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Implant Replacement of a Failed Maxillary Anterior Tooth

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Presentation of an Implant replacement of a failed maxillary anterior tooth.

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Implant Replacement of a Failed Maxillary Anterior Tooth

  1. 1. Where Dentistry Meets Medicine Daniel Haghighi, DDS www.LCOH.net Lower Columbia Oral Health & Center for Implant Dentistry
  2. 2. Implant Replacement of Failed Maxillary AnteriorTooth Daniel Haghighi, DDS
  3. 3. Case History: • The patient has suffered from a failing anterior crown for several years. • The patient is a health professional who works with the public. • The patient would prefer a dental implant to replace the damaged tooth if possible.
  4. 4. Pre-treatment Photograph
  5. 5. Esthetic Demands: • High level of gingival (gum tissue) show • Worn discolored lateral incisor • Mismatched gingival (gum tissue) margins on central incisors.
  6. 6. Anatomic Demands: • Failing central incisor • Loss of bone due to failing crown • Very close dental root proximity
  7. 7. Solution: • Staged • Staged timing of extraction, grafting , and implant placement • Use of plastic temporary implant crown to stabilize gum margin • All ceramic crown treatment to restore shape and esthetic balance to worn lateral incisor
  8. 8. 3 dimensional imaging study completed in office.
  9. 9. • An immediate implant placement was not possible due to anatomic considerations. • The surgical site was grafted, temporized, and allowed to heal. • Implant to be placed at ~6 months healing time.
  10. 10. Immediately after surgery with temporary removable appliance seated
  11. 11. 5 -6 Months Later
  12. 12. Computerized planning for implant placement completed on site
  13. 13. Dental implant placed
  14. 14. • 4-5 Months allowed for dental implant healing • After the healing time, the dental implant is exposed and a temporary crown is fabricated
  15. 15. Screw retained plastic temporary Is easily modified to shape gum margin
  16. 16. Final implant crown and lateral crown are fabricated and seated
  17. 17. Before After
  18. 18. Where Dentistry Meets Medicine Daniel Haghighi, DDS www.LCOH.net Lower Columbia Oral Health & Center for Implant Dentistry

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