Dental profession has experienced a remarkable progress in the last 25 years. Advances in science, technology, materials innovative research in implants, diagnostic imaging, cone beam, lasers, bonded restorations, cosmetic dentistry, orthodontics and many others have ground breaking impacts on our profession. These breakthroughs have resulted in a higher quality of care, increased comfort, and more and better treatment choices to the patients.Groundbreaking developments are being made in genetic engineering that will shape the future of dentistry in the years ahead.
From my perspective, the most significant changes have emerged in implant dentistry, a paradigm shift which has dramatically enhanced our ability to meet the needs of our patients. The Contemporary Implant Dentistry is Increasing Emphasis on Aesthetic Perfection and Major advances have been made in the areas of implant design, shape, implant placement, socket development, grafting, periodontal plastic procedures, CAD CAM and restorative options to optimize the aesthetic outcome.
Implantology has been filled with many different fashions, fads, ideas or commercially products and concepts and the past half a century of Implantology, has witnessed that over 80% of topics or products which once have been the most highly promoted for a period of time, proved to be the clinical failures and are discarded now. Until mid-eighties, the implantology was not accepted within conventional dentistry while today – Many Will Condemn Stable Teeth, Thinking That Implant Replacements Will Be Largely Indestructible.
The journey in implantology has changed drastically in the past 15 or so years. A crossroads was met years ago—a fork in the road with the path on one side that favored placing implants where the current bone was—and somehow making the prosthetics work around that; and to the other side, a path focusing on restorative-driven approach along with the biology of grafting to achieve that. The attitude of “that’s where the bone was,” was so prevalent and led to such prosthodontic compromises makes it no longer the accepted norm. Implantology has become very restorative-driven, and, as such, the location of the restoration today dictates where the implant needs to be placed and sets the blueprint for the surgical aspect of treatment Life, at times, tends to go “full-circle,” and what was once accepted falls out of favor only to return with renewed vigor. In the early days of modern implantology, the concept of “immediate loading” was practiced only to fall out of favor In the 1970s as root-form implants became the more common implant modality and Branemark’s work pioneered better surgical placement protocols. Yet, the past 15 years has seen a resurgence of immediate load and immediate placement which today are the accepted norms when criteria are met. As with socket preservation, the placement of an implant into the socket helps preserve the crestal bone; better still, the immediate provisional restoration supports the soft tissue. There is no better way to maintain the papilla and position of the gingival margin or train it to where the practitioner desires it to be than the use of immediate provisional restorations.
Fortunately, advances in grafting materials, both hard and soft tissue, and techniques, caught up with the direction dental implantology needed to move in. Today, we have a better understanding of bone and the consequences of extraction. There is a reverence for what ALLAH originally provided, and treatment today is directed at restoring that form and function. The concept of “Form Follows Function” has been misunderstood. Form and function should be one, joined in a Spiritual Union. I am speaking of our soft & hard tissue architecture. . “The seal is the deal–perfect seals and implants may well last a lifetime.”
Our motive should always be to treat the patients most effectively by utilizing the most advanced techniques, materials in order to accomplish our challenge of “the reconstruction and maintenance of patients to natural esthetics, function, and health predictably, routinely, and economically.
The Qureshi Dental Centres is now a three-generation practice. “Dentistry has been a part of my family; my grandfather, father, myself, my brother and in near future insha-Allah our 4th generation would be representing. I can proudly say that by the Almighty’s Grace my philosophy, in the light of the sayings of the Holy Prophet (PBUH), has always been to pass on to others whatever knowledge Allah has granted me. I’m a dentist above all else I love helping, treating, and educating the patients and colleagues, not only from every corner of Pakistan but also have represented nation in 5 continents. The only way to practice with excellence is to continue learning which an endless task is. Continuing education has been my life and is the core of practice excellence in dentistry.
Dentistry is a wonderful profession and if practiced properly has the ability to immensely improve the quality of life, health, sense of well-being and aesthetics for our patients. Dentistry provides many unique opportunities to treat patients who have a wide diversified variety of dental needs. You see modern dentistry is architectural- and engineering-directed, and this is no more important than in Implant and reconstructive dentistry. Implantology begins after the implants have healed, and keeping them alive for a lifetime is the challenge. Implants require special clinical supervision, maintenance and revision if a lifetime of treatment success is to be achieved. Our Object of Implant Treatment Has Always Been “The restoration of the patients to their natural aesthetics, function, and health.” I recall during my learning curve in US, Prof Hilt seeing my zeal and dedication once said in the class, ’if you see the blood of a normal person under a microscope, you find red corpuscles but if you see Mahmood’s blood you will find tiny implants running there.
Since the architectural Era of contemporary dental Implantology; over 25 years.
The key is to own your mistakes and to take responsibility for what you do to fix them for the benefit of your dental practice. Learn from the mistakes of others; you can’t live long enough to make them all yourself.Objective setting probably is the most powerful tool for dentists who want to make positive changes in their practices and lives. Goal setting will transform both your professional and personal life. We as practitioners should maximize the opportunity for success and minimize the risk of complications and failures. This should be our primary goal; that may often mean doing quality procedures than the quickest ones in implant dentistry and it may mean allowing more time for natural healing to occur. If our plan is to give the implant a function for the patient’s lifespan and to achieve the most natural replacement possible, then we shouldn’t cut corners; that does not mean that I have never made errors and I did not cross bridges that I am asking others not to cross but it actually means that I have learned from crossing those bridges that I shouldn’t have crossed and I have learned that in treating patients, the upper-most goal should be to minimize the risk of complications and problems and to strive to give every patient the maximum chance for success for the treatment you administer.
Absolutely, dentists must have superior manual dexterity skills to perform dental procedures with precision on an extremely small scale, the mouth and to exercise very fine motor control and possess excellent hand-eye coordination with economical movements. The ability to manipulate tools accurately in a small space can make life so easy.
The Bone Renaissance Philosophy; in pursuance of perfection and a comprehensive solution for success and long term stability of hard and soft tissues around implants, we have developed a novel concept emphasizing on treating the untreatable cases- the ‘Bone Renaissance’- a unique philosophy encompassing the sequential and codified reversal of the bone back to its original 3-D Engineered Divine Osseo-architecture by incorporating our avant-garde concept, 5 in 1 modus operandi: ‘SABIRIN’, Stable Alveolar Bone Implant Reconstructive Integration Naturally; a major paradigm shift in re-establishing the natural spiritual union of the form and function. The SABIRIN components resurrect the lost contours of the hard and soft tissues with a long-term esthetic predictability. Based on the 25 years of experience, “SABIRIN” Rationale gives practical guidelines and presents surgical maneuvers to rectify hard and soft tissue deficiencies including modified segmental vascularized osteotomies, which has made this concept a reality. By virtue of this, it is now possible to treat single tooth areas to full arches with a stable alveolar bone and back to full function and the best possible esthetics.
Family, horse riding, swimming & golf
Placing 47 implants in a day, along with multiple soft & hard tissue grafting procedures after a 5 hour lecture.
Never stressed out, as a matter of fact my mentor, Prof Tatum who is one of the pioneers of implant dentistry once quoted, ‘I am yet to see a person with such an incredible stamina and determination; in fact Lord has granted MQ a special battery which never gets discharged’.
Pakistan Academy of Implant Dentistry’s unparalleled efforts has introduced and established the modern dental Implantology in Pakistan. PAID has greatly influenced its development at both the national and the international levels since its beginning in 1993 and has now evolved to become an outstanding international association. Participants from over ten countries have taken up our courses here in Pakistan and are practicing and teaching implantology in their countries; our leading position obligates us to set high international standards in training and in certification. The credit of the first ever purpose built Implant Institute in Pakistan, ‘MQI’-State-of-the-art facility, goes to Pakistan Academy of Implant Dentistry. MQI is dedicated to the teaching and practicing of implant dentistry in a welcoming, wealthy and dynamic professional milieu. By incorporating programmed teaching techniques. PAID has provided the greatest opportunity for the local doctors to have an accredited program in their own country at an affordable price in the most advanced field of Implant Dentistry and has already trained several hundred post-graduate practical Oral implantologists who are now reaping the rewards of this fine surgical skill and also benefiting the community in need. Pakistan Academy of Implant Dentistry makes a history in the dental field of Pakistan as it continues the non-stop flurry of implant educational training memento thru their accredited ‘1 Year Implant & Reconstructive Surgery Program’ which steps into a record 25th year.
Implant Dentistry is an integral treatment modality and with implants ~ the natural alternative of teeth a comprehensive therapy is possible: health, function, and aesthetics are completely restored. Dental implantology is the discipline associated with the complete planning, restoration, and management of autogenous or alloplastic oral structures to restore the loss of aesthetics, function, and health of the partial or completely edentulous patients. To achieve functionally and aesthetically acceptable result predictable hard tissue grafting and soft tissue reconstruction procedures are required. It is today generally accepted that the autogenous one is the gold standard for hard tissue augmentation. However due to the trauma involved in harvesting of autogenous bone it would be desirable to use an appropriate and easily available synthetic bone graft substitute. Oral Implantology have been around for many years but it is a magnificent and a fascinating subject expanding at a rapid pace. An understanding of the parameters required for the osteointegration of implants has permitted predictable clinical use. Bone resorption patterns are critical in the planning of treatment and being able to distinguish between early and late resorption is important. By being familiar with the different types of Bone Augmentation Materials and knowing their advantages, indications, and limitations, we have the opportunity to provide choices and options to our implant patients. The best treatment for any patient is the simplest treatment which will adequately meet their needs – permitting to an acceptable level of function, comfort, health, and esthetics. The current interest in implant dentistry is extensive, the marketing is aggressive, the training is limited and the results are mixed. The field of implantology is firmly established as a part of dentistry. We have already organized several courses on implant dentistry, here and abroad and have virtually covered every aspect of Implant Dentistry. Now in collaboration with the International Institute of Replacement Therapy, we are indeed fortunate to develop a revolutionary implant system – the ARTIS, Advanced Replacement Therapy Implant system. ARTIS developed from a very versatile and innovative concept and includes all types of root form implants as well as bone substitutes and sinus augmentation kit. This makes life more easy for a clinician to treat any kind of case coming to the office. Now I can say that after the development of the ARTIS universal system the amount of the available bone is no longer a limitation because by virtue of advanced technology and a revolutionary implant system like ARTIS we can create, re-create, widen, expand and manipulate bone. The final and the 6th session of the first One Year Highly Intensive, A Multi-System Course on Implant Dentistry will take place on December 17. The first session of the 2nd One Year Highly Intensive, A Multi-System Course on Implant Dentistry will commence on December 22, 2003. Moreover, a workshop on The Maxillary Ridge Expansion Procedures and Immediate Post Extraction Implants will be presented on December 16, 2003. Keeping in view the benefits of the individuals interested in implant dentistry, our organization will be presenting a series of lectures, table clinics and workshops on the occasion of the 7th Pakistan International Dental Congress (December 16-22). If you need any help or information regarding the implant dentistry please contact the members of the Pakistan Academy of Implant Dentistry during the conference. It would be a unique learning experience. Here I think it would be suitable to mention that my philosophy is to pass on to others whatever knowledge I have. In my 13 years of treating patients, I have experienced all sorts of challenges. The most challenging are the ones what we refer to as the complete jaw reconstruction where a patient is missing several teeth and has undergone a significant damage to the remaining teeth and the periodontal areas. To restore these patients to adequate aesthetics, function and health is not an easy job and telling you honestly that before dental implants, it was quite impossible. Today, when I look back on several individual cases I feel contented about what we have achieved and here I would like to share some of those achievements with you… We are committed to improve the status of implant dentistry in our country and to set the standards that others will follow.