Full mouth rehabilitations (rehabs) can be some of the most rewarding experiences, but require an immense amount of patience on everyone’s account, compliance, and good healing. This case in particular involved multiple failing endodontically treated teeth in conjunction with peri-apical abscesses which resulted in large amounts of bone loss prior to initiation of treatment.
After long discussions with the patient and preparations, we all elected to move forward with removal of the failing teeth, full debridement of surgical site, placement of immediate implants along with buccal grafting. This undoubtedly was a lot to ask of both the patient and the site, but as we will see, the results were great! Much of the success can be attributed to the patient’s compliance and diligence when following post-op directions. The timeline of events began on March 22, 2011 and commenced at just under a year.
After healing of the initial phase we were able to grow enough bone that it was necessary to remove some of the ridge to find and access the implants. Afterwards the healing around implant #10 yielded a deficiency in keratinized tissue and a bit of an alteration in gingival contour. This was discussed with the patient that grafting should take place prior but could be accomplished after final restoration. The patient made it clear that she wanted some slight imperfections of the teeth to obtain a “natural” look and did not want to have the perfect smile. Needless to say, she was ecstatic at the results.
We will wait for papilla formation between the new restorations and will continue to watch the tissue associated with #10, but for now she is 1 week into the restorations and can’t stop smiling!
A very special thanks to Dr. John Miller in Aspen who guided the restorative treatment and final restorations.
Dr. Marcus Blue invites you to “Maximizing the Esthetic Potential of Implant Restorations” presented by Dr. Brien Harvey on Thursday, September 8, 2011.
This presentation will demonstrate the predictability of achieving esthetic implant restorations. Particular attention will be paid to utilizing immediate provisionals in the esthetic zone in order to achieve the maximum esthetic results. A discussion of how to improve the coordination of efforts between the restorative dentist and the implant surgeon will also be held, as well as case identification, diagnosis and treatment planning in order to increase the results of implant dentistry in general practice. The flexible range of abutment options will be presented as well as training on techniques that can be immediately implemented to achieve reliable, esthetic outcomes.
At the completion of this course, participants will be able to:
- Recognize the full potential of integrating implant dentistry into • their practice.
- Better incorporate implant dentistry in their practice through • improved interaction and communication with their implant surgeon.
- Recognize the excellent results that can be achieved through • immediate provisionalization of dental implants.
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Dental implants are today’s best alternative when you have missing teeth.
Teeth implants can quickly and efficiently bring back that beautiful, bright & white smile and you will be able to laugh and eat just like you did when you had all of your teeth in place.
Moreover, yet another huge advantage of dental implants is that the self esteem of the patient is being restored. You will not feel anymore embarrassed of speaking in public, of laughing, or of talking to people.
The dental implants also offer protection for the gums and for the bones in your jaw. Unlike crowns and other kinds of dentures, the implants will never slip from the mouth while eating or speaking. Perhaps the best thing about the dental implants is that they look and feel 100% natural. Nobody will ever be able to tell that you actually have “prosthetic teeth”, that they are not natural.
The old style dentures are usually anchored to your teeth (or to what has remained of them!), while the dental implants are anchored to the natural bone in your jaw. They are fixated there extremely securely, and they will never move around, or give you the feeling that you have a strange material in your mouth.
The lifespan of the dental implants is anywhere between 20 and 30 years, and even more. This fact of course depends on many factors, such as the state of health of the patient, and whether he/she respects the daily dental cleaning regimen.
Implants should be treated just like natural teeth. Once they are in your mouth, it is important to brush and floss them regularly, exactly like you would do with your natural teeth. On the other hand, the lifespan of a traditional fixed bridge is only 10-15 years.