Implant Case Study

Pre Operative Condition

The patient present with extensive mobility and an acute infection due to root fractures on both teeth which have a long history (40 years+) of treatment due to a childhood bicycle accident.

Root Fractures

High magnification image of root apex, after extraction. Note root fractures and beveled apical root from endodontic surgery (apicoectomy)which previously addressed the recurrent apical infection.

Surgical Placement of Implants

Placement of endossesous implants in prepared surgical implant sites. Note, complete loss of bone at the facial aspect of the implant sites due to the history of chronic , acute infections. BMP-2 (bone morphoogenic protein), and bone graft material was used to “grow” bone around implant and promote integration of implant.

Soft tissue architecture after implant integration

Implants uncovered after integration (healing) prior to impression of implant site. Note re-establishment of proper soft tissue architecture to mimic nature and foster an esthetic result.

Final Impressions

Image of the full arch final impression of implants. Note the open-tray impression assemblies that record the exact position of the implants for the fabrication of the final restorations (custom abutment & crowns).

Laboratory fabrication of final restorations

Lab fabrication of wax patterns on sprue form of final crown copings prior to investing. These copings (restoration sub-structure support the ceramic material of the final restorations (crowns).

Zirconium Abutments

Final zirconium (tooth colored) abutments on stone model cast. These abutments are connected to the implants in the bone via gold screws. Note the screw accesses.

Final restorations (crowns)

Facial view of the final prosthetic crown restorations seated on the zirconium abutment and connected to the stone cast model.

Final restorations (crowns) inside view

Palatal view (inside view) of the final restorations (crowns) photographed off of the stone cast model and on a mirror background Note reflection of crowns on the mirror showing the form of the crowns.

Final Restorations in the Mouth

Final crown restorations (all ceramic) connected onto zirconium abutments. Note natural appearance of soft tissue architecture developed with the previous provisional (temporary) restorations. Also note, incisal translucency & natural appearance of ceramic due to all the various colors incorporated into the ceramic.