HAPPY NEW YEAR! It is that time again… the end of another year and the beginning of a new year bringing new opportunities, new successes and new reasons to be thankful. As this New Year begins, I wanted to take this opportunity to thank you for being part of our online community. To show my gratitude to all of you for your continued support I have included a little New Years Present…. This new video shows you a really cool technique to remove teeth that have no coronal tooth structure remaining, just the roots! Happy 2013! I wish you and […]
Do you get watermark stains on your mirrors after you sterilize them? Watch the video below to find out the best tip to get rid of the watermarks for good!
I thought I would create a blog post to share with all of you the results of the implant case. I placed the final crown a couple of months ago and I am pleased to report that the crown was inserted on the first attempt. I can’t really say that this happens to me all of the time with a single central incisor restoration. There are cases that I am not satisfied with the results and I return it to the lab to modify. I think the key to nailing one of these restorations on the fist attempt lies with […]
I wanted to follow up last weeks post with a quick article to demonstrate how I would replicate the soft tissue contours in a final impression. When I left last weeks post I had just spent a significant amount of time to create and perfect the provisional crown contours that would produce the soft tissue outline form for my final implant restoration. The question now becomes how would I transfer that information to the dental ceramist? You have two options if you are going to take a final implant impression. 1. You can use a stock open or closed tray […]
I wanted to create a follow up post for the series of articles I created last spring that discussed techniques to treat a hopeless central incisor. If you recall I left the series with the dental implant placed using a flapless technique with a Surgiguide created from the Simplant treatment plan. I created an immediate implant provisional crown but I left the facial emergence profile really flat during the initial healing so I would not stretch the tissue too much post surgically. The post surgery results were very good and the interdental papilla level was excellent but its shape and […]
The iPad and iPod Touch winners for the early-registration draw for my new seminar are … Click on the video below to find out if you won and congratulations to our winners. If you are the one of the winners, you will receive your iPad or iPod Touch at the seminar.
After complete healing, the alveolar ridge appeared favorable for a flap-less implant placement approach. This can be a challenge to position the implant platform at the ideal level. If the implant is positioned too shallow, there will be insufficient room to create a proper emergence profile and crown form. If the implant is too deep, it may be a risk for future recession or inflammation. I was very careful with measurements made clinically from the existing gingival margin and the new planned gingival margin as well as checking with radiographs. Using a computer-generated guide is another option for these cases, […]
In the last blog I presented a patient that had a non-restorable maxillary central incisor. She was treated with an immediate post-extraction implant placement and a custom provisional crown to immediately support the soft tissues. Unfortunately, we can not always provide this form of treatment to all patients. When should we separate treatment into phases? I had mentioned that we must take into consideration the shape and dimensions of the labial bone, the existing soft tissue profile and the amount of apical bone. Immediate post-extraction implant placement requires ideal bone volume. The immediate implant is anchored into the apico-palatal bone. […]
How do you treat a non-restorable central incisor in your practice? If an implant is to be placed, should we perform the procedure as an immediate extraction socket placement or should we delay the implant placement? I am sure we have all had a patient like this walk into our practice. The patient has a history of trauma at a young age with subsequent endodontic therapy. Years of loading further weaken the tooth. Her dog recently bumped her in the mouth and now she feels that her tooth is loose. You determine that the crown is fractured and the tooth […]
Now that the implant is placed, we have several options to consider for interim tooth replacement and/or soft tissue management. If the soft tissue form is favorable, then an attempt to maintain or support the supra-crestal gingival tissues during the period of osseointegration simplifies the restorative process. By simplifies, I mean that the emergence profile will not need to be developed with a provisional crown. One way to achieve this is to fabricate a custom healing abutment with the proper shape to provide support for the gingival tissues. To replace the tooth, an interim RPD or a bonded tooth pontic […]
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