Page 22 - GP Fall Final 2017

The graft is permitted to mature for an additional 5
protect the graft, fig. 17. Fixed provisionalization at
months. The next step in the reconstruction process is
this stage is completed by
to insert a single dental implant fixture. The selection
of the implant fixture is limited by the width of the
the restorative dentist;
edentulous space between the mesial and distal
figs. 10 and 18. The
provisional restoration
proximal tooth surfaces. Mandibular anterior teeth are
always considerably narrower in the mesial/distal
finishes supra-gingival for
ease of maintenance,
dimension than they are from labial/lingual. Care
should be exercised not to select a fixture that will future resorption. Near primary closure is attained to
intending to reduce the risk
crowd the site causing ischemia and necrosis of the of chronic inflammation.
interproximal regenerated bone. For that reason, a finished supra-gingivally for ease of mainte- the development of a renewed plexus of col-
Controlling inflammation
implant fixtures are best fitted and fin-
single stage dental implant fixture (3.0mm X 13mm) is Fig. 18 improves healing and
ished with a thin, tapering margin. For nance, intending to reduce the risk of chron-
lateral revascularization. A renewed blood

selected. Single stage fixtures have both advantages enhances integration.

aesthetic purposes, ridge laps are often ic inflammation. Controlling inflammation supply, enhanced by immobilization, is the
future resorption. Near primary closure is attained to
The graft is permitted to mature for an additional 5
The graft is permitted to mature for an additional 5 future resorption. Near primary closure is attained to key to successful graft acceptance.
and disadvantages to their use.

improves healing and enhances integration.
required to conform to a thinner mesial/
months. The next step in the reconstruction process is
months. The next step in the reconstruction process is protect the graft, fig. 17. Fixed provisionalization at protect the graft, fig. 17. Fixed provisionalization at
Once graft maturation and integration is attained, the
The abutment is milled with the implant fixture
•
distal dimension while accommodating
this stage is completed by
to insert a single dental implant fixture. The selection
to insert a single dental implant fixture. The selection a much wider labial/lingual space to Once graft maturation and integration is at- Following the initial stages of soft tissue
this stage is completed by
as a single metal body. There are no joints to
mucogingival deficiencies are addressed. Arch
the restorative dentist;
of the implant fixture is limited by the width of the fill. of the implant fixture is limited by the width of the maturation, resulting in the anticipated re-
the restorative dentist;
open, no screws to loosen or break, and the
expansion inherently stresses the periodontium. When
tained, the mucogingival deficiencies are ad-
figs. 10 and 18. The
edentulous space between the mesial and distal edentulous space between the mesial and distal figs. 10 and 18. The
expansion occurs adjacent to a non-expanding or
risk of implant connection fracture/failure is
dressed. Arch expansion inherently stresses duction of post-surgical edema in the sur-
proximal tooth surfaces. Mandibular anterior teeth are
provisional restoration
provisional restoration
proximal tooth surfaces. Mandibular anterior teeth are A single osteotomy was slowly completed the periodontium. When expansion occurs rounding soft tissues, reconstruction of
eliminated. Connection fracture (flowering or
atrophying edentulous space, mucogingival recession
always considerably narrower in the mesial/distal
always considerably narrower in the mesial/distal with a series of well irrigated pilot and surgi- can amplify. The loss of any tooth can have an impact finishes supra-gingival for
finishes supra-gingival for
tuliping) is a common problem with thinly
adjacent to a non-expanding or atrophying the implant fixture can begin. Some minor
ease of maintenance,
dimension than they are from labial/lingual. Care
ease of maintenance,
dimension than they are from labial/lingual. Care cal drills. Care is taken to retain an adequate edentulous space, mucogingival recession reduction of the abutment may be neces-
milled connector walls. Some implant
on the attached tissues of the
should be exercised not to select a fixture that will
intending to reduce the risk
should be exercised not to select a fixture that will margin of surrounding bone (approximately adjacent teeth. (ie. The loss intending to reduce the risk
can amplify. The loss of any tooth can have sary to achieve adequate inter-arch clear-
manufacturing designs are at a higher risk for
crowd the site causing ischemia and necrosis of the
crowd the site causing ischemia and necrosis of the 2mm of healthy bone). If the retained bone of a first molar will often of chronic inflammation.
of chronic inflammation.
this problem.
an impact on the attached tissues of the ance. Most dental bur manufacturers now
interproximal regenerated bone. For that reason, a
Controlling inflammation
interproximal regenerated bone. For that reason, a mass is less than 2mm, ischemia and necro- result in buccal plate atrophy produce non-sparking, metal cutting burs,
Controlling inflammation
adjacent teeth. (i.e. The loss of a first mo-
Although the abutment can be slightly adjusted
•
single stage dental implant fixture (3.0mm X 13mm) is
single stage dental implant fixture (3.0mm X 13mm) is Fig. 18 improves healing and Fig. 18 improves healing and
lar will often result in buccal plate atrophy which are ideal for titanium reduction, when
sis can be expected due to a constriction of with corresponding buccal
in the mouth, single stage implant fixtures are
selected. Single stage fixtures have both advantages
selected. Single stage fixtures have both advantages enhances integration. recession on the second enhances integration.
with corresponding buccal recession on the needed. A bur often used with predictable
best fitted and finished with a thin, tapering
and disadvantages
normal blood flow throughout the walls of to their use.

and disadvantages to their use. margin. For aesthetic purposes, ridge laps are bicuspid.) Surgical
second bicuspid.) Surgical instrumentation, success in our office is the Brasseler USA
the bone. To properly develop this site, a
•
The abutment is milled with the implant fixture
• The abutment is milled with the implant fixture Once graft maturation and integration is attained, the Once graft maturation and integration is attained, the
with flap elevation, will also contribute to #H283E.31.012. The use of well-designed,
instrumentation, with flap
often required to conform to a thinner
minimum of 7mm is needed to be recap-

metal body. There are no joints to
mucogingival deficiencies are addressed. Arch
as a single mesial/distal dimension while accommodating as a single metal body. There are no joints to mucogingival deficiencies are addressed. Arch
resorption and recession. In discussing this metal cutting burs, in conjunction with co-

elevation, will also contribute
tured between #22 and #24: 2mm mesial +
open, no screws to loosen or break, and the
The graft is permitted to mature for an additional 5
future resorption. Near primary closure is attained to
open, no screws to loosen or break, and the expansion inherently stresses the periodontium. When expansion inherently stresses the periodontium. When
case, the periodontium of the treatment site pious cool water irrigation, will decrease
a much wider labial/lingual space to fill.
to resorption and recession. Fig. 19
2mm distal + 3mm for the osteotomy and
risk of implant connection fracture/failure is
months. The next step in the reconstruction process is
protect the graft, fig. 17. Fixed provisionalization at
risk of implant connection fracture/failure is expansion occurs adjacent to a non-expanding or expansion occurs adjacent to a non-expanding or IN SUMMARY
showed stresses from rehabilitation care. the risk of overheating the implant fixture.
A single osteotomy is slowly completed with a series of
In discussing this case, the periodontium of the
fixture. Many authors recommend 3mm Connection fracture (flowering or
atrophying edentulous space, mucogingival recession
eliminated. Connection fracture (flowering or atrophying eliminated. The thin periodontium responded with gin- Raising the implant temperature can com-
to insert a single dental implant fixture. The selection edentulous space, mucogingival recession
this stage is completed by

treatment site shows stresses from rehabilitation care.
well irrigated pilot and surgical drills. Care is taken to
tuliping)
can amplify. The loss of any tooth can have an impact
of septal bone between the implant fixture is a common problem with thinly
tuliping) is a common problem with thinly can amplify. The loss of any tooth can have an impact Following the initial Mandibular anterior crowding will provide challenges to
of the implant fixture is limited by the width of the
gival recession on the labial aspect of the ad-
the restorative dentist;
promise the metal to bone integration. With
The thin periodontium responds with gingival recession stages of soft tissue maturation,
retain an adequate margin
and the adjacent teeth. Although biologi-
on the attached tissues of the
milled connector walls. Some implant

milled connector walls. Some implant on the attached tissues of the jacent teeth. Left unattended, this recession single stage dental implant fixtures, conven- reconstruction following tooth loss. Two frequently
edentulous space between the mesial and distal
figs. 10 and 18. The resulting in the anticipated reduction of post-surgical
of surrounding bone
cally optimal, a 9mm edentulous space will
adjacent teeth. (ie. The loss
manufacturing designs are at a higher risk for
manufacturing designs are at a higher risk for adjacent teeth. (ie. The loss on the labial aspect of the adjacent teeth. Left un- selected restorative treatment options can include

can be expected to progress causing further tional crown and bridge impression tech-
proximal tooth surfaces. Mandibular anterior teeth are
provisional restoration
edema in the surrounding soft tissues, reconstruction
attended, this recession can be expected to progress
(approximately 2mm of
restore many mandibular anterior cases
this problem. of a first molar will often this problem. finishes supra-gingival for of a first molar will often selective extraction that may include healthy, mal-
tissue loss. Soft tissue grafting was complet-
niques are sufficient to achieve marginal fit

healthy bone). If the
always considerably narrower in the mesial/distal
of the implant
with a non-aesthetic, oversized crown res-the abutment can be slightly adjusted
result in buccal plate atrophy
Although
•
• Although the abutment can be slightly adjusted result in buccal plate atrophy causing further tissue loss. Soft tissue grafting is fixture can begin. Some minor posed adjacent teeth or Orthodontic intervention.
ed to replace the lost attached keratinized and integrity.
retained bone mass is less
reduction of the abutment may be necessary to
dimension than they are from labial/lingual. Care
ease of maintenance,

completed to replace the lost attached keratinized soft
toration.
soft tissues. A labial envelope was raised
in the mouth, single stage implant fixtures are with corresponding buccal in the mouth, single stage implant fixtures are with corresponding buccal IN SUMMARY
achieve adequate inter-arch clearance. Most dental
Both methods have the potential to develop necessary
intending to reduce the risk
should be exercised not to select a fixture that will
than 2mm, ischemia and

tissues. A labial

best fitted and finished with a thin, tapering recession on the second best fitted and finished with a thin, tapering recession on the second IN SUMMARY
followed by the coronal repositioning of the A ridge-lap crown design is often necessary
restorative space. In this case, both avenues of care
bur manufacturers now produce non-sparking, metal
envelope is raised
of chronic inflammation.
crowd the site causing ischemia and necrosis of the

necrosis can be expected
margin. the initial stages of soft tissue ma
While preparing the osteotomy, autogenous For aesthetic purposes, ridge laps are turation,
bicuspid.) Surgical dibular
Man
margin. For aesthetic purposes, ridge laps are bicuspid.) Surgical Following remaining attached tissues. Decortication to achieve symmetry with the adjacent den- anterior crowding will provide challenges to
play an important part in attaining the final result.
cutting burs. These burs are ideal for titanium
due to a constriction of
Controlling inflammation
interproximal regenerated bone. For that reason, a
Mandibular
often required to conform to a thinner t tissue maturation,
was also completed to immediately enhance tition. The crown has a noble metal coping anterior crowding will provide challenges to
bone was harvested during the process. This
instrumentation, with flap
resulting in the anticipated reduction of post-surgical
often required to conform to a thinner instrumentation, with flap Following the initial stages of sof followed by the coronal reconstruction following tooth loss. Two frequently
reduction, when needed. A bur often used with
Close analysis of the established occlusion with
repositioning of the
normal blood flow through-
bone is used to enhance the ridge regener-
single stage dental implant fixture (3.0mm X 13mm) is also contribute resulting in the anticipated reduction of post-surgical
reconstruction following tooth loss. Two frequently
elevation, will also contribute
the blood supply while stimulating biologi-
mesial/distal dimension while accommodating
mesial/distal dimension while accommodating elevation, will Fig. 18 improves healing and with porcelain application. In its restored existing periodontal support will often highlight one
selected restorative treatment options can include
edema in the surrounding soft tissues, reconstruction
predictable success in our office is the Brasseler USA
Fig. 15 out the walls of the bone.
ation on the labial aspect of the dental im-
selected. Single stage fixtures have both advantages
enhances integration. ingual space to fill.
a much wider labial/l
cal repair. A harvested palatal donor graft is state, this case now possesses a Class I an-
to resorption and recession. Fig. 19
a much wider labial/lingual space to fill. to resorption and recession. Fig. 19 remaining attached selected restorative treatment options can include
edema in the surrounding soft tissues, reconstruction
of the implant fixture can begin. Some minor
method over the oth
#H283E.31.012. The use of well-designed, metal-
To properly develop this site, a minimum of 7mm is
plant fixture (Figure 16). The labial plate of
positioned and secured across the expanse terior relationship with incisal edge contact
and disadvantages to their use.
A single osteotomy is slowly completed with a series of In discussing this case, the periodontium of the tissues. Decortication is selective extraction that may include healthy, mal-er. Other factors to consider are

A single osteotomy is slowly completed with a series of
In discussing this case, the periodontium of the
of the implant fixture can begin. Some minor
selective extraction that may include healthy, mal-
cutting
patient compliance,
any dental implant case is often the most at the abutment may be necessary to burs, in conjunction with copious cool water
reduction of
needed to be recaptured between #22 and #24: 2mm
well irrigated pilot and surgical drills. Care is taken to
treatment site shows stresses from rehabilitation care.
of the labial plate of #21-25 (Figure 20). Vi-
for mastication. Even though the final result
The abutment is milled with the implant fixture
Once graft maturation and integration is attained, the
well irrigated pilot and surgical drills. Care is taken to treatment site shows stresses from rehabilitation care. also completed to posed adjacent teeth or Orthodontic intervention. cost and time constraints. One
•
posed adjacent teeth or Orthodontic intervention.
irrigation,
reduction of the abutment may be necessary to will decrease the risk of overheating the
important issue is the likelihood of long-term success
Both methods have the potential to develop necessary
risk for future resorption. Near primary clo-
mesial + 2mm distal + 3mm for the osteotomy and
immediately enhance
achieve adequate inter-arch clearance. Most dental
tality is further enhanced by securely immo-
The thin periodontium responds with gingival recession
The thin periodontium responds with gingival recession
retain an adequate margin
retain an adequate margin
as a single metal body. There are no joints to mucogingival deficiencies are addressed. Arch suggests a stable relationship, fixed res- following treatment. Will
Both methods have the potential to develop necessary the care meet or exceed the
implant fixture.
fixture. Many authors recommend 3mm of septal bone achieve adequate inter-arch clearance. Most dental Raising the implant temperature can
sure was attained to protect the graft (Figure
the blood supply while
bilizing the labial flap and the donor tissue in-wire retention is applied to the anterior
restorative space. In this case, both avenues of care
bur manufacturers now produce non-sparking, metal
of surrounding bone
on the labial aspect of the adjacent teeth. Left un-
of surrounding bone
open, no screws to loosen or break, and the expansion inherently stresses the periodontium. When on the labial aspect of the adjacent teeth. Left un- patient’s immediate expectations and future goals?
compromise the metal to bone integration. With single
17). Fixed provisionalization at this stage is
between the implant fixture and the adjacent teeth. bur manufacturers now produce non-sparking, metal
restorative space. In this case, both avenues of care
stimulating biological
(Figure 21). With appropriate technique, a sextant, preventing rotation or relapse.
attended, this recession can be expected to progress
(approximately 2mm of
(approximately 2mm of
play an important part in attaining the final result.
cutting burs. These burs are ideal for titanium

risk of implant connection fracture/failure is expansion occurs adjacent to a non-expanding or attended, this recession can be expected to progress Exceeding patient expectations should be an ultimate
stage dental implant fixtures, conventional crown and
Although biologically optimal, a 9mm edentulous space
completed by the restorative dentist (Fig- Fig. 20 repair. A harvested
play an important part in attaining the final result.
healthy bone). If the for titanium
fibrin clot is quickly established, permitting
cutting burs. These burs are ideal
healthy bone). If the
causing further tissue loss. Soft tissue grafting is
reduction, when needed. A bur often used with
future resorption. Near primary closure is attained to
Close analysis of the established occlusion with
The graft is permitted to mature for an additional 5
eliminated. Connection fracture (flowering or atrophying edentulous space, mucogingival recession causing further tissue loss. Soft tissue grafting is goal.
bridge impression
palatal donor graft is techniques are sufficient to achieve
ures 18,19). The provisional restoration is
will restore many mandibular anterior cases with a
completed to replace the lost attached keratinized soft occlusion with
reduction, when needed. A bur often used with
Close analysis of the established
retained bone mass is less
completed to replace the lost attached keratinized soft
retained bone mass is less
protect the graft, fig. 17. Fixed provisionalization at
months. The next step in the reconstruction process is
predictable success in our office is the Brasseler
tuliping) is a common problem with thinly can amplify. The loss of any tooth can have an impact USA and integrity. existing periodontal support will often highlight one
marginal fit

non-aesthetic, oversized crown restoration.
positioned and secured
tissues. A labial
tissues. A labial
than 2mm, ischemia and
than 2mm, ischemia and
existing periodontal support will often highlight one
predictable success in our office is the Brasseler
to insert a single dental implant fixture. The selection

milled connector walls. Some implant on the attached tissues of the this stage is completed by USA method over the other. Other factors to consider are an aesthetic result,
#H283E.31.012. The use of well-designed, metal-

To achieve and maintain
across the expanse of
envelope is raised
necrosis can be expected
envelope is raised
necrosis can be expected
#H283E.31.012. The use of well-designed, metal-
method over the other. Other factors to consider are
of the implant fixture is limited by the width of the
regeneration of lost or compromised tissues becomes
manufacturing designs are at a higher risk for adjacent teeth. (ie. The loss the restorative dentist; patient compliance, cost and time constraints. One
cutting burs, in conjunction with copious cool water
the labial plate (#25-
followed by the coronal
due to a constriction of
followed by the coronal
due to a constriction of
edentulous space between the mesial and distal
patient compliance, cost and time constraints. One
cutting burs, in conjunction with copious cool water
this problem. of a first molar will often figs. 10 and 18. The important issue is the likelihood an important part of the process. Overlooking the
21), fig. 20. Vitality is
repositioning of the of long-term success
irrigation, will decrease the risk of overheating the
normal blood flow through-
normal blood flow through-
repositioning of the
proximal tooth surfaces. Mandibular anterior teeth are
provisional restoration
irrigation, will decrease the risk of overheating the
important issue is the likelihood of long-term success
existence of adequate support for the proposed care
result in buccal plate atrophy
Although the abutment can be slightly adjusted
•
further introduced by
remaining attached
remaining attached
Fig. 15 out the walls of the bone. Fig. 15 out the walls of the bone. following treatment. Will the care meet or exceed the
implant fixture. Raising the implant temperature can
always considerably narrower in the mesial/distal
finishes supra-gingival for
following treatment. Will the care meet or exceed the or a non-functional result.
implant fixture. Raising the implant temperature can
can lead to a misalignment
securely immobilizing
in the mouth, single stage implant fixtures are
with corresponding buccal
tissues. Decortication is
To properly develop this site, a minimum of 7mm is To properly develop this site, a minimum of 7mm is patient’s immediate expectations and future goals?
tissues. Decortication is
compromise the metal to bone integration. With single
ease of maintenance,
dimension than they are from labial/lingual. Care
The premature loss of natural teeth or dental implants
compromise the metal to bone integration. With single
the labial flap and the
needed to be recaptured between #22 and #24: 2mm needed to be recaptured between #22 and #24: 2mm patient’s immediate expectations and future goals?
also completed to
recession on the second
best fitted and finished with a thin, tapering
also completed to
intending to reduce the risk
should be exercised not to select a fixture that will
stage dental implant fixtures, conventional crown and
may also occur when alveolar support is inadequate.
donor tissue, fig. 21.
mesial + 2mm distal + 3mm for the osteotomy and mesial + 2mm distal + 3mm for the osteotomy and Exceeding patient expectations should be an ultimate
immediately enhance
Exceeding patient expectations should be an ultimate
margin. For aesthetic purposes, ridge laps are
stage dental
bicuspid.) Surgical implant fixtures, conventional crown and
immediately enhance
of chronic inflammation.
crowd the site causing ischemia and necrosis of the
bridge impression techniques are sufficient to achieve
the blood supply while
fixture. Many authors recommend 3mm of septal bone fixture. bridge impression t With appropriate tech- goal. the blood supply while
Many authors recommend 3mm of septal bone
instrumentation, with flap echniques are sufficient to achieve
goal.
often required to conform to a thinner
Controlling inflammation
interproximal regenerated bone. For that reason, a

Continuous, close communication between the patient
between the implant fixture and the adjacent teeth. Figure 17. Figure 18. also contribute Figure 19. Figure 20. stimulating biological
stimulating biological
Fig. 21 nique, a fibrin clot
Fig. 16 Fig. 17 between the implant fixture and the adjacent teeth.
mesial/distal dimension while accommodating
margina
single stage dental implant fixture (3.0mm X 13mm) is
Fig. 18 improves healing and
marginal fit and integrity.
is quickly established permitting the development of a
To achieve and maintain an aesth
Although biologically optimal, a 9mm edentulous space Fig. 20 repair. A harvested Fig. 22 Fig. 23 and all involved clinicians is paramount when sharing
Fig. 20 repair. A harvested etic result,
Althou
elevation, will l fit and integrity.
While preparing the osteotomy, autogenous bone is gh biologically optimal, a 9mm edentulous space
to resorption and recession. Fig. 19
a much wider labial/lingual space to fill.
To achieve and maintain an aesthetic result,

selected. Single stage fixtures have both advantages
ideas during the development of the case. Space
will restore many mandibular anterior cases with a will re enhances integration. regeneration of lost or compromised tissues becomes
palatal donor graft is
renewed plexus of collateral revascularization. A
palatal donor graft is
harvested during the process. This bone is used to store many mandibular anterior cases with a
A single osteotomy is slowly completed with a series of
In discussing this case, the periodontium of the
and disadvantages to their use.

requirements and inter-arch relationships need to be
renewed blood supply, enhanced by immobilization, is
positioned and secured
non-aesthetic, oversized crown restoration. non-aesthetic, oversized crown restoration. regeneration of lost or compromised tissues becomes
positioned and secured
enhance the ridge regeneration on the labial aspect of
well irrigated • pilot and surgical drills. Care is taken to Once graft maturation and integration is attained, the an important part of the process. Overlooking the
The abutment is milled with the implant fixture treatment site shows stresses from rehabilitation care.
repeatedly evaluated
an important part of the process. Overlooking the to satisfy each phase of
across the expanse of
the key to successful graft acceptance.
across the expanse of
the dental implant fixture, fig 16. The labial plate of
as a single metal body. There are no joints to The thin periodontium responds with gingival recession existence of adequate support for the proposed care
retain an adequate margin
mucogingival deficiencies are addressed. Arch
preparation for restorative care; from determining the
existence of adequate support for the proposed care

the labial plate (#25-
the labial plate (#25-
any dental implant case is often the most at risk for
of surrounding bone
expansion inherently stresses the periodontium. When
open, no screws to loosen or break, and the on the labial aspect of the adjacent teeth. Left un- can lead to a misalignment or a non-functional result. implant fixtures to the
space required for placing
can lead to a misalignment or a non-functional result.
21), fig. 20. Vitality is
21), fig. 20. Vitality is
expansion occurs adjacent to a non-expanding or
risk of implant connection fracture/failure is attended, this recession can be expected to progress The premature loss of natural teeth or dental implants
(approximately 2mm of
restorative dentist’s needs for crown development.
further introduced by
The premature loss of natural
further introduced by teeth or dental implants
atrophying edentulous space, mucogingival recession
eliminated. Connection fracture (flowering or causing further tissue loss. Soft tissue grafting is may also occur when alveolar support is inadequate.
healthy bone). If the

securely immobilizing
securely immobilizing
tuliping) is a common problem with thinly completed to replace the lost attached keratinized soft may also occur when alveolar support is inadequate.
can amplify. The loss of any tooth can have an impact

retained bone mass is less
the labial flap and the
the labial flap and the
milled connector walls. Some implant on the attached tissues of the donor tissue, fig. 21. This technically involved yet seamless
donor tissue, fig. 21.
tissues. A labial
than 2mm, ischemia and

treatment plan provided our patient with a
Continuous, close communication between the patient
manufacturing designs are at a higher risk for adjacent teeth. (ie. The loss Continuous, close communication between the patient
With appropriate tech-
envelope is raised

necrosis can be expected Fig. 22 Fig. 23 Figure 24. Fig. 24 With appropriate tech- final restorative result that does exceed her
Fig. 22
Fig. 23
Figure 23.
Figure 22.
and all involved clinicians is paramount when sharing

Figure 21.
and all involved clinicians is paramount when sharing
of a first molar will often
this problem.
Fig. 21 nique, a fibrin clot
Fig. 16 Fig. 17 due to a constriction of Fig. 16 Fig. 17 A ridge-lap, crown design is often necessary to achieve
followed by the coronal Fig. 21 nique, a fibrin clot

expectations.
ideas during the development of the case. Space
ideas during
•
Although the abutment can be slightly adjusted permitting the development of a
While preparing the osteotomy, autogenous bone is is quickly established result in buccal plate atrophy www.nysagd.org l Fall 2017 l GP 19 the development of the case. Space The authors join together to
normal blood flow through-
repositioning of the
is quickly established permitting the development of a
While preparing the osteotomy, autogenous bone is symmetry with the adjacent dentition. The crown has
Thank You for reviewing this case report. We
in the mouth, single stage implant fixtures are
with corresponding buccal
requirements and inter-arch relationships need to be
requirements and inter-arch
harvested during the process. This bone is used to renewed plexus of collateral revascularization. A remaining attached renewed plexus of collateral revascularization. A relationships need to be
Fig. 15 out the walls of the bone.
harvested during the process. This bone is used to a noble metal coping with porcelain application. In its
recession on the second
best fitted and finished with a thin, tapering
repeatedly evaluated to satisfy each phase of
enhance the ridge regeneration on the labial aspect of renewed blood supply, enhanced by immobilization, is tissues. Decortication is renewed blood supply, enhanced by immobilization, is hope you enjoyed reading about an
repeatedly evaluated to satisfy each phase of
enhance the ridge regeneration on the labial aspect of restored state, this case now possesses a Class I
To properly develop this site, a minimum of 7mm is
margin. For aesthetic purposes, ridge laps are graft acceptance.
the dental implant fixture, fig 16. The labial plate of the key to successful bicuspid.) Surgical also completed to the key to successful graft acceptance. alternative approach for attaining a
preparation for restorative care; from determining the
preparation for restorative care; from determining the
needed to be recaptured between #22 and #24: 2mm
the dental implant fixture, fig 16. The labial plate of anterior relationship with incisal edge contact for
often required to conform to a thinner
any dental implant case is often the most at risk for instrumentation, with flap predictable restorative success. If this
space required for placing implant fixtures to the
immediately enhance
space required for placing implant fixtures to the
mesial + 2mm distal + 3mm for the osteotomy and any dental implant case is often the most at risk for mastication. Even though the final result suggests a
mesial/distal dimension while accommodating
elevation, will also contribute
publication leaves you with any unanswered
stable relationship, fixed resin-wire retention is applied
restorative dentist’s needs for crown development.
the blood supply while
fixture. Many authors recommend 3mm of septal bone to resorption and recession. Fig. 19 restorative dentist’s needs for crown development.
a much wider labial/lingual space to fill.
to the anterior sextant, preventing rotation or relapse.
stimulating biological
between the implant fixture and the adjacent teeth. In discussing this case, the periodontium of the questions, please contact any of us for
A single osteotomy is slowly completed with a series of
Although biologically optimal, a 9mm edentulous space Fig. 20 repair. A harvested additional clarification.
treatment site shows stresses from rehabilitation care.
well irrigated pilot and surgical drills. Care is taken to
This technically involved yet seamless

will restore many mandibular anterior cases with a The thin periodontium responds with gingival recession This technically involved yet seamless
palatal donor graft is
retain an adequate margin

treatment plan provided our patient with a
non-aesthetic, oversized crown restoration. on the labial aspect of the adjacent teeth. Left un- treatment plan provided our patient with a
positioned and secured

of surrounding bone

Fig. 24
Fig. 24
final restorative result that does exceed her
across the expanse of
(approximately 2mm of attended, this recession can be expected to progress final restorative result that does exceed her

A ridge-lap, crown design is often necessary to achieve
the labial plate (#25-
causing further tissue loss. Soft tissue grafting is chieve
healthy bone). If the A ridge-lap, crown design is often necessary to a expectations. The authors join together to
expectations. The authors join together to

symmetry with the adjacent dentition. The crown has
completed to replace the lost attached keratinized soft
retained bone mass is less symmetry with the adjacent dentition. The crown has Thank You for reviewing this case report. We
21), fig. 20. Vitality is
a noble metal coping with porcelain applicat
tissues. A labial ion. In its
than 2mm, ischemia and a noble metal coping with porcelain application. In its Thank You for reviewing this case report. We
further introduced by

you enjoyed reading about an
hope
restored state, this case now possesses a Cla
envelope is raised ss I
necrosis can be expected restored state, this case now possesses a Class I hope you enjoyed reading about an
securely immobilizing

attaining
alternative
a
approach
for
followed by the coronal
due to a constriction of anterior relationship with incisal edge contact for alternative approach for attaining a
the labial flap and the

repositioning of the
normal blood flow through- anterior relationship with incisal edge contact for predictable restorative success. If this
mastication. Even though the final result suggests a
donor tissue, fig. 21.
remaining attached
Fig. 15 out the walls of the bone. mastication. Even though the final result suggests a predictable restorative success. If this

publication leaves you with any unanswered
With appropriate tech-
stable relationship, fixed resin-wire retention is applied

To properly develop this site, a minimum of 7mm is stable relationship, fixed resin-wire retention is applied publication leaves you with any unanswered
tissues. Decortication is

to the anterior sextant, preventing rotation or relapse.
questions, please contact any of us for
Fig. 16 Fig. 17 Fig. 21 nique, a fibrin clot questions, please contact any of us for
needed to be recaptured between #22 and #24: 2mm
to the anterior sextant, preventing rotation or relapse.
also completed to
While preparing the osteotomy, autogenous bone is is quickly established permitting the development of a additional clarification.

mesial + 2mm distal + 3mm for the osteotomy and
immediately enhance

harvested during the process. This bone is used to renewed plexus of collateral revascularization. A additional clarification.

the blood supply while
fixture. Many authors recommend 3mm of septal bone

enhance the ridge regeneration on the labial aspect of renewed blood supply, enhanced by immobilization, is
stimulating biological
between the implant fixture and the adjacent teeth.

the dental implant fixture, fig 16. The labial plate of the key to successful graft acceptance.

Although biologically optimal, a 9mm edentulous space
Fig. 20 repair. A harvested
any dental implant case is often the most at risk for palatal donor graft is
will restore many mandibular anterior cases with a
non-aesthetic, oversized crown restoration. positioned and secured
across the expanse of
the labial plate (#25-
21), fig. 20. Vitality is
further introduced by
securely immobilizing
the labial flap and the
donor tissue, fig. 21.
With appropriate tech-

Fig. 16 Fig. 17 Fig. 21 nique, a fibrin clot

While preparing the osteotomy, autogenous bone is is quickly established permitting the development of a
harvested during the process. This bone is used to renewed plexus of collateral revascularization. A
enhance the ridge regeneration on the labial aspect of renewed blood supply, enhanced by immobilization, is
the dental implant fixture, fig 16. The labial plate of the key to successful graft acceptance.
any dental implant case is often the most at risk for