Esthetic Dental Implants – Anterior Teeth
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Case #1: This patient presented with a history of trauma, and root canal treatment of her front tooth. After many years her crown fractured, leaving very little tooth structure behind as shown in the x-ray on the left. Our team replaced her natural tooth with a dental implant and crown. A natural result was achieved by using a temporary crown during treatment to maintain and support ideal soft tissue contours.
Case #2: This patient’s front tooth broke after many years of clenching and heavy functional wear on her front teeth. Unfortunately, not enough tooth structure was available to allow for predictable fabrication of a new crown. Instead the tooth was extracted and immediately replaced by an implant and temporary crown. After a few months a highly esthetic implant supported crown was fabricated by her dentist.
Case #3: As a teenager, this patient experienced trauma to her front tooth and a large root canal filling was completed. As an adult, our patient developed external root resorption, a process whereby the body dissolves the supporting tooth structure and bone in an unpredictable manner. Eventually the resorptive process led to a dental infection, and dental implant replacement of her front tooth was performed by our team.
Case #5: Our patient presented with a history of trauma to her front tooth. An updated dental x-ray was taken and a large Infection located above her front tooth and signs of external root resorption were noted. From an esthetic point of view, the patient was unhappy with the tooth color and dark stain at the gum margin. Key diagnostic factors for our team included a long-muscle pull between the front teeth, a gum margin already higher than the adjacent tooth, and a dark triangle between the front two teeth. Due to the severity of the infection and a need to grow new gum tissue, the tooth was extracted and a bone augmentation was performed as a separate procedure. Later in treatment a dental implant was placed and a customized temporary crown fabricated in order to develop esthetic gum tissue contours. Cosmetic bonding and reshaping of the adjacent tooth aided in achieving an optimal esthetic result for our wonderful patient.
Case #6: After replacement of this patient’s crown several times, it became apparent that her tooth root was fractured, leading to gum infection and bone loss. Upon extraction of her front tooth, a dental implant was placed immediately and a temporary crown fabricated on the same day. After a few months of soft tissue stabilization, a highly esthetic permanent crown was fabricated.
Case #7: This patient came to us frustrated about her front tooth crown repeatedly falling out of her mouth. Despite having the crown fabricated three times before, the crown continued to loosen. Key risk factors for this patient included crowding and rotation of the lower teeth, and a deep bite. As a result, the patient was able to apply tremendous pressure to her tooth, the tooth structure became compromised, and limited space was available to ensure a stable result. Dental implant replacement was performed, and the strong dental implant connection helped to ensure a stable and esthetic result for our patient.