Dr. Michel Karam Clinic

Your Smile Experts


Dental Implants

Dental implants are replacement tooth roots. Implants provide a strong foundation for fixed (permanent) or removable replacement teeth that are made to match your natural teeth.

Dental implants advantages include:
  • Improved appearance: Dental implants look and feel like your own teeth. And because they are designed to fuse with bone, they become permanent.
  • Improved speech: With poor-fitting dentures, the teeth can slip within the mouth causing you to mumble or slur your words. Dental implants allow you to speak without the worry that teeth might slip.
  • Improved comfort: Because they become part of you, implants eliminate the discomfort of removable dentures.
  • Easier eating: Sliding dentures can make chewing difficult. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without pain.
  • Improved self-esteem: Dental implants can give you back your smile and help you feel better about yourself.
  • Improved oral health: Dental implants don't require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving long-term oral health. Individual implants also allow easier access between teeth, improving oral hygiene.
  • Durability: Implants are very durable and will last many years. With good care, many implants last a lifetime.
  • Convenience: Removable dentures are just that; removable. Dental implants eliminate the embarrassing inconvenience of removing dentures, as well as the need for messy adhesives to keep them in place.

Dental Implant Procedure:

The first step in the dental implant process is the development of an individualized treatment plan. The plan addresses your specific needs. Next, the tooth implant, which is a small post made of titanium, is placed into the bone socket of the missing tooth. As the jawbone heals, it grows around the implanted metal post, anchoring it securely in the jaw. The healing process can take from six to 12 weeks.

There is very little discomfort involved in the procedure. Local anesthesia can be used during the procedure, and most patients report that implants involve less pain than a tooth extraction.

Once the implant has bonded to the jawbone, a small connector post called an abutment is attached to the post to securely hold the new tooth. To make the new tooth or teeth, an impression of your teeth will be made, and a model of your bite will be done (which captures all of your teeth, their type, and arrangement). The new tooth or teeth is based on this model. A replacement tooth, called a crown, is then attached to the abutment.

Instead of one or more individual crowns, some patients may have attachments placed on the implant that retain and support a removable denture.

Crowns and bridges over implants will match the color of the new teeth to your natural teeth. Because the implant is secured within the jawbone, the replacement teeth look, feel, and function just like your own natural teeth.

Success rates of dental implants vary, depending on where in the jaw the implants are placed but, in general, dental implants have a success rate of up to 98%. With proper care, implants can last a lifetime.

MPM (Mineralized Plasmatic Matrix) Surgery

The Mineralized Plasmatic Matrix aggregation into a homogeneous compound rich in plasma fibrin and biomaterials. In cases where bone graft will be needed the revolutionary MPM technique will be the best choice. The surgery is done in our clinic among one of the few clinics in Lebanon and worldwide.

  • Facilitates the cohesion of the whole and the control of the grain dispersion
  • Secures the transport of fillings products to the recipient site
  • Improves the penetration of platelet blood plasma fractions into biomaterials
  • Revolutionize the surgical gesture by maintaining the biomaterial on the site



Dental veneers (sometimes called laminates) are wafer-thin, custom-made shells of tooth-colored materials designed to cover the front surface of teeth to improve your appearance. These shells are bonded to the front of the teeth changing their color, shape, size, or length.

Veneers are used for:

  • Teeth that are discolored either because of root canal treatment; stains from tetracycline or other drugs, excessive fluoride or other causes; or the presence of large fillings that have discolored the tooth
  • Teeth that are worn down, chipped or broken
  • Teeth that are misaligned, uneven, or irregularly shaped
  • Teeth with gaps between them (to close the space between these teeth)

Veneers advantages are:

  • They provide a natural tooth appearance
  • Gum tissue tolerates porcelain well
  • Porcelain veneers are stain resistant
  • The color of a porcelain veneer can be selected such that it makes dark teeth appear whiter
  • Veneers offer a conservative approach to changing a tooth's color and shape; veneers generally don't require the extensive shaping prior to the procedure that crowns do, yet offer a stronger, more aesthetic alternative.

To prepare a tooth for a veneer, your dentist will remove about 1/2 millimeter of enamel from the tooth surface, which is an amount nearly equal to the thickness of the veneer to be added to the tooth surface.

Crowns & Bridges

A crown is used to entirely cover a damaged tooth. Besides strengthening a damaged tooth, a crown can be used to improve its appearance, shape or alignment. A crown can also be placed on top of an implant to provide a tooth-like shape and structure for function. Porcelain or ceramic crowns can be matched to the color of your natural teeth. Other materials include gold and metal alloys, acrylic and ceramic.

A crown is recommended to:

  • Replace a large filling when there isn't enough tooth remaining
  • Protect a weak tooth from fracturing
  • Restore a fractured tooth
  • Attach a bridge
  • Cover a dental implant
  • Cover a discolored or poorly shaped tooth
  • Cover a tooth that has had root canal treatment

On the other hand, a bridge may be recommended if you're missing one or more teeth. Gaps left by missing teeth eventually cause the remaining teeth to rotate or shift into the empty spaces, resulting in a bad bite. The imbalance caused by missing teeth can also lead to gum disease and temporomandibular joint (TMJ) disorders. Bridges are cemented to the natural teeth or implants surrounding the empty space.

Teeth Whitening

Laser is used to speed up in-office teeth whitening procedures. A peroxide bleaching solution, applied to the tooth surface is activated by laser energy, which speeds up of the whitening process.

In-office bleaching provides the quickest way to whiten teeth. With in-office bleaching, the whitening product is applied directly to the teeth. These products can be used in combination with heat, a special light, or a laser. Results are seen in only one, 30 to 60 minute treatment. But to achieve dramatic results, 2 to 3 appointments are usually needed.

An in-house tooth whitening system using a mouth guard-like tray with a gel whitening solution which contains a peroxide-bleaching agent. The tray is worn for 90 minutes a day for up to three weeks (depending on the degree of discoloration and desired level of whitening). Many patients start to see their teeth shades whiter in the second or third day.

For best results, an in-office laser whitening procedure is accompanied by an in-house whitening using the tray.

Clear Aligners for Teeth

Braces use brackets connected by wires to encourage teeth to move. Aligners are a series of tight-fitting custom-made retainers that slip over the teeth.

Clear orthodontic aligners are typically used for patients who have mild or moderately crowded teeth, or have minor spacing issues. Patients who have severe crowding or spacing problems, severe underbites, overbites, or crossbites may need more complex orthodontic treatment.

Aligners are made from a clear plastic or acrylic material and fit tightly over the teeth, but can be removed for eating, brushing, and flossing. You'll get a new aligner every few weeks to continue moving the teeth into the desired position.

Treatment time with invisible teeth aligners is based on how much the teeth need to be moved or rotated. Avoiding “metal mouth” isn’t the only reason to choose a clear aligner. Unlike braces, aligners can be removed, making it easier to brush and floss well; that helps maintain better overall oral health.


If you have crooked teeth and/or a misaligned bite (an underbite or overbite), there are a variety of treatments that can help straighten teeth, including braces and retainers.

The braces may consist of bands, wires, and other fixed or removable corrective appliances. They work by applying continuous pressure over a period of time to slowly move teeth in a specific direction. As the teeth move, the bone changes shape as pressure is applied.

The time required for braces varies from person to person, depending on the severity of the problem; the amount of room available; the distance the teeth must travel; the health of the teeth, gums, and supporting bone; and how closely the patient follows instructions. On average, however, once the braces are put on, they usually remain in place for one to three years. After braces are removed, most patients will need to wear a retainer all the time for the first six months, then only during sleep for some years.

Your visits to our orthodontist will be only once a month in order to make sure the braces are exerting steady pressure on the teeth.

Root Canal Treatment

A root canal is a treatment used to repair and save a tooth that is badly decayed or becomes infected. During a root canal procedure, the nerve and pulp are removed and the inside of the tooth is cleaned and sealed.

Without treatment, the tissue surrounding the tooth will become infected and abscesses may form.

Root canal is the term used to describe the natural cavity within the center of the tooth. The pulp or pulp chamber is the soft area within the root canal. The tooth's nerve lies within the root canal.

After completion of your root canal treatment permanent filling or a crown is bonded.

Gingival Diseases Treatments

There are a variety of treatments for gingival diseases depending on the stage of disease, how you may have responded to earlier treatments, and your overall health.

Treatments range from nonsurgical therapies that control bacterial growth to surgery to restore supportive tissues including Professional dental cleaning, Scaling and Root planing to surgical therapies of Flap surgery, Bone grafts, soft tissue grafts, Guided tissue regeneration and Bone surgery.

Gingival Contouring

If your gingiva (gums) rest too low or too high on your teeth and you are unhappy with your smile, you may be a candidate for gingival contouring surgery.

Not only can gingival recession make your teeth look long, it can lead to serious dental problems such as decay and tooth loss. Gingival recession may also be a sign of periodontal disease, the deterioration of the supporting structures of the teeth (gingiva and bone).

This cosmetic dental procedure can even out an uneven gum line.

Gingival Tissue Graft

A gingival graft may be necessary to protect your teeth from the damaging effects of gingival recession, or you may choose to have one to improve the appearance of your smile.

Gingival recession is the process in which the tissue that surrounds the teeth pulls away from a tooth, exposing more of the tooth or the root. This can cause damage to supporting bone. Gingival recession is a common dental problem; it affects 4% to 12% of adults and often goes unnoticed until it becomes more severe.

A gingival tissue tissue graft surgery may be needed to treat this recession.

Tooth Extraction

A tooth that is severely damaged may need to be removed. Removing a tooth is necessary when decay or an abscessed tooth is so severe that no other treatment will cure the infection.

Tooth Fillings

Tooth colored composite fillings are used for filling cavity preparations after removing the decayed portion of the tooth.

Mouth Guards

If you grind your teeth at night, a special mouth guard may be made to prevent tooth damage. An effective mouth guard should be comfortable, resist tears, be durable and easy to clean, and should not restrict your breathing or speech.

Mouth guards should also be used by anyone who play contact sports such as football, boxing, basketball or any activity that might pose a risk of injury to the mouth.