Month: September 2026

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:

1. 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).
2. 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.
3. 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).
4. 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.
5. 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.
6. 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.
7. 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.
8. 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.

A youthful smile can transform the way your entire face looks, which is why anti-aging dentistry in Ahmedabad is becoming an important part of modern cosmetic dentistry.

Dr. Pankti Patel, Cosmetic & Aesthetic Dentist, brings together advanced cosmetic dentistry, smile design and aesthetic dental treatments to create naturally beautiful, harmonious smiles.

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A beautifully designed smile may improve the appearance of teeth while also creating a more balanced and refreshed facial appearance.

DR. PANKTI PATEL
Cosmetic & Aesthetic Dentist

AHMEDABAD’S ONLY ANTI-AGING DENTISTRY DESTINATION

TEETH CARE CENTRE DENTAL HOSPITAL
Ahmedabad

For people looking for a cosmetic dentist in Ahmedabad, anti-aging dentistry offers a modern approach to smile rejuvenation, combining dental science with sophisticated aesthetic principles.

The concept is simple: you do not need to change who you are—you can simply refresh your smile.

For those exploring anti-aging dental treatment in Ahmedabad, Dr. Pankti Patel and the Teeth Care Centre Dental Hospital team focus on creating elegant, natural-looking smiles designed to complement each patient’s unique appearance.

Anti-Aging Dentistry — Turn Back the Clock With Your Smile.