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 5: Tooth Removal; Immediate implant placement and restoration; simultaneous sinus elevations, bilaterally; advanced bone grafting in the lower jaw due to premature tooth loss
History: A 54 year-old non-smoking female presented for aesthetic reconstruction of her oral cavity. The patient suffered from advanced tooth loss, failure of previous dental treatment, inefficient chewing capabilities and discomfort.
Treatment: Upper arch - Implant placement and immediate provisionalization and sinus elevation; Lower arch – Initial bone replacement procedure; lower right followed by implant placement and provisionalization.


Figures 1-3 Pre-treatment clinical view of the right, center and left lateral appearance, respectively. Please note, the patient was placed in provisionals in the upper arch by the reconstructive dentist.
 
Figure 4 Pre-treatment panoramic radiograph

 
Figure 5-7: 2.5 year post-treatment clinical view showing the right, center, and left lateral views respectively
 
Figure 8-10: Pre-treatment view of the upper arch
 
Figure 11-13: 2.5 year post-treatment clinical view. Please compare to pre-treatment views in figures 8, 9 and 10.
 
Figure 14: 2.5 year post-treatment panoramic radiograph
 
Total treatment time 9 months, three treatment procedures
Restorative dentistry by Dr. Steven Gorman, North Oaks, MN


 

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

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