Case of the month January, 2013

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My special thanks to Dr. Stephen Francis of Martinez, CA for his help with this Case of the Month. The clinician faces many challenges when treating cases where there are two adjacent implants, in the esthetic zone. This patient also has a very high smile line and demanding esthetic requirements. Implant placement was was via computer guided techniques to facilitate the most accurate surgical placement. Dr. Francis was meticulous with his prosthetic techniques and obtained an outstanding result with this patient.

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Case of the month January, 2013

  1. 1. Esthetic zone case / high smile line case with adjacent teeth with root resorption
  2. 2. My special thanks to Dr. Stephen Francis of Martinez, CA for his help with this Case of the Month. The clinician faces many challenges when treating cases where there are two adjacentimplants, in the esthetic zone. This patient also has a very high smile line and demanding esthetic requirements. Implant placement was was via computer guided techniques to facilitate the most accurate surgical placement. Dr. Francis was meticulous with his prosthetic techniques and obtained an outstanding result with this patient.
  3. 3. LIZANO IMPLANT DENTISTRY
  4. 4. 42 y.o. femaleFindings: with high smile line Internal History of resorption #10 gingival (poor grafting upper prognosis per bicuspid areas endodontist) Severe Medical external history resorption #11 unremarkable – unrestorable Moderate to Cuspid severe guidance angulation to disclusion anterior maxilla LIZANO IMPLANT DENTISTRY
  5. 5. Alternatives No treatment Extraction Fixed bridge Removable appliance Endodontic treatment (poor prognosis) Implant supported restoration to replace missing teeth. Possible orthodontics or additional restorations needed to provide implant protected occlusion LIZANO IMPLANT DENTISTRY
  6. 6. Treatment Plan Ridge CBCT scan and Temporization: computer based Restoration of preservation Extraction of treatment plan Implants #10 and implants (and grafting (allograft) Essix, Tx RPD orteeth #10 and 11 and surgical guide 11 sites adjacent teeth as Bonded ? needed) LIZANO IMPLANT DENTISTRY
  7. 7. Atraumatic Puros 4 Month Extraction allograft healingLIZANO IMPLANT DENTISTRY
  8. 8. Facilitate Surgical Planning LIZANO IMPLANT DENTISTRY
  9. 9. Facilitate Surgical Planning LIZANO IMPLANT DENTISTRY
  10. 10. Facilitate Computer Based Treatment Plan LIZANO IMPLANT DENTISTRY
  11. 11. Facilitate Surgical PlanningLIZANO IMPLANT DENTISTRY
  12. 12. LIZANO IMPLANT DENTISTRY
  13. 13. 1 year after implant placement
  14. 14. Two years after restoration
  15. 15. Two years after restoration
  16. 16. 3 years after implant placement
  17. 17. Three years after implant placement

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