Dental Implant Treatment with Accelerset Prosthesis by AvaDent: Part 2

Posted by Stephen Balshi MBE on Nov 18, 2016 2:45:17 PM

Ken smiles following completion of dental implant treatment with an AvaDent prosthesis.During the last blog post, we discussed Ken who was diagnosed with rare disorders called Osteogenesis Imperfecta and Odontogenesis Imperfecta. These disorders caused extensive dental problems. Ken was treated by Dr. Balshi and the team at Pi Dental Center with implant supported AvaDent Accelerset prostheses. This technology is discussed below.

Ken's is the first Accelerset Prosthesis engineered by AvaDent (Global Dental Science). It's fully automated and consists of 3 main parts:

1) a milled titanium framework that is designed with individual keys to support,

2) fully milled keyway teeth and is veneered with

3) a fully milled PMMA gingiva.  

The teeth can be made of several different materials.  In Ken's case, the front teeth are lithium disilicate (e.max) and the back teeth are multi-layer zirconia.  

Photos detailing progression from computer model to final:
AvaDent prosthesis design in AvaDent Viewer

AvaDent prosthesis design in Viewer Software

From the design the framework is built and individual crowns are placed.

From the design the framework is built and individual crowns are placed.

The completed prosthesis which has been designed according to the digital design that was created in the AvaDent Viewer.

The completed restoration, which has been designed
according to the digital design that was created in the Viewer.

The completed prosthesis which has been designed according to the digital design that was created in the AvaDent Viewer.

The completed prosthesis which has been designed
according to the digital design that was created in the Viewer.


Ken's final restoration

Ken is also part of a research project to study the retention of the crowns to the milled titanium framework.  Half of the crowns are cemented to the titanium framework with resin cement and the other half are press-fit to the framework using an intermediary sleeve made from polyether ether ketone (PEEK).  

The technique of cementing the crowns in place is the industry standard.  

The press-fit technique with the PEEK sleeve is the subject of our clinical research.  All of the milled components are made separately in three different types of milling machines simultaneously.  They are then assembled and made ready for delivery to the patient.  

Ken's Accelerset prosthesis is the first of its kind.  It is supported by 6 dental implants.  Accelerset prostheses can be be made on any number of implants and most types of dental implants.

Ken before and after dental implant treatment with delivery of the Accelerset AvaDent Prosthesis

Board certifed prosthodontists, Dr. Thomas Balshi and Dr. Glenn Wolfinger, are skilled at providing advanced dental implant care and delivering superior prosthetic solutions.  To learn more about dental implant treatment using the Accelerset call 215-646-6334 or contact us using the link below.

Ask A Dental Question Or Schedule An Appointment


Osteogenesis Imperfecta (OI) is a rare disorder affecting the connective tissue and characterized by extremely fragile brittle bones that break or fracture easily, often without apparent cause. The specific symptoms and physical findings associated with OI vary greatly from case to case. The severity of OI also varies greatly, even among individuals in the same family.

Odontogenesis Imperfecta is a developmental disturbance of one or of several adjacent teeth, characterized by deficient formation of enamel and dentin. Such teeth exhibit delayed eruption into the oral cavity.

Tags: dental implants, dental prostheses, prosthetic teeth, prosthodontic dental restoration

Nutrition and Dental Care Part 2: Diet and the Nursing Home Resident

Posted by Pi Dental Center on Jul 31, 2014 2:30:00 PM

Nutrition Blog Part 2

Jane sits in the dining room of her nursing home waiting for lunch with her friend, Josephine. The waitress serves Josephine a plate of roast beef, colorful mixed vegetables and baked potato with a dollop of sour cream. With it comes a slice of apple pie for dessert.

As Jane looks longingly at her friend's meal, the waitress brings Jane's lunch: a textureless brown glob, a beige mound, a pink mass. With it comes pudding for dessert. Jane's meal is also beef, potato and vegetables, but each food item has been pureed. A blender has turned a delicious meal into mush.

Even though this process enables people to eat who have trouble chewing, pureeing removes the texture and visual appeal that make food appetizing. A pureed diet is just plain boring!

One reason some people require this special diet is their teeth. For those with missing teeth chewing is difficult at best. For others, poorly fitting removable dentures are the problem. Even after many adjustments, modifications and remakes, they can still be loose and uncomfortable.

Mealtime for long-term care residents can be the highlight of their day. Needing to live on a pureed diet becomes one more of the age-related issues that affect their quality of life and can lead to poor self-esteem, depression, deteriorating health and weight loss. Research shows that denture wearers eat more high cholesterol foods with less protein, vitamins and minerals in their diet.

Even though they are acquainted with dental implants many seniors assume they are too old for this advanced treatment. In reality, dental implants have been successful for patients as old as 95.  Dental implants allow people to eat normally with a diet that is more nutritious as well as more appetizing. Reports have shown that older people who have replaced their dentures with implant-supported teeth have an improvement in their quality of life. 

In fact, studies have shown an improvement in quality of life for people with degenerative diseases like dementia, Parkinson's disease and Huntington's disease. Dental implant treatment provides satisfactory function even in individuals who have substantial needs for supportive care.

Dental implant treatment is routine for adult patients of all ages.  For more information about treatment options, please call us at 215-646-6334..

Read Nutrition and Dental Care Part 1: Diet and Dental Implants

Ask A Dental Question Or Schedule An Appointment

By Chris Raines
Web Site Administrator
Pi Dental Center


In the photo: Lemon flavored sparkling water, delicious cupcakes, spinach salad with sesame seed dressing and brocolli quiche, fruit tarts, cucumber watercress and pimento tea sandwiches, Bigelow tea, assorted breads from Wissahickon Library British Tea held at the Ambler Library.

Links related to nutrition and the elderly  -

Tags: dental implants, dental patient satisfaction, dental prostheses, geriatric dentistry