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Implants and the Edentulous Ridge
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Implants and the Edentulous Ridge

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  • Immediate implant possible because of good apical bone …
  • Procera abutment
  • Day of seating
  • Combo of use of tissue former and reproduction of temporary crown subgingival contours
  • Ovate pontics
  • Zimmer implants (centrals are 3.7, canines are 4.3 all 13mm long)
  • Puros, Ossix NobelBiocare IPI (Immediate Provisional Implant) #7 (2mm diameter, 16mm long)
  • Transcript

    • 1. Implants Pamela Nicoara DDS Anterior Immediate Implant & Restoration
    • 2. Pamela Nicoara DDS
    • 3. Pamela Nicoara DDS Patient presents with mobile #8 due to prior trauma with subsequent internal/external root resorption.
    • 4. Pamela Nicoara DDS
    • 5. Pamela Nicoara DDS
    • 6. Pamela Nicoara DDS
    • 7. Pamela Nicoara DDS
    • 8. Pamela Nicoara DDS Final crown with Procera abutment
    • 9. Pamela Nicoara DDS
    • 10. Pamela Nicoara DDS Final Restoration
    • 11. Initial Final Pamela Nicoara DDS
    • 12. Initial Final Pamela Nicoara DDS
    • 13. Implants Pamela Nicoara DDS Maxillary Staged Implant Restoration
    • 14. Pamela Nicoara DDS Patient presents with long-standing temporary bridge on failing abutments.
    • 15. Pamela Nicoara DDS Missing teeth due to traumatic horse injury years prior.
    • 16. 25 October 2004 Pamela Nicoara DDS
    • 17. Initial Extractions 14 January 2005 Pamela Nicoara DDS
    • 18. Pamela Nicoara DDS
    • 19. Pamela Nicoara DDS Ovate pontics prepared on existing temporary fixed partial denture to preserve gingival contours.
    • 20. Implant Placement #6, 8, 9 and 11 4 months post extraction Pamela Nicoara DDS
    • 21. Pamela Nicoara DDS
    • 22. Pamela Nicoara DDS Note ridge resorption and apical infection #10.
    • 23. Pamela Nicoara DDS Implants placed and tooth #10 extracted.
    • 24. Pamela Nicoara DDS Bone grafting used to reconstruct ridge. Immediate provisional implant placed #7 site to support existing temporary fixed partial denture since tooth #10 extracted.
    • 25. 25 May 2005 Pamela Nicoara DDS
    • 26. Extraction and Implant placement #4 and 13 3 months after initial implant placement Pamela Nicoara DDS
    • 27. Pamela Nicoara DDS
    • 28. 2 August 2005 Pamela Nicoara DDS
    • 29. Atlantis abutment placement and removal of IPI and remaining teeth. Pamela Nicoara DDS
    • 30. Pamela Nicoara DDS
    • 31. Final Restoration Pamela Nicoara DDS
    • 32. Happy Patient Pamela Nicoara DDS
    • 33. Thank You! 3125 Colby Avenue, Suite H Everett WA 98201 T: 425-374-5380 • F: 425-374-5382 16030 Bothell Everett Hwy, Suite 260 Mill Creek WA 98012 T: 425-224-8199 • F: 425-338-7062 www.NICOARAperio.com • [email_address] Pamela A Nicoara DDS MSD PLLC