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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 3:Immediate tooth removal; implant placement; temporization with midline correction
History:A 32 year-old non-smoking male presented for treatment of failing root canal procedures at the two maxillary central incisors. A past history of trauma existed, and the patient was concerned about the aesthetics of the anterior sextant of his upper arch.
Treatment:Atraumatic tooth removal; non-incision implant placement (flapless approach); flapless bone grafting; immediate provisionalization; midline correction
 
Figures 1: Pre-treatment clinical appearance of the maxillary central incisors, and the patient’s pre-treatment smileFigure 2: Appearance of the transitional abutments (attachments) and the resulting soft tissue contours obtained one month after tooth removal and implant placement. Please note the healthy appearance of the gum tissue compared to figure #1.
 
Figure 3: Pre-operative appearance, central incisorsFigure 4: Case complete clinical appearance, implant supported restorations
 
Figures 5: Case complete view of the patient smile, with the implant crowns at the central incisors, and veneer restorations at the canines and lateral incisiors
 
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
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