DIAGNOSTIC WAX UP

17.0mm

5.5mm

Interocc space=10mmOpen bite=4mmCentral incisaa gingival=12mm

Mesial-distal=8.5mm

Close up x-ray of Rx area

Periodontal condition showed•Severe Chronic periodontitis(bone loss) with attachment loss •Horizontal and vertical bone loss With splaying of #9 labially4mm Extrusion in relation to adjacent teeth6mm recession+3 mobility Pocket depth was 3-3-3 labially and lingually

12mm

STAGE 1 ENDOSSEOUS IMPLANT PLACED 3.7X13 ZIMMER MTX

Gary F. Tunier DMD

After extraction was performed on #9 I reviewed the socket walls carefully for any dehiscence or fenestrations along the facial wall. It is wise to pay particular attention to the granulation tissue apically. It seems that the saucerization area was tricky since the granulation tissue

that remained there was hard to detect until I continued to use a molt 2/4 to debride that area.

THE IMPLANT FIXTURE IS APPROX. 4MM FROM THE IMPLANT PLATFORM TO GINGIVAL MARGIN SINCE THE HEALING ABUTMENT IS 5MM AND SHOWS ABOVE THE GINGIVA

11.85MM

13 MM

Gary F. Tunier DMD

I PERFORMED THE OSTEOTOMY APRROX 5MM ABOVE THE BASE OF SOCKET AND ON PALATTAL WALL

Gary F. Tunier DMD

PREOP AND POST OP XRAY OF SITE #910.42m

m

2.65mm

5.5mm

3.7x13mm zimmer MTX

ROOT APEX OF #8

Gary F. Tunier DMD

NOTE EXTENT OF BONE LOSS

THE PFM CROWN HEIGHT WILL HAVE TO BE APPROX. 12MM FROM IMPLANT ABUTMENT MARGIN TO INCISAL

CROWN HEIGHT INCISAL-CERVICAL

Intra Oral Views

PRE-OP-NOTE EXTRUSION OF #9

POST OP WITH PROVISIONAL AND HEALING ABUTMENT 5X5MM

Gary F. Tunier DMD

Gary F. Tunier DMD

ACRYLLIC PROVISIONAL FABRICATED ON TOP OF HEALING ABUTMENT

LATERAL VIEW OF PROVISIONAL OF #9

The End