Case Studies

Case Presentations which quickly get to the point. They show the problem and then get right into how the case was treated. Critical principles are outlined. You can see what materials were used and how the case turned out.

The strange story of a blow-out lesion and a migrating gingival margin

By Dr. Peter Hunt

A maxillary central incisor with rapid periodontal breakdown is removed and replaced with an implant where the original root is used as a provisional restoration. Everything goes well but then the labial margin starts slipping. A fast transition to a provisional abutment and crown allows the situation to recover. This case shows the advantage of close observation during the early healing stage

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A comparison of two large scale ridge regeneration procedures

By Dr. Maurizio Ciocci

Large scale ridge augmentation is becoming more and more predictable. This presentation shows two cases, one using a Titanium reinforced Teflon membrane, the other a Titanium Mesh to contain the bone augmentation. Both procedures were successful but one was simpler and more convenient than the other.

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An aesthetic problem complicated by loss of a tooth

By Dr. Stefan Moiceanu

An emergency patient presented with a cosmetic problem which became more complex when a central incisor need to be replaced. So began a slow but steady progress to an implant supported restoration in between crowns on the three adjacent incisors.

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Another good indication for an angled implant

By Dr. Peter Hunt

An old bridge needed to be replaced. Implants could help but there were problems finding space for them. The biggest problem was in deciding where the emergence of the implant through the tissues should start. This case was managed close to twenty years ago.

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Densification for ridge expansion

By Dr. Maurizio Ciocci

A novel range of burs mostly running in reverse have the ability to expand and at the same time “Densify” an implant channel. This case with resorbed maxillary ridges would have been impossible to manage with most single-stage procedures. But with a modest change of technology and procedure it was relatively simple to place implants within the newly expanded ridges

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Densification with socket regeneration and sinus lifting for ridge recovery

By Dr. Maurizio Ciocci

Removal of teeth with advanced periodontal breakdown can leave an alveolus with severe deformities. Traditionally in healing following tooth removal, these ridges have been allowed to collapse before considering placing implants. This case shows where osseodensification, sinus lifting, implant placement and ridge regeneration are used to prevent ridge collapse and to provide functional supports for restorative therapy.

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Treating Occlusal Breakdown

By Dr. Peter Hunt

The patient was referred by a periodontist and the general dentist. They were losing control of the case. Everything was failing and falling to bits. What was necessary was to re-think and re-evaluate the whole case. Essentially, this was a Bite Collapse case with failure of the remaining natural dentiton, complicated by failure of the implants that had recently been placed.

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Treatment considerations in managing occlusal breakdown

By Dr. Peter Hunt

Bite collapse is a syndrome with many aspects, periodontal breakdown, occlusal trauma, migration of teeth, decrease of Occlusal Vertical Dimension, and various forms of malfunction. This case has it all and required a comprehensive approach to improve aesthetics and function.

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