Dental Implants

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Age: 35                                                                   Gender: Male

Type of Case: Esthetic correction by tooth contouring and implants.

Pre Operative:

Chief Complaint:   

  • Patient complained of missing tooth in the upper front teeth region.

before-placing-impalnt-case-2pre-operative-2-case-2pre-operative-1-case-2pre-operative-3-cae-2

Clinical Findings: 

  • Congenitally missing 12, 22 and 13, 23 substituting them.
  • Retained deciduous teeth wrt 53
  • Cervical caries 53
  • Root stump wrt 63
  • Existing FPD wrt 31,32,41,42

During the procedure:

during-the-procedure-1-case-2

during-the-procedure-2-case-2

Alternative Treatment Plan:

  • Removable prosthesis replacing 13, 23.
  • FPD not an ideal option to replace the canines.
  • Orthodontic correction would be a long span and tedious option.

Treatment Plan:

  • Esthetic enamel contouring of  the permanent  canines
  • Extraction of retained deciduous 53,63 and immediate placement of implants

Treatment Procedure:

  • Pre operative photographs and diagnostic models were obtained.
  • Mock preparation of the 13, 23 were carried out.
  • Deciduous canines on the model were contoured as permanent canines.
  • The model was used to educate the patient.
  • Clinically, Esthetic enamel contouring the canines  to give the illusion of being lateral incisors were carried out  by enameloplasty
  • Retained deciduous 53, 63 were extracted and implants were placed immediately in the region, followed by immediate temporization.
  • Final screw retained implant prosthesis were given in 3 months period after the implant surgery..

Post Operative:

after-placing-implant-case-2

opg-after-impant-placement-case-2post-operative-2-case-2post-operative-1-case-2Follow Up:

  • A regular follow every 6 months

Treatment Done By:

dr-sujay-gopal

  • Dr. Sujay Gopal BDS, FICOI
  • Dental Surgeon & Implantologist

 

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