“Can’t thank Dr. Horblitt and his staff at Revitalizing Smiles enough! They helped me with some serious oral health issues I was facing and now I’m truly comfortable with my mouth and smile.”
A 39-year-old male presents in good health. He presents with a cyst, bone and gum disease around his front teeth, #7and #8. He presents with tooth #9 with an ill-fitting crown, the contour of the crown choking his gums and causing gum disease.
After additional review it was decided that tooth #7 and tooth #8 had to be removed. A removable temporary was made to be inserted when the teeth were extracted. At the time teeth #7 and #8 were extracted, the bone loss was so great around tooth #7 it necessitated bone grafting.
Time was allowed for healing with the patient wearing a removable device for esthetics. Once the graft had fully matured implants were placed, this procedure known as the first stage of implant surgery. After implant placement Ryan choose to continue to wear a removable device until full integration was achieved. Integration of the patients bone with the implant takes approximately 6 months on the upper.
While the two front implants were integrating the crown on tooth #9 was removed and the tooth was re-prepped for a proper fitting temporary. The temporary was used while the implants completed integration and custom fitting crowns were made for all of his front teeth. Once the new temporary had been placed on tooth #9 the gum disease around the tooth resolved it self.
Routine hygiene and dental care continued with a few minor dental fillings as care for his front teeth continued. When Ryan’s implants had completed integrating the tissue that was covering it during normal healing and integration was uncovered. This is often referred to as the second stage of implant surgery. Ryan found this part of treatment to be a very quick and easy procedure.
When his tissue around his implants had healed, abutments were placed and final impressions were made for all of his front teeth. Close attention was paid to the contour and color of the patient’s teeth. Front teeth are the most difficult teeth to match. In Ryan’s case due to the extent of the gum and bone disease his gums around #7 and #8 needed to be addressed as a part of his implant crowns and added in as gum tone porcelain in a very precise custom manner.
Currently, the patient is delighted with the esthetics and function of his front implant supported crowns on teeth #7and #8 and tooth-supported crown on tooth #9. His gums look extremely healthy and he is maintained with routine exams at his six-month hygiene appointments.