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Presentation of an Implant replacement of a failed maxillary anterior tooth.
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Where Dentistry Meets Medicine
Daniel Haghighi, DDS
www.LCOH.net
Lower Columbia Oral Health &
Center for Implant Dentistry
Implant Replacement
of Failed
Maxillary Anterior Tooth
Daniel Haghighi, DDS
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.
Pre-treatment Photograph
Esthetic Demands:
• High level of gingival (gum tissue) show
• Worn discolored lateral incisor
• Mismatched gingival (gum tissue) margins on central incisors.
Anatomic Demands:
• Failing central incisor
• Loss of bone due tofailing crown
• Very close dental root proximity
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
3 dimensionalimaging studycompleted inoffice.
• 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.
Immediately after surgery with temporary removable appliance seated
5 -6 Months Later
Computerized planning for implant placement completed on site
Dental implant placed
• 4-5 Months allowed for dental implanthealing
• After the healing time, the dental implant is exposed and a temporary crown is fabricated
Screw retained plastic temporary Is easily modified to shape gum margin
• Temporary crown used to shape gum margin
• Eliminate need for removable retainer
Final implant crown and lateral crown are fabricated and
seated
Before
After
Where Dentistry Meets Medicine
Daniel Haghighi, DDS
www.LCOH.net
Lower Columbia Oral Health &
Center for Implant Dentistry
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