LOWER JAW IMPLANT – OVERCOMING DIFFICULT CASES WITH EXPERIENCE AND EXPERTISE OF DENTISTS AT HERIDENT DENTAL CLINIC

Implant placement is not always easy, especially for elderly patients with complex underlying health conditions and psychological concerns about surgery. However, thanks to the outstanding expertise and personalized treatment process at Herident, many difficult cases can still achieve exceptional results. The following is a typical case that illustrates how a successful implant procedure overcame many initial obstacles.

1. Overview of the Treatment Case

The patient came to Herident Dental Clinic with complete tooth loss in the upper jaw and multiple missing teeth in the lower jaw. This was a complex clinical case due to the patient's history of high blood pressure, prolonged anxiety disorders, and long-term smoking — all of which significantly increase the risk of complications during surgery, especially for procedures requiring advanced implant techniques.

The maxilla had significantly deteriorated, completely losing the ability to support implants. In this situation, restoring function with lower jaw implants became the key solution to help the patient regain chewing ability. Fortunately, the lower jaw still retained adequate bone density and height at the molar regions — essential conditions for implant placement. However, due to the patient’s anxiety about pain and complications, the selection of implant positions, number of posts, anesthesia plan, and systemic control had to be carefully calculated with precision to ensure absolute safety. This was a major challenge, requiring high-level expertise and extensive clinical experience from the doctor.

2. Initial Condition

Foreign male patient, 63 years old.

Initial status: Complete loss of all upper teeth; several lower teeth were damaged and severely fractured.

Medical History: The patient had a history of high blood pressure, chronic anxiety disorder, and many years of smoking. He was in a state of stress, doubt, and fear of any surgical intervention.

3. Examination and Consultation
After the clinical examination and analysis of the Conebeam CT scan, Dr. Dang Trieu Hung a specialist with over 20 years of experience — provided a thorough evaluation:

•  The patient had a complex medical history: high blood pressure, anxiety disorder, and many years of smoking.
• The maxilla had undergone significant resorption, lacking the necessary bone density and height for implant placement. The lower jaw had missing teeth.

• The remaining posterior teeth in the lower jaw were severely fractured and crowded, requiring comprehensive restoration.

After thorough consideration and assessment, Dr.Hung recommended:

• Placing 4 implants for the lower jaw (teeth 36, 37, 46, 47).
• Restoring a total of 10 lower jaw teeth to align the dental arch, restore severely damaged posterior teeth, and protect the remaining tooth structure.

After detailed consultation and explanation, the patient fully agreed with the treatment plan and expressed complete trust in the doctor, sharing: “I put 100% trust on Dr. Hung.”

4. Implant Placement and Lower Jaw Restoration Procedure at Herident Dental Clinic

Dr. Dang Trieu Hung, Ph.D. – a specialist with over 20 years of experience – thoroughly evaluated the lower jawbone structure, accurately selected 4 implantable positions (teeth 36, 37, 46, 47), and developed a personalized treatment plan to ensure absolute safety while minimizing discomfort and anxiety for the patient.

Step 1: Digital oral scan, clinical photographs, and radiographs.

Step 2: Conduct a detailed analysis of the patient's dental condition using Conebeam CT to assess both upper and lower jawbone structures as well as the status of remaining teeth.

Step 3: Consult with the patient, revise the treatment plan based on overall health, teeth condition, and the patient’s preferences.

Place 4 lower jaw implants over 2 appointments, each carried out in a sterile environment. The patient is closely monitored for vital signs—especially blood pressure and heart rate —and receives pain relief infusion during the procedure.

Step 5: Fill the severely decayed teeth, preparation and placement of 10 ceramic crowns on the lower jaw.

Step 6: After 3 months, once the implants have successfully integrated with the mandibular, take impressions to fabricate the porcelain restorations over the implants.

5. Treatment Outcome

• The implant procedure was successful, the wound healed well, and no complications occurred.

• The patient experienced no pain after surgery and was able to eat normally just a few days later.
• The recovery process was quick and stable, just as expected.

The patient shared:
“Dr. Hung is really amazing. He explained everything in detail and helped me feel calm through the entire process. I didn’t feel any pain – not even after the surgery. It’s just unbelievable!”

“Bác sĩ Hùng thật sự tuyệt vời. Anh ấy giải thích mọi thứ rất kỹ, giúp tôi yên tâm hoàn toàn trong suốt quá trình. Sau phẫu thuật tôi không hề đau – đúng là khó tin!”

IMPLANT PLACEMENT AT HERIDENT – TREATMENT QUALITY BASED ON EXPERTISE AND EMPATHY

Despite being a complex case with many challenges, thanks to the high level of expertise and situational experience of Herident’s doctors, the implant procedure was successful, safe, and painless – bringing absolute satisfaction to the client. We always prioritize patient safety. Every surgical case is personalized, with standardized procedures following international protocols, especially for patients with complicated medical histories.

At Herident Dental Clinic, when you choose implant treatment, you will receive:

• Direct care from Dr. Dang Trieu Hung, PhD, specialist in surgery and implants with over 20 years of experience. He will personally examine and select the most suitable implant type for your specific condition.
• 100% genuine implants, with a wide selection ranging from standard to premium brands such as Straumann, Dentium, Dio, etc.
• Transparent and clear warranty policies, including clear consultation, personalized treatment planning, and budget-friendly options.
• Dental implants are a significant decision – place your trust in a reputable and experienced clinic.

Schedule a consultation with an implant expert at Herident today to have your jawbone assessed and choose the right implant from the start!