A patient with a failing anterior crown needed a replacement tooth. Due to bone loss from the failing crown and close root proximity, an immediate implant was not possible. The dentist grafted the surgical site and placed a temporary removable appliance to stabilize the gum tissue. After 6 months of healing, a dental implant was placed. Following additional healing time, a temporary crown was fabricated on the implant to shape the gum tissue. Finally, permanent ceramic crowns were made for the implant and a lateral tooth to restore esthetics.

1. Where Dentistry Meets Medicine
Daniel Haghighi, DDS
www.LCOH.net
Lower Columbia Oral Health
&
Center for Implant Dentistry

2. Implant
Replacement of
Failed Maxillary
AnteriorTooth
Daniel Haghighi, DDS

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. Pre-treatment Photograph

5. Esthetic Demands:
• High level of gingival (gum tissue) show
• Worn discolored lateral incisor
• Mismatched gingival (gum tissue) margins on
central incisors.

6. Anatomic Demands:
• Failing central incisor
• Loss of bone due to
failing crown
• Very close dental root
proximity

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. 3 dimensional
imaging study
completed in
office.

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. Immediately after surgery with temporary
removable appliance seated

11. 5 -6 Months Later

12. Computerized planning for implant
placement completed on site

13. Dental implant placed

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. Screw retained plastic temporary
Is easily modified to shape gum margin

17. Final implant crown
and lateral crown
are fabricated and
seated

18. Before
After

19. Where Dentistry Meets Medicine
Daniel Haghighi, DDS
www.LCOH.net
Lower Columbia Oral Health
&
Center for Implant Dentistry