Exchanging two primary canines with implants
The 18 year old patient had retained primary canines with agenesis of the permanent teeth. The primary teeth were worn and looked unnatural. As is usually the situation, the socket of the primary tooth was pointing out of the alveolus. With a surgically guided protocol it was possible to orient the implant channels down inside the alveolus and to have provisional restorations ready to be placed at the time of surgery. The aesthetics were immediately enhanced.
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Endoscopic sinus lift with implant placement
Here is a view that we do not usually see or appreciate. An endoscope placed in a lateral approach to a maxillary sinus enables us to see a the sinus floor membrane being raised. Then an intra-oral placement of an implant is made up into the sinus. The final stage shows augmentation of the sinus over the top of the implant.
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Maxillary primary canine replacement
By Dr. Mike Bundy, Dr. Peter Flaherty, Dr. Daniel Rizzo
A primary canine tooth is failing and a more permanent replacement is desired. As usual, the orientation of the root of the primary canine differs from the orientation of the alveolar bone in the region. This can be allowed for in surgical guide planning. At the same time this allows for the pre-construction of an abutment + restoration which can provide the form, function and aesthetics of a permanent canine tooth.
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Immediate replacement of a primary canine
A primary tooth is failing. On CBCT the root is about 75 degrees from the angle of the bone. The patient is very concerned about missing a tooth. The solution is to remove the tooth, to place an immediate replacement, an abutment and a crown. Careful planning is required.
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Densification of an implant channel while raising a sinus floor
A novel range of burs mostly running in reverse have the ability to expand and at the same time “Densify” an implant channel. They also have the ability to raise a sinus floor as is shown in this case.
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Densification for ridge expansion
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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Intra Oral Scan technology becomes realistic
Scanbodies + Intra Oral Scan technologies are starting to rival Traditional Implant impression techniques. While patients greatly prefer IOS to conventional procedures, the workflow can be challenging and difficult to set up, especially for implant therapy. However, once established then the clinical and laboratory processes can go very smoothly.
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Recovery of an extraction site with orthodontics, implant therapy, augmentation and emergence profile development
The patient lost a front tooth as a child, now at the age of 30 he wants a replacement. But all sorts of deformities have set in. The adjacent teeth moved, the ridge shrank and he also has a major skeletal and dental malocclusion. Recovering the situation takes time. New technology helps with providing the result.
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