Chief Concerns: Loose front upper and lower teeth, previous history of gum disease, severe staining.
Treatment Plant: Remove periodontaly hopeless upper and lower teeth in phases, place bone graft to fill in the defect in the bone due to past gum (periodontal) disease and place dental implants first on the upper jaw and the on the lower jaw.
Treatment shown: Two implants were placed in place of the four front teeth extracted from the upper jaw about three months after extractions and bone replacement graft. Patient was wearing a removable transient partial denture in the mean time. Six months after placement of the implants, the heads of the implants were uncovered and healing caps placed (pictures 1 and 2). Treatment was completed by placing a four unit bridge on the two implants. Note the pink porcelain at the base of the teeth to compensate for the deficiency in the gums in order to achieve a cosmetic outcome.
Implants with healing caps in place:
Finished case twelve months from the start date:
Future treatment? Same treatment is scheduled for the four lower front teeth.