Dr. Isabelle Segui

27/04/2026

A rewarding case today utilizing the Immediate Dentoalveolar Restoration (IDR) Technique by Dr. Da Rosa.

Grateful to dr for the seamless digital planning and precise surgical guide fabrication, making ex*****on more efficient and predictable.

This case involved a non restorable tooth #9, managed through the IDR protocol: Atraumatic extraction, 3D implant placement, Autogenous bone grafting, Gap sealing via provisional restoration or customized abutment

Implant placed: 3.75 x 16 mm, intentionally creating a 3 mm buccal gap while achieving primary stability at 40 Ncm.

A temporary crown was intentionally deferred as the patient is not locally based. To avoid uncontrolled micro stresses and ensure proper healing, we prioritized a more controlled post operative course given the limited opportunity for tissue monitoring.

Instrumentation: IDR chisels by Dr. Da Rosa from zepf
Implant system: MSDI from

23/04/2026

If we’re performing sinus grafting or onlay block grafting or gbr, we always choose biomaterials we trust for consistency, handling, and long term outcomes.

Our go to options include (via ) and (via ) for their proven performance in regenerative procedures, while autogenous bone still remains the gold standard in many clinical situations.

For donor sites, we loveeeee the maxillary tuberosity and mandibular symphysis for their reliability and clinical versatility.

Partnering with the right biomaterials and partners allows us to deliver precise, predictable, and evidence based results for our patients.

Bone Tacs by

07/01/2026

24/11/2025

Here’s another interesting case we handled in the office. This case required immediate intervention due to infection spreading toward the adjacent implant at tooth 24.

We performed an atraumatic extraction and ensured complete retrieval of the fractured root tip. All granulation tissue was thoroughly and surgically curetted out… truly a stubborn one! The most challenging part was debriding the infected tissue close to the exposed implant threads, both at the body and apical portions. I’m guessing the difficulty was due to the bone undercuts? Thankfully, our PDT wingrove titanium scalers made the job possible.

We are also planning to refer the patient to Endodontics for proper management and treatment of tooth #3.

What are your go-to instruments for degranulating infection around exposed implant threads?

Since there was distal-apical bone loss between 24 and 25, we harvested tuberosity bone to first reconstruct the missing wall, followed by using its particulate form to fill the socket.

30/10/2025

From Division C to near Division A: Ridge transformation through onlay block grafting. Using a symphysis bone block, we reconstructed an hourglass-shaped (Division C) ridge to achieve a close-to-Division A width, making placement possible.

Due to limited mesiodistal space, we placed a single, wide-diameter endosteal implant at its prosthetically driven position.

Yes, this is possible! Since the lower anterior area bears the least biting force intraorally, a single implant can effectively support a two-unit restoration.

https://pmc.ncbi.nlm.nih.gov/articles/PMC8686883/

22/10/2025

Precision meets efficiency! With the MSDI guided kit, we were able to complete this complex geriatric case in under 4 hours (as per anesthesia protocol). The workflow included:
• GA induction and full sedation
• Sinus grafting with tuberosity harvest ( via using idr kit)
• Multiple implant placements
• Atraumatic extraction + GBR at sites 2 & 3

A well-coordinated team effort from start to finish.

05/08/2025

Why You Shouldn’t “Baby” a Dental Infection

Just because there’s no swelling, no obvious signs, just mild pain, doesn’t mean it’s harmless.

This is a classic example of babying an infection:
- Patient had lingering, low-grade retrograde pain in the upper right after crowns were installed.
- Initial X-rays showed a suspicious radiolucency...
- And CBCT scan revealed something far worse — a growing lesion on the upper arch.

What looked “silent” turned out to be a progressive infection that should have been caught and treated much earlier.

🔍 The takeaway?
When patients ask if a dental infection needs immediate treatment — the answer is a BIG YES.