A Healthy 45 year old lady, presented with an obliquely fractured and unrestorable 13. She is a non-smoker, with excellent oral hygiene. The surrounding dentition is sound, she has a high smile line, and high aesthetic expectations.
Following atraumatic extraction of the 13, a Replace Select implant was placed, and due to excellent primary stability achieved, and immediate provisional restoration was constructed and delivered.
Time line - Implants placed along with provisional crown—(wait three months)—Final impression taken for screw retained crown—(two weeks)—Completed case.
This patient was offered the option of local anaesthetic alone, oral sedation, or Intravenous sedation. As was not anxious at all, profound local anaesthetic alone was used.
A Healthy 55 year old man, presented with a horizontally fractured and unrestorable 22. He is a non-smoker, with excellent oral hygiene. The surrounding dentition is very heavily restored; he has a high smile line, and high aesthetic expectations.
Following atraumatic extraction of the 22, a Replace Select implant was placed, and due to excellent primary stability achieved, and immediate provisional restoration was constructed and delivered.
Time line - Implants placed along with provisional crown—(wait three months)—return to referring dentist for final impressions taken for screw retained crown—(two weeks)—Completed case.
This patient was offered the option of local anaesthetic alone, oral sedation, or Intravenous sedation. As he was not anxious, minor oral sedation along with profound local anaesthetic was used to provide a completely comfortable state.
Healthy 33 year old gentleman, presented with unrestorable tooth 21 due to gross internal resorbtion. He is a non- smoker, with excellent oral hygiene.
The 21tooh were removed, and due to excellent primary stability being achievable, with good interproximal bone height (Tarnow 1998) a Replace Select implant was placed immediately. 40+ Ncm torque was achieved allowing an immediate provisional restoration to be placed. The patient’s natural crown was used along with a titanium provisional abutment to construct a pleasing provisional restoration.
Abutment screw were torqued finger tight (~15 Ncm) The access cavity were restored with cotton pellet and Cavit. The occlusion was adjusted to give no shim stock hold in ICP and no guidance in protrusion or lateral excursion.
This patient was offered the option of local anaesthetic alone, oral sedation, or Intravenous sedation. As he was not anxious, minor oral sedation along with profound local anaesthetic was used to provide a completely comfortable state for treatment to be carried out.
Healthy 65 year old female, presented with horizontally fractured, unrestorable 21. She is a non-smoker, with excellent oral hygiene. She was not interested in living with a removable denture.
The tooth was extracted, and socket assessed. There was no infection present, and the geometry of the extracted root was similar to that of the implant, hence an implant was placed immediately to avoid a second surgical visit. As excellent primary stability was achieved, an immediate provisional restoration was provided.
Time line - Implant placed with temporary crown—(wait three months)—Impressions taken for new Porcelain fused to gold crowns—(one month)--Complete
This patient was offered the option of local anaesthetic alone, oral sedation, or Intravenous sedation. As she was not anxious, minor oral sedation along with profound local anaesthetic was used to provide a completely comfortable state.
Healthy 45 year old female, presented with horizontally fractured, unrestorable 21. She is a non-smoker, with excellent oral hygiene. She was not interested in living with a removable denture.
The tooth was extracted, and socket assessed. There was no infection present, and the geometry of the extracted root was similar to that of the implant, hence an implant was placed immediately to avoid a second surgical visit. As excellent primary stability was achieved, an immediate provisional restoration was provided.
Time line - Implants placed with temporary crown—(wait three months)—Impressions taken for bridgework—(one month)--Complete
This patient was offered the option of local anaesthetic alone, oral sedation, or Intravenous sedation. As she was not anxious, minor oral sedation along with profound local anaesthetic was used to provide a completely comfortable state.
