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.

Mandibular canine implants with ball abutments

By Dr Kimmo Karstoft

A common situation, one which sounds simple enough, but in reality considerable skill is required to make for a satisfactory result. Dr Kimmo Karstoft has great skill and manages to show the situation extraordinarily well in this video. This is a great video to watch when you are considering a case like this.

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Ridge augmentation with implant placement part 3: final restorative therapy

By Dr. Peter Hunt

This case had a very resorbed ridge under a failing maxillary posterior bridge. Part I showed the surgical procedure with internal sinus lifts and extensive augmentation around implants. Part 2 showed the second stage exposure and more augmentation. Part 3 shows the final restorative therapy

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Immediate load maxillary reconstruction

By Dr. Maurizio Ciocci

Following recovery procedures to augment alveolar support in an edentulous maxilla (sinus lifts + labial bone block augmentation), a Surgical Guide Procedure to place eight implants was carried out. These implants were then immediately connected to a full arch provisional restoration. Plans like this require very detailed planning and execution to keep on track and on time.

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Immediate Mandibular Transition

By Dr. Mario Beretta

There are a few very poor remaining teeth in the mandibular arch. The plan is to have a fixed reconstruction supported on implants. The challenge is how to get there. This video shows how this can be achieved very simply by planning the case out prior to the procedure. A Surgical Guide is prepared, so too is a very critical "Bite Block". Finally, a provisional reconstruction is constructed. See how all the parts come together nicely so that the patient can leave with a new fixed dentition.

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Weak maxillary incisor + strong bite

By Dr. Peter Hunt

The patient has a natural tooth with a crown. Recently the crown preparation fractured and it has become impossible to retain the crown for any length of time. He wants something more durable. This video shows an immediate transition procedure replacing the tooth with an implant, an abutment and a provisional crown.

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Custom impression procedure

By Dr. Peter Hunt

When a nice emergence profile has been worked out in the Provisional Restoration, it's useful to carry that over to the final restoration. One technique is shown here. The abutment is removed, an implant analog is attached, then the assemblage is placed down into a small cup containing impression material. When this is set, the abutment is removed and an impression device is attached. Flowable resin or acrylic is placed down into the crevice between the impression material and the impression device. When cured, the retaining screw is unscrewed and the assemblage withdrawn. This "Custom Impression Device" is then able to be placed into the mouth to be picked up in an over-impression.

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Failing maxillary section

By Dr. Peter Hunt

A three-unit bridge in the maxillary posterior region is failing because the terminal molar has a major tri-furcation abscess. The patient is a high-powered executive who would not tolerate a gap or a partial denture. The answer is to remove the two teeth supporting the bridge and to place three implants. One, in the molar region is not able to be loaded Immediately. Another implant is placed in the edentulous part of the ridge and a final one immediately replacing the first premolar. These two anterior implants are immediately restored with zirconia emergence abutments and a splinted plastic provisional bridge. He managed fine with this arrangement. After healing, three individual restorations were placed on these implants.

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Guided immediate replacement of two mandibular molars

By Dr. Peter Hunt

Two mandibular molars are in a bad way and the support for the second premolar is jeopardized. The solution is to remove the two molars, to clean out the region, and then immediately to place two implants. The key to success though is to extensively regenerate in the region at the same time. Healing went well and the patient was spared from having three missing teeth and a collapsing mandibular ridge,

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