Archive for December 2012
In this case, the patient presented with a missing tooth in the 25 position (upper left second bicuspid) and a fractured tooth in the 24 position (upper left first bicuspid). Unfortunately, due to the extensive decay, the 24 was no longer restorable and required extraction. A variety of treatment options were reviewed with the patient including replacment of the missing teeth with implant-supported corwns, a long-span fixed bridge or a removable partial denture. The patient weighed the pros and cons of each type of treatment and chose to replace the teeth with implant-supported crowns.
At this point, diagnostic models were made and the patient scheduled with the oral surgeon to have the 24 extracted and two implant fixtures placed in the same appointment. The extraction and placement of two Nobel Active implant fixtures were carried out without complication. The patient was assessed a few days after placement of the implant fixtures and reported no discomfort.
The implant-supported crowns were fabricated following 3 months of integration time. Custom Zirconia abutments and crowns were fabricated and over-layed with porcelain. The crowns were seated using a screw-retained method and torqued to 35Ncm. These crowns will provide the patient with years of trouble-free service and if properly cared for, they can last a lifetime.