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 2:Immediate tooth removal, multiple teeth; implant placement; temporization
History:A 35 year-old non-smoking female presented for treatment of failing dentition at the right lateral and both central incisors in the maxillary arch (teeth #7, 8 and 9). The clinical evaluation revealed tooth mobility and advanced bone loss.
Treatment:Atraumatic tooth removal; non-incision implant placement (flapless approach); flapless bone grafting; immediate provisionalization of multiple teeth
 
Figures 1-2: Pre-operative clinical view; right lateral and central incisor; and maxillary central incisor
 
Figure 3: Atraumatic tooth removal maintaining soft tissue form and contoursFigure 4: Immediate post-operative clinical view of temporaries placed on the implants at the initial, and only necessary, surgical appointment
 
Figures 5-6: Aesthetic, sculpted tissue contours obtained from the flapless implant procedure one-month after implant placement
 
Figure 7: Case complete clinical appearance of the patients smileFigure 8: Close-up view of the implant restorations at the maxillary central incisors. Please note the natural soft tissue appearance of the gingival tissues supporting the ceramic restorations
 
Total treatment time 4 months, one treatment procedure.
Restorative dentistry performed by Dr. Ned Windmiller, Stillwater, MN

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

http://www.webaloo.com