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)
  • Implants and the Edentulous Ridge

    1. 1. Implants Pamela Nicoara DDS Anterior Immediate Implant & Restoration
    2. 2. Pamela Nicoara DDS
    3. 3. Pamela Nicoara DDS Patient presents with mobile #8 due to prior trauma with subsequent internal/external root resorption.
    4. 4. Pamela Nicoara DDS
    5. 5. Pamela Nicoara DDS
    6. 6. Pamela Nicoara DDS
    7. 7. Pamela Nicoara DDS
    8. 8. Pamela Nicoara DDS Final crown with Procera abutment
    9. 9. Pamela Nicoara DDS
    10. 10. Pamela Nicoara DDS Final Restoration
    11. 11. Initial Final Pamela Nicoara DDS
    12. 12. Initial Final Pamela Nicoara DDS
    13. 13. Implants Pamela Nicoara DDS Maxillary Staged Implant Restoration
    14. 14. Pamela Nicoara DDS Patient presents with long-standing temporary bridge on failing abutments.
    15. 15. Pamela Nicoara DDS Missing teeth due to traumatic horse injury years prior.
    16. 16. 25 October 2004 Pamela Nicoara DDS
    17. 17. Initial Extractions 14 January 2005 Pamela Nicoara DDS
    18. 18. Pamela Nicoara DDS
    19. 19. Pamela Nicoara DDS Ovate pontics prepared on existing temporary fixed partial denture to preserve gingival contours.
    20. 20. Implant Placement #6, 8, 9 and 11 4 months post extraction Pamela Nicoara DDS
    21. 21. Pamela Nicoara DDS
    22. 22. Pamela Nicoara DDS Note ridge resorption and apical infection #10.
    23. 23. Pamela Nicoara DDS Implants placed and tooth #10 extracted.
    24. 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. 25 May 2005 Pamela Nicoara DDS
    26. 26. Extraction and Implant placement #4 and 13 3 months after initial implant placement Pamela Nicoara DDS
    27. 27. Pamela Nicoara DDS
    28. 28. 2 August 2005 Pamela Nicoara DDS
    29. 29. Atlantis abutment placement and removal of IPI and remaining teeth. Pamela Nicoara DDS
    30. 30. Pamela Nicoara DDS
    31. 31. Final Restoration Pamela Nicoara DDS
    32. 32. Happy Patient Pamela Nicoara DDS
    33. 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

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