Dr. Isabelle Segui

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.

24/09/2025

23/09/2025

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.

30/07/2025

30/06/2025

Dental implants combined with full mouth rehabilitation don’t just fix teeth—they restore your ability to live, eat, smile, and speak with confidence and comfort. It’s not just a dental upgrade—it’s a life upgrade.

Exceptional restorations made possible by Nilo Dental Lab and White Oral Design.

Amazing endo work by our superstar endodontist

21/06/2025

21/06/2025

Get your smile slayed at Cosmo Dental Eton Makati-chill vibes, pro care, zero stress, and major glow-up guaranteed!

31/12/2024

A Message to Our Valued Patients

As we reflect on another wonderful year, we want to take a moment to thank each and every one of you for entrusting Cosmo Dental with your oral health. Whether you’re a long-time patient or new to our family, we are truly grateful for the opportunity to care for your smiles.

Your trust and loyalty mean the world to us, and we’re excited to continue providing you with the highest quality dental care in the years to come. As we look ahead to 2025, we are committed to supporting your oral health for the long term, ensuring your smile stays healthy and bright.

We can’t wait to see you in the 2025 and keep you on track toward a lifetime of optimal dental health!

Warmest wishes,
The Cosmo Dental Team

18/12/2024

Wrapping up 2024 with this stunning screw-retained FP3 restoration (Metal-Zirconia Implant Fixed Hybrid Full-Arch Prosthesis), expertly crafted by Leonilo Baraga, CDT of Nilo Dental Laboratory.