This is the result, after treatment. Can you pick the implant tooth?
Pre-treatment frontal view.
Pre-treatment x-ray.
The prior crown on a tooth with a root canal has fractured making this tooth un-restorable.
Tooth extracted, implant placed, x-ray.
Two months after implant placement. Patient wore a removable partial for two months (bone density did not allow a temporary on the day of implant placement.
A temporary coping (titanium with acrylic) is placed on the implant to begin the fabrication of the temporary crown. The purpose of the temporary crown is to shape the tissue before the permanent crown is placed.
Acrylic resin in a template, placed over the coping. The new acrylic bonds to the acrylic that was already on the coping.
Completed polished, temporary crown after addition and subtraction of acrylic to arrive at the ideal shape.
Temporary crown in place after two weeks of tissue shaping. Note how the tissues have remodeled around the temporary crown.
Permanent porcelain crown on master cast, frontal view. This is Lithium Disilicate cemented to a titanium base which will be “screw retained” to the implant (no cement used in mouth, no contamination).
Permanent porcelain crown on master cast, occlusal view. Here you can see the screw and the screw chimney. A screw retained implant is much more hygienic than a cemented implant crown.
This is the mature tissue after wearing temporary crown for one month, frontal view. Nearly perfect gum tissue architecture.
This is the mature tissue after wearing temporary crown for one month, occlusal view.
Frontal view of the final implant crown after one month. Nearly perfect gum tissue architecture.
Did you guess this tooth in the first picture? Final periapical x-ray of final implant and crown.
