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 4: Immediate implant placement and restoration; simultaneous sinus elevation procedure to increase the available supporting bone in the posterior maxillae
History: A 56 year-old, non-smoking female presented for treatment of tooth loss in the upper right posterior region. The patient was suffering from a decrease in chewing efficiency, and facial collapse on the right side of her cheek from the loss of her molar and supporting bone.
Treatment: Implant placement and immediate provisionalization, sinus elevation procedure
 
Figures 1: Pre-operative clinical view of the upper right 1st molar region. Please note the concavity in the gum area which signifies advanced bone loss. Figures 2: Immediate post-surgical clinical appearance of the temporary placed on the implant at insertion, in conjunction with the sinus grafting procedure.
 
Figure 3: Pre-operative panoramic radiograph Figure 4: Immediate post-surgical panoramic radiograph
 
Figure 5: Case complete clinical view of the crown placed on the implant in the 1st molar region Figure 6: 3.5 year post-op clinical view
 
Figures 5-6: 3.5 year post-treatment digital periapical and panoramic radiograph. Radiographs exhibit excellent bone support and maintenance in the regions of the implant restoration
 
Total treatment time 6 months, one treatment procedure.
Restorative dentistry completed by Dr. Robert LaCosse, Duluth, MN

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

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