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Where Dentistry Meets Medicine
Daniel Haghighi, DDS
www.LCOH.net
Lower Columbia Oral Health &
Center for Implant Dentistry
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Implant Replacement
of Failed
Maxillary Anterior Tooth
Daniel Haghighi, DDS
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Case History:• The patient has suffered from a failing anterior crown for several years.
• The patient is a health professional who works with the public.
• The patient would prefer a dental implant to replace the damaged tooth if possible.
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Pre-treatment Photograph
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Esthetic Demands:
• High level of gingival (gum tissue) show
• Worn discolored lateral incisor
• Mismatched gingival (gum tissue) margins on central incisors.
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Anatomic Demands:
• Failing central incisor
• Loss of bone due tofailing crown
• Very close dental root proximity
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Solution:
• Staged • Staged timing of extraction, grafting , and implant placement
• Use of plastic temporary implant crown to stabilize gum margin
• All ceramic crown treatment to restore shape and esthetic balance to worn lateral incisor
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3 dimensionalimaging studycompleted inoffice.
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• An immediate implant placement was not possible due to anatomic considerations.
• The surgical site was grafted, temporized, and allowed to heal.
• Implant to be placed at ~6 months healing time.
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Immediately after surgery with temporary removable appliance seated
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5 -6 Months Later
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Computerized planning for implant placement completed on site
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Dental implant placed
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• 4-5 Months allowed for dental implanthealing
• After the healing time, the dental implant is exposed and a temporary crown is fabricated
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Screw retained plastic temporary Is easily modified to shape gum margin
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• Temporary crown used to shape gum margin
• Eliminate need for removable retainer
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Final implant crown and lateral crown are fabricated and
seated
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Before
After
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Where Dentistry Meets Medicine
Daniel Haghighi, DDS
www.LCOH.net
Lower Columbia Oral Health &
Center for Implant Dentistry