مركز الدكتور ماهر الفرا لطب وتجميل الأسنان Dr.Maher Alfarra Dental Center

18/09/2025

piggyback

15/06/2025

تم اعادة افتتاح عيادة أسنان في مواصي خانيونس.
المراجعين الكرام عليكم الاتصال على أرقام الجوال و حجز موعد مسبق.
من لديه مراجعة لتقويم الأسنان الرجاء الاتصال و حجز موعد .
مراجعي تركيبات الأسنان ،الاتصال و حجز موعد .

العنوان / مواصي خانيونس، شارع المجايدة، بجوار شاليه الماسة ، حوالي 100 متر من شارع الرشيد .
حفظكم الرب .

29/04/2025

A multidisciplinary case
Full mouth rehabilitation
4 years Follow-Up

23/04/2025

العيادة تتعامل عبر
# # التطبيق البنكي # #

20/04/2025

This case demonstrates a successful **full-mouth rehabilitation** in a **48-year-old female patient .

A multidisciplinary approach** to managing complex dental needs.

Below is a structured summary of the treatment phases and outcomes:

---

*Patient Presentation

- (psychological considerations in treatment planning).
- **Chief Complaints:** Pain, caries, periodontitis, heavy calculus, difficulty eating.
- **Initial Findings:**
- Extensive caries, periodontal disease, badly damaged teeth.
- Poor oral hygiene (likely exacerbated by psychiatric condition).

---

#*Phase 1: Stabilization & Initial Therapy**

1. **Diagnostics:**
- **CBCT** for comprehensive assessment of bone, teeth, and pathology.
2. **Non-Surgical Therapy:**
- **Scaling & root planing** to address calculus and periodontitis.
- **Antimicrobial therapy:**
- *Doxycycline 100mg BID* (systemic antibiotic for periodontal infection).
- *Chlorhexidine mouthwash* (local antimicrobial control).
3. **Extractions:**
- Removal of **hopeless teeth** to eliminate infection sources.

---

2: Restorative & Surgical Rehabilitation**
1. **Endodontic & Prosthodontic Treatment:**
- **Root canal therapy** for salvageable teeth.
- **Fiber posts + core buildup** for structurally compromised teeth.
2. **Implant Placement:**
- **14 compressive implants (NSI, Italy)** for full-arch reconstruction.
- Rationale: High-density implant design for immediate stability in compromised bone.
3. **Prosthetic Rehabilitation:**
- **Temporary crowns** for initial function and esthetics.
- **Final PFM crowns** (porcelain-fused-to-metal) cemented with **glass ionomer cement** (balanced strength and biocompatibility).

---

# # # **Phase 3: Maintenance & Follow-Up**
- **Oral Hygiene Instructions:**
- Modified brushing techniques (adapted for patient’s manual dexterity/psychiatric limitations).
- **Aquapick water flosser** for interdental cleaning (easier than floss for crowns/implants).
- **Psychological Impact:**
- Dramatic improvement in patient’s self-esteem and mental well-being post-rehabilitation.

---

# # # **4-Year Follow-Up & Complications**
1. **New Complaint:** Pain in lower right quadrant.
2. **Findings (OPG X-ray):**
- **Wisdom tooth pathology** (likely pericoronitis or caries).
- **Implant Success:**
- No bone resorption or peri-implantitis.
- Stable osseointegration (validating compressive implant design and surgical protocol).

---

# # # **Key Takeaways**
1. **Multidisciplinary Coordination:**
- Collaboration between periodontist, prosthodontist, oral surgeon, and psychiatrist (if needed).
2. **Adapted for Schizophrenia:**
- Simplified hygiene instructions, durable materials (PFM), and compressive implants for long-term stability.
3. **Success Metrics:**
- Functional restoration (eating ability).
- Psychological improvement.
- No implant failures after 4 years (critical in high-risk patients).

---

Next Steps

- Address wisdom tooth (extraction or endodontic treatment).
- Reinforce hygiene compliance (regular recalls due to psychiatric condition).
- Monitor implants annually (peri-implantitis risk remains).

16/04/2025

يتوفر لدى العيادة تركيبات الزيركون و البورسلان
للحجز واتس اب 00972595738090

14/04/2025

Direct composite veneers for upper anterior teeth

10/04/2025

تقويم الاسنان

07/02/2025

قشور كمبوزيت

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تم اعادة إفتتاح عيادة الدكتور ماهر لطب وتجميل الأسنان بتاريخ
18/6/2024 ، كبديل عن مركز الاسنان الذي تم تدميره في الحرب.
مواعيد العمل من الساعة 9 صباحا حتى 6 مساءا
طوال أيام الأسبوع عدا يوم الجمعة 'حفظكم الله جميعا...

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