Sunset Oral and Facial Surgery indicates that board-certified oral and maxillofacial surgeons David Salehani, DDS, MD are using real-time 3D navigation guidance for patients in the Los Angeles area, including West Hollywood and Beverly Hills, for All-on-X full-mouth dental implant treatments. The institution claims that by combining detailed cone-beam CT ( CBCT ) scans and digital treatment plans with the X-Guide dynamic navigation system during surgery, Salehani doctors can plan the position, angle, and depth of each implant before the procedure and track the position of the drill bit in real-time relative to this plan during the implantation process.

All-on-X is a general term for full-mouth restoration, referring to the repair of an entire row of upper or lower teeth with a fixed bridge. The bridge is supported by a small number of implants, usually 4 to 6 implants are placed in each dental arch. The most well-known version is the All-on-4 ® treatment concept, which involves vertically implanting two implants at the front of the jawbone and two more at the back at a certain angle. The posterior implants are inserted at an inclined position, allowing for the utilization of the denser bone tissue at the front of the jawbone. As a result, many patients with reduced bone volume can undergo this treatment without the need for a separate bone grafting procedure. The institution states that in most cases, a temporary fixed denture is installed on the day of the surgery, and after several months of integration between the implants and the bone, a permanent restoration is then fitted.

The text states that it is these inclined implants that require the highest level of planning and precision. The posterior part of the upper jaw is located below the maxillary sinus, while the lower jaw contains the inferior alveolar nerve, which is responsible for sensation in the lips and chin. Each implant must also maintain the correct relationship with the others to ensure that the final full-mouth bridge restoration fits and functions as intended. With the help of X-Guide, the treatment plan based on CBCT is displayed during the surgical procedure and is presented alongside a real-time view of the drill bit's position, similar to a GPS navigation route. This allows Salehani doctors to operate along the predetermined trajectory and make adjustments during the surgery.

The institution states that full-mouth restoration is suitable for adults with partial or complete tooth loss in one or both dental arches, patients whose remaining teeth are deteriorating, or those who experience discomfort due to the sliding or friction of removable dentures or who need to use adhesives. This option is also worth considering for patients who have been informed elsewhere that their bone density is insufficient for dental implants. Whether treatment is appropriate will be determined during a face-to-face consultation, at which time the Salehani doctor will evaluate the CBCT scan results, bone density, maxillary sinus anatomical structure, occlusion, and overall health condition. The text mentions that some patients may be better suited for single-implant procedures, bone grafting before implantation, or using different numbers of implants for each dental arch; these options will also be discussed during the evaluation process.

The institution stated that Dr. Salehani has received training in both dentistry and medicine. As an oral and maxillofacial surgeon with degrees in both dentistry and medicine, as well as completion of general surgery internship, he is capable of performing full-mouth implant surgeries under intravenous sedation or general anesthesia, and incorporates each patient's medical history into the surgical plan. His scope of practice also includes bone grafting, maxillary sinus elevation, orthognathic surgery, and facial reconstruction; therefore, when planning full-mouth restoration cases, he is able to consider the overall jaw structure.

“Most of my patients who have undergone full-mouth restorations have for many years been dealing with ineffective teeth or unreliable removable dentures. Many of them were told that they did not have enough bone mass for implants,” said Dr. Salehani. “The treatment plan begins with a CBCT scan, as it can accurately show the amount of bone we have available, as well as the location of the maxillary sinuses and nerves. The navigation system allows me to carry out this plan during the surgery and to confirm the position of each implant as it is placed. Not every patient is suitable for All-on-X, and part of each consultation is to honestly discuss whether this is the right option for them or if another treatment method would be more appropriate.”

The text states that the results of individual treatments vary from patient to patient. Anyone considering undergoing full-mouth dental implant treatment should consult a qualified oral and maxillofacial surgeon to discuss whether this treatment is suitable for them.

Regarding Sunset Oral, and, and Facial Surgery

Sunset Oral and Facial Surgery is an oral and maxillofacial surgery clinic located in West Hollywood, California, led by board-certified oral and maxillofacial surgeons David Salehani, DDS, and MD. According to the information provided, Dr. Salehani obtained a bachelor's degree in biochemistry and a dental degree from the State University of New York at Stony Brook with honors; completed his oral and maxillofacial surgery training at Long Island Jewish Medical Center; earned a medical degree from the School of Medicine at Stony Brook University; and completed his general surgery internship at Stony Brook University Hospital.

The institution stated that Dr. Salehani has a practice scope that covers the entire field of oral and maxillofacial surgery, including dental implants, full-mouth implantation, real-time navigation implant surgery, bone grafting, wisdom tooth extraction, orthognathic (jaw correction) surgery, facial trauma and reconstruction, cleft lip and palate treatment, temporomandibular joint surgery, and oral pathology, as well as cosmetic facial procedures such as facial implants, genioplasty, FaceTite, AccuTite, Morpheus8, and injectable treatments. He is also involved in the training of resident doctors and students and holds the practicing qualifications of UCLA Medical Center, Long Beach Memorial Medical Center, and Children's Hospital (courteous physician); he serves as a peer review consultant for oral surgery at the Los Angeles Dental Association and has previously served as the president of Beverly Hills Academy, of, and Dentistry.He is also a member of American Association, of, Oral, and, Maxillofacial Surgeons, California Association, of, Oral, and, Maxillofacial Surgeons, American Dental Association, California Dental Association, New York State Society, of, Oral, and, Maxillofacial Surgeons, and Omicron Kappa Upsilon Dental Honor Society.

Sunset Oral and Facial Surgery located at 9201 W. Sunset Blvd., Suite 502, West Hollywood, CA 90069.