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.

A failing dentition with failing implants

By Dr. Peter Hunt

Everything seemed to be failing. Teeth, implants, bite collapse; it looked as though he was moving towards full dentures. By a careful analysis of the issues, with removal of the factors causing breakdown we were able to bring him under control. We then moved him to a durable set of provisional restorations which allowed a transition from tooth supports to implant supports. It became possible to make him stable, functional and comfortable.

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Minimally invasive transition of a peri-implantitis affected reconstruction

By Dr. Christopher Furlan, Dr. Peter Hunt

A rather frail 81-year-old female presented with a Peri-Implantitis affected failing hybrid case supported on five implants in the mandibular anterior region. This report shows how the situation was handled as conservatively as possible with the removal of three implants and the placement of three new ones. The old reconstruction was capable of being replaced at the end of the procedure, and will serve until the new implants have osseo-intgrated and a new restoration is made.

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A maxillary anterior transition made possible by custom bone block augmentation

By Dr. Jan Spieckermann

This presentation shows a maxillary anterior region which had lost bone support following the removal of the four incisors. To overcome the problem two custom bone blocks were designed and milled from human cadaver head of femur bone. These were placed and secured in the affected region. After a suitable healing time it was possible to place implants and to complete a successful rehabilitation.

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Bisphosphonate related osteonecrosis of the mandible following dental implant placement

By Dr. Gary Warburton

This case presents the uncommon occurrence of Bisphosphonate Related Osteo-Necrosis of the Jaw (BRONJ) following the placement of implants in a patient who had been taking oral bisphosphonates (Alendronate - Fosamax) for 5 years. Resection of the affected part of the mandible was required with an iliac crest graft then being placed to restore mandibular continuity. Eight months later, five implants were placed into the region and this allowed the region to be restored with a fixed hybrid reconstruction.

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Two implants to help stabilize a mandibular denture

By Dr. Peter Hunt

In an edentulous mandibular arch two implants in the canine region can make a tremendous difference to the wearer of a full denture. This video shows the placement of two implants in the canine region using a conventional i.e. Non-Surgical Guided Approach. In these situations one has to be very careful in orientation, size of channel and depth of platform placement. It is always better to have CBCT cross-section views to work with.

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Retaining the Supra-Crestal Architecture

By Dr Paul Sipos

A case where a maxillary central incisor was hopeless. It was removed and the the crown and a small part of the root structure was bonded back into place with the hope and expectation that good socket regeneration would occur. However although the gingival complex was retained well, a residual bone defect remained. To compensate, an apical approach to the region was made. This did not disturb the crestal soft tissue architecture. It was possible to debride the region, to place an implant (through a minimal crestal opening) and then to augment with Bio-Oss and Bio Gide. This allowed a very satisfactory final restorative result to be developed.

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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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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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