Choose a smile transformation:

Case 1: Single tooth implant placement and temporization
Case 2: Multiple teeth implant placement and temporization
Case 3: Implant placement, temporization with midline correction
Case 4: Implant placement and restoration with sinus elevation
Case 5: Implant placement, sinus elevations with bone grafting
Case 6: Soft tissue grafting and veneer restorations
Case 7: Soft tissue grafting, veneer restorations and tooth whitening
Case 8: Crown lengthening and veneer treatment
Case 9: Aesthetic crown lengthening and veneer restorations
Case 10: Implant reconstruction with bone grafting



Case 10: Implant Reconstruction with Bone Grafting
History: A 35 year-old healthy nonsmoking female presented for implant reconstruction of the maxillary left lateral incisor, and the mandibular right first and second molar region.
Treatment: Grafting to reconstruct the inadequate osseous contours at the buccal of the left central incisor, and in the buccal plate area of the lower right posterior. In addition to implant reconstruction at these areas, crown lengthening was planned for the upper jaw to alter the gingival levels. The final restorative treatment plan consisted of implant crowns with veneers for the cosmetic and functional rehabilitation of the aesthetic zone.
 
Figures 1: Pre-operative clinical view; right lateral and central incisor; and maxillary central incisor Figure 2: Completed Diagnostic waxing
 
Figure 3: Completed panorex, single tooth implant left lateral incisor and implant reconstruction mandibular right posterior Figure 4: Case complete, right lateral view, post crown lengthening, and aesthetic rehabilitation with veneers
 
Figures 5: Case complete, straight on view post crown lengthening and veneers, and implant reconstruction following advanced bone grafting in the upper left Figure 6: Case complete left lateral view post crown lengthening and implant reconstruction following advanced bone grafting in the upper left
 
Figure 7: Pre-treatment facial view Figure 8: Post-treatment facial view
 
Total treatment time six months, two treatment procedures.
Cosmetic dentistry performed by Dr. Wes Urich, Plymouth, MN

E-mail:  DrPaul@Petrungaro.com
Contemporary Periodontics & Implantology - CPI/SPA 32

http://www.webaloo.com