- By Dr. SMH Junaid, Chief Implantologist – Aina Dental Clinic , Bangalore, India
A 56-year-old woman walked into the dental clinic with a heartfelt plea—she wanted to chew again, speak confidently, and smile freely, all before her son’s wedding in a month. With a mix of emotional urgency and complex systemic health considerations, this case exemplified the nuanced approach required in modern oral rehabilitation.
Clinical Snapshot:
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Hemoglobin: 9.5 g/dL — indicative of anemia
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History: Coronary Artery Bypass Graft (CABG) 3 years ago
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Glycemic Status: Borderline HbA1c values, trending toward diabetes
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Stability: Medically cleared and hemodynamically stable
Dental Findings:
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Existing Basal Implants: In mandibular posterior (placed 9 years ago)
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Conventional Implants: One each in maxillary 2nd and mandibular 4th quadrant
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Implant Health: No mobility, peri-implantitis, or radiographic compromise
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Anatomy: Moderate alveolar resorption noted in maxillary premolar and anterior mandibular regions
️ Treatment Goals:
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Preserve and incorporate existing stable implants
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Minimize surgical insult due to cardiac and anemic profile
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Deliver functional esthetics before the wedding deadline
Clinical Execution:
In adherence to Tip 1, the entire protocol centered around minimally invasive techniques:
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Mandible:
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Four flapless/minimally elevated endosseous implants placed anteriorly
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Focus on engaging cortical bone for primary stability
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Maxilla:
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Two implants placed in the canine-premolar region, guided by CBCT
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Implant sites selected based on volumetric bone adequacy
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Highlighted Tip: In medically complex cases, leveraging existing osseointegrated implants and choosing flapless or minimal-flap approaches can dramatically reduce healing time and systemic stress.
The surgical procedures were performed under local anesthesia with cardiac-safe vasoconstrictors and antibiotic coverage. No intraoperative complications were noted, and postoperative healing proceeded smoothly.
Outcome:
All implants achieved primary stability. The patient is now in the prosthetic phase and will receive provisional restorations tailored to her aesthetic and functional needs ahead of the wedding.
Conclusion:
This case demonstrates how full-arch implant rehabilitation, even under tight timelines and systemic constraints, can be successful with meticulous planning and conservative techniques. By combining basal and conventional implants and applying a patient-centered, minimally invasive philosophy, we can deliver not just teeth—but confidence, joy, and presence—for life’s most important moments.
Meet Dr. Junaid – A Lifelong Learner in the Art and Science of Healing Smiles
With over 18 years of quiet excellence in clinical dentistry, Dr. Junaid brings a rare blend of skill, sincerity, and soul to every patient he serves. His practice is not defined by the number of cases completed, but by the compassion behind every diagnosis and the integrity behind each treatment plan. For Dr. Junaid, dentistry is both a calling and a craft—refined through global learning, rooted in ethical care, and carried out with unwavering humility.
The Full Bio
Graduating from RGUHS in 2005, Dr. Junaid’s professional path has taken him across disciplines and continents. He has pursued fellowships and advanced certifications in orthodontics, endodontics (Europe), aesthetic medicine (USA), implant dentistry, and clinical nutrition. His approach integrates oral health with overall wellness, recognizing the deep connection between a healthy smile and a healthy life.
At Aina Medical Center, Dr. Junaid doesn’t just treat teeth—he treats people. His scope of care ranges from pediatric dentistry to full-arch rehabilitation, from cosmetic facial procedures to complex surgical interventions like sinus lifts and ridge augmentations. Whether managing a medically compromised patient or performing flap surgery, he brings gentleness to technique and thoughtfulness to every interaction.
A natural educator at heart, Dr. Junaid also contributes regularly to DentistryUnited, where he shares exclusive insights and clinical pearls in the field of dental implantology. His writings reflect both experience and generosity, helping dentists across the globe enhance their craft and clinical judgment.
Dr. Junaid is admired for his ability to listen deeply, diagnose precisely, and collaborate meaningfully with interdisciplinary teams. He values honesty in decision-making, respect for protocol, and the dignity of every patient who walks into his clinic.
Beyond his clinic, he is committed to outreach—conducting dental camps, promoting preventive care, and serving underprivileged communities. His philosophy is simple yet profound: dentistry is not only about aesthetics or function—it is about trust, comfort, and the quiet dignity of care.
As Dr. Junaid often reflects, “Every tooth tells a story—but it is the heart behind the hand that truly heals.”
He can be contacted on email: junaid4aina@gmail.com / dentistryunited@gmail.com