Members' Cases
Implant Surgery using a surgical stent
Surgical stents are useful when placing multiple implants. This case probably did not require a stent to place dental implants in #28, 30 areas. But the surgical stent was needed for the LL area. With the surgical stent in position, a 3D CBCT was taken. As you can see in the CT there was plenty... [Read more]
Mini Implant Case
Here are two cases that I did with mini implants. In the case above, the patient had some extra space between the lower incisors. Fortunately, the teeth were aligned so that orthodontics was not need prior to implant therapy. The implant was placed under local anesthesia, as usual. The one-piece... [Read more]
Extraction of an impacted canine with a Piezo machine
Flap elevation #11 was impacted in the palate and housed by bone completely. A sulcus incision was made from #9 to 12 mesial and a vertical incision was made at the mesiolingual line angle of #9. After flap elevation, a bony prominence was noticed on the apical area of #9 and 10. . . . . . OSC piezo... [Read more]
Crown Lengthening
The patient came in with a fractured ML cusp of tooth #3. There was a small fistula on the palatal side of the tooth. Pt reported pain on chewing. There were no signs that indicated the need for RCT. Upon examination the ML cusp was loose. The treatment plan included a crown lengthening and... [Read more]
Immediate implant placement with minor soft tissue management
Tooth fracture at the cervical level on #9 After extraction Extracted tooth Implant placement and healing abutment connection Bone graft After bone graft between the buccal bony wall and the implant Donor site of a gingival graft A small piece of the gingival graft Buccal view after the gingival grafting Occlusal... [Read more]
Immediate Implant Placement
Tooth #7 was fractured. The root was removed and an implant was placed immediately. The extraction of the root was performed by another dentist in the office. Nobel Replace Tapered Groovy NP 3.5×13 mm was placed. The patient appeared to have enough vertical bone to receive a 13 mm implant. ... [Read more]
Gingival Overgrowth
Gingival overgrowth can be influenced by medications such as Cyclosporin-A, calcium channel blocking high blood pressure medications and phenytoin. This case shows a severe overgrowth. The patient was in her early 50’s and has been taking Cyclosporin-A since her kidney transplant many years ago. ... [Read more]
Surgical Extrusion
When there is a fractured tooth, there are several options such as, crown lengthening, orthodontic extrusion and surgical extrusion. Surgical extrusion is partial extraction of a fractured tooth. The fractured tooth luxated and left in the socket at a more coronal position. Orthodontic extrusion... [Read more]
Soft Tissue Ridge Augmentation
Here is a young woman planned to have a fixed partial denture (FPD) from#9 to #11, with tooth #10 missing. The ridge under the pontic, #10 area, looks deficient horizontally (or buccolingually). The patient had a temporary FPD in place and desired to have an augmentation procedure under the pontic... [Read more]
Crown Lengthening
This crown lengthening case was done some years ago. The patient was in his mid 60’s and had severe attrition on the upper incisors as you can see in the photograph. My prosthodontist made a surgical stent that showed where the final crown margins would be. I basically removed enough bone... [Read more]
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