Where Dentistry Meets Medicine

Daniel Haghighi, DDS

www.LCOH.net

Lower Columbia Oral Health &

Center for Implant Dentistry

Implant Replacement

of Failed

Maxillary Anterior Tooth

Daniel Haghighi, DDS

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.

Pre-treatment Photograph

Esthetic Demands:

• High level of gingival (gum tissue) show

• Worn discolored lateral incisor

• Mismatched gingival (gum tissue) margins on central incisors.

Anatomic Demands:

• Failing central incisor

• Loss of bone due tofailing crown

• Very close dental root proximity

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

3 dimensionalimaging studycompleted inoffice.

• 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.

Immediately after surgery with temporary removable appliance seated

5 -6 Months Later

Computerized planning for implant placement completed on site

Dental implant placed

• 4-5 Months allowed for dental implanthealing

• After the healing time, the dental implant is exposed and a temporary crown is fabricated

Screw retained plastic temporary Is easily modified to shape gum margin

• Temporary crown used to shape gum margin

• Eliminate need for removable retainer

Final implant crown and lateral crown are fabricated and

seated

Before

After

Where Dentistry Meets Medicine

Daniel Haghighi, DDS

www.LCOH.net

Lower Columbia Oral Health &

Center for Implant Dentistry