gums are more visually prominent and out of balance with the teeth. Using advanced laser gum recontouring, one can create the pleasing appearance you desire with minimally invasive techniques that heal quickly.
A comprehensive approach to cosmetic dentistry means looking at what is causing the cosmetic symptom, and making sure all aspects of your dental health are addressed. We want you to have teeth and gums that are not only attractive, but strong and healthy. After meeting with you for an in-depth discussion of your goals and an assessment of your dental health, we will recommend a range of treatments and treatment alternatives that will be a good fit.
DR. PANKTI PATEL:
Dr Pankti Patel known as “the Queen of smiles” is a prominent renowned Celebrity Cosmetic Dentist of India. She provides cosmetic dentistry that creates a stunning smile without sacrificing the optimal function of your teeth. Most of the cosmetic dentistry treatments offered by her improve smile aesthetics while also improving your bite, facial profile, and your ability to chew and speak.
Dr Pankti Patelwith many years of practical experience provides quality dental advice and care – including cosmetic dental work in order to help you make the right choice for you and your smile.
TESTIMONIAL:
BEFORE – AFTER:
Contact Us: Teeth Care Centre®, 2nd Floor, Pushpak66, Near Someshwar Jain Temple, 132ft Ring Road, Satellite, Ahmedabad 380015, India. Call: +917878783384
New Smile Correction Treatment Developments 2026: Combining Orthodontics and Cosmetic Dentistry in Ahmedabad A successful smile makeover often begins by identifying which concerns can be improved through tooth movement and which genuinely require cosmetic restoration. Patients searching for a smile makeover treatment Ahmedabad clinics offer may assume that veneers or crowns are the fastest way to correct every visible irregularity, but that approach is not always the most conservative. Teeth that overlap, rotate, or sit unevenly may sometimes benefit from orthodontic treatment before any cosmetic reshaping is considered. A smile makeover dentist Ahmedabad patients consult should evaluate tooth position, gum health, bite relationships, enamel condition, and the amount of existing dental work. This assessment helps distinguish alignment problems from concerns involving colour, tooth shape, or damaged enamel. Orthodontic treatment can reposition natural teeth while preserving their existing surfaces, potentially reducing the need to remove enamel for cosmetic restorations. Clear aligners or fixed braces may be considered according to the complexity of the case and the patient’s preferences. However, orthodontics cannot correct every problem involving tooth shape, severe structural damage, or intrinsic discolouration. Some patients benefit from a combined plan in which alignment is completed first and small finishing adjustments are considered afterward. Smile correction treatment Ahmedabad providers recommend should be based on the final bite and oral health, not simply on the appearance of the front teeth in photographs. Digital scans and photographs may help document the starting position and support communication about possible outcomes. A diagnostic mock-up can also help illustrate proposed changes in tooth proportions before irreversible procedures are undertaken. Patients should understand that digital simulations are planning tools and cannot fully predict the biological response of teeth and gums. If whitening is planned, it is generally worth discussing the desired shade before finalizing visible restorations because crowns, veneers, and fillings do not respond to bleaching in the same way as natural teeth. Gum contouring may be appropriate for selected cases involving uneven gum levels, but it requires assessment of gum health and the underlying tooth anatomy. Treating active gum disease or decay before elective cosmetic work is essential to reduce avoidable complications. Patients considering anti-aging dental treatment Ahmedabad clinics discuss should also understand that restoring worn teeth or improving tooth proportions may change smile appearance, but results vary and treatment does not stop the natural ageing process. People who grind their teeth may need management of the underlying habit and protective measures to reduce damage to the finished result. The dentist should explain whether any proposed procedure is reversible, minimally invasive, or likely to require future replacement. It is also important to discuss the total treatment sequence, expected appointments, maintenance requirements, and potential limitations before committing to a plan. A staged approach can sometimes make treatment more manageable while allowing the patient to review progress at important milestones. Choosing cosmetic treatment solely because it is popular may lead to unnecessary intervention when a simpler option would be effective. A thoughtful smile improvement treatment Ahmedabad plan prioritizes natural tooth preservation, comfortable function, and a balanced appearance. The most appropriate smile makeover is the one that addresses the patient’s main concerns while maintaining healthy teeth, gums, and bite relationships for the long term.
