Issue: One lower right molar had been missing for several years and the other lower right molar was broken and decayed to the point that restoring it was not likely to be a long term successful solution.
Solution: 3-D planning imagery and software from our cone beam CT scan machine in the office allowed us to determine the best position for the implants and create a custom surgical guide utilized while placing the implants, all of which resulted in properly positioned implants and natural appearing crowns.
Issue – Severe wear and breakdown of remaining teeth, several abscessed teeth, multiple missing teeth.
Solution – Removal of upper teeth and replacement with an implant attached zirconia hybrid denture on six implants. Full arch restoration on the lower arch with ceramic crowns and a single implant on his lower left.
Issue: Two badly infected and broken upper front teeth as well as poor alignment of his teeth overall.
Solution: Through a process involving extractions, bone grafting, and braces we were able to achieve a healthy, infection free point which allowed dental implants to be placed and utilized to replace the two missing front teeth.
Issue – Her front two teeth had failed root canals that were infected and the teeth were not restorable. She also wanted to improve the darkness of the side front teeth and the notching along the gum lines of the canines and premolars.
Solution – Two implants replaced the front teeth after they were removed and the sockets were grafted. Lower teeth were straightened with Invisalign while implants were integrating. Custom abutments and crowns were used to restore the implants at the same time as new crowns were placed back to the premolars on each side to create the ideal smile she desired.
Issue – Chronic struggles with dry mouth had created a combined situation of failed fillings and crowns, new decay, and infected teeth. Investing in the heroic restoration of natural teeth and still facing the risk of new decay and failed work was not an option she wanted to pursue.
Solution – All the teeth were removed, six implants were placed in both top and bottom jaws, and screw retained zirconia hybrid dentures were made to restore what was lost.
Issue: Advanced periodontal disease, multiple missing teeth, and several abscessed remaining teeth.
Solution: All remaining teeth were removed and a digitally guided All-On-X approach was used to place implants and immediate teeth all in one day. Four implants were placed in the upper jaw and six were placed in the lower jaw and the prostheses were attached to the implants, creating a completely stable and non-removable option for the patient. After healing, permanent zirconia prostheses were designed and attached to the implants to completely restore her mouth and smile. This treatment option allowed her to to create the confidence of the healthy smile she wanted while eliminating the risk of continued gum disease, cavities, and tooth pain.
Issue: Long term breakdown of oral health had resulted in a smile she was not confident with anymore. Multiple missing, broken, and infected teeth were present, creating a situation that did not make sense from a risk or financial perspective to rebuild from while keeping natural teeth.
Solution: All remaining teeth were removed and an All-On-X approach was used to restore the upper teeth with a zirconia hybrid attached to six implants. An overdenture attached to two implants in the canine positions was used to replace the lower teeth. This option resulted in the combination of a non-removable upper prosthesis and a more economical removable lower overdenture, allowing her to create the smile and confidence she wanted while remaining within her budget.
Issue: Years of untreated periodontal disease and complications from the loss of multiple teeth left Deb in a situation where her remaining teeth were not restorable. She desired a restored smile and a tooth replacement option that couldn’t fall out on its own.
Solution: We had several discussions covering all treatment options available until Deb felt comfortable with her decisions. Five implants were placed on the upper arch to support and retain a hybrid denture which is completely secured in place and doesn’t cover her palate like a traditional denture. Two implants were placed on the lower arch to retain an implant supported denture. Deb has regained the ability to smile, speak, and chew without the worry of anyone noticing that her beautiful smile isn’t completely natural.
Issue: Missing teeth, visible roots above front crowns, and upper front teeth closing behind the lower front teeth. He wanted a natural looking smile and to laugh without concern of how his teeth looked.
Solution: The combination of tooth loss and positioning of remaining teeth made it impossible to satisfy his goals and keep the upper teeth at the same time. Braces were placed on the lower teeth to improve positioning, the upper teeth were removed, six implants were placed, and a zirconia hybrid was secured in place on the implants.
Issue – Several missing teeth, new decay around bridework and individual crowns, and several abscessed teeth. There were not enough stable teeth remaining on top to base a restorative plan around.
Solution – All the upper teeth and the non restorable lower back teeth were removed. Six implants were placed in the upper jaw to secure a zirconia hybrid denture which is not removable by the patient. A lower partial denture was made to more economically replace the missing back teeth on the bottom.
Issue: A broken and non-restorable molar on the lower left had to be extracted. The bite and function of the existing lower teeth was not ideal; note the metal exposed on the lower back crowns where she had worn through the porcelain.
Solution: A guided surgery approach was used to place her implant exactly where it needed to be to support the ideal location for the new tooth. The worn back teeth were rebuilt with new crowns to create ideal function and provide needed space for the restoration of the worn and chipped lower front teeth. See the restoration of the lower front teeth in the “Full Mouth Reconstruction” section of our smile gallery.
Issue: An existing root canal on the lower right molar became infected and abscessed. Patient chose to extract the tooth rather than attempt to have another root canal performed. It was important for her to replace the tooth without the use of any metallic materials.
Solution: An all zirconia, metal free, tooth replacement option was chosen. Normal guided surgical protocol with 3D imagery and pre-planned surgical guide was used to place a Zeramex P6 zirconia dental implant. Following several months of healing, an all zirconia abutment, metal-free screw, and zirconia crown were made to restore the case and replace the tooth.
Issue: Missing molar on the lower right side.
Solution: Since it was important for her to avoid metals in her treatment, an all zirconia Zeramex XT implant was placed and a metal free screw, abutment, and zirconia implant crown were used to replace the tooth.
Issue: One lower molar was missing on each side and she wanted all the metal removed from her mouth.
Solution: A metal free, all zirconia tooth replacement option was chosen. Normal guided surgical protocol with 3D imagery and a pre-planned surgical guide was used to place a Zeramex P6 zirconia dental implant on each side of the lower jaw. An all zirconia abutment, metal-free screw, and zirconia crown were used to restore both implants and replace the missing teeth. The gold crown on the lower right was replaced with a metal free zirconia crown at the same time.
Issue: Years of wearing poorly fitting and difficult to clean orthodontic appliances to replace missing teeth created a situation where many of the remaining teeth were not restorable due to bad cavities.
Solution: A fully digital All-on-X plan was developed to remove the remaining upper teeth, place six implants, and attach a new set of teeth to those implants all in the same day. Following four months of healing, a final zirconia hybrid denture was made and attached to the implants.
Issue: Multiple missing teeth and several of the remaining teeth were infected and painful or broken and non restorable. She wanted a non-removable solution that would recreate her ability to smile confidently and chew comfortably.
Solution: A fully digital All-on-X treatment plan was developed to remove all the remaining teeth, place six implants in the top jaw and four implants in the bottom jaw, and attach a new set of teeth to them all in the same appointment. After 4 months of healing, the process was started to create new upper and lower zirconia hybrid dentures which attach to the healed implants.
Issue: Multiple failed rounds of restoring natural teeth with crowns and root canals had left Karen frustrated that problems were continually developing.
Solution: After detailed planning and lengthy discussion, she decided removing her natural teeth and replacing them with implant-supported hybrid dentures was her best option. Multiple implants were placed in her upper and lower arches and beautiful, custom prostheses were fabricated to securely attach to those implants. The result was a brilliant smile, a perfect functional bite, and completely secured prostheses that cannot become loose on their own.
Issue: An accident when he was young caused trauma to the upper lateral incisor, which eventually led to it becoming infected and discolored.
Solution: The infected tooth was removed and a socket preservation graft was performed to keep as much bone volume as possible. Following several months of healing, a digital implant placement guide was developed from an updated 3D CT scan and printed on our 3D printer to allow the implant to be perfectly positioned during surgery. After placement of the implant and three months of healing, a zirconia crown was placed on a custom abutment to replace the missing tooth.
Issue: An old bridge connecting the upper left canine to the upper left central incisor broke and the front tooth that was underneath the bridge was discovered to be non-restorable due to a significant fracture.
Solution: Instead of making an even longer bridge to replace the two teeth that were now missing, an implant was placed at the upper left central incisor (front tooth) site. A two tooth bridge was attached to that implant to replace the missing left central and lateral incisors and new single crowns to match were placed on the canine and right central incisor.
Issue: An upper front tooth broke at the gumline and there was not enough remaining tooth structure to predictably restore it.
Solution: The broken tooth root was extracted and a single implant was placed. Following implant stabilization, a layered zirconia crown was made to replace the missing tooth and match the existing crowns along her remaining front teeth.
Issue: The progressive loss of his back teeth had created an inability to chew effectively and enjoy the types of food he wanted to confidently eat.
Solution: Placement of two implants on his lower left and one on his lower right followed by the creation of a Removable Partial Denture (RPD) that securely snaps onto locators attached to the implants. The secure attachment to the implants prevents any tipping or dislodging of the denture, allows the denture design to be without any visible clasps around remaining teeth, but also allows easy removal and cleaning of the prosthesis.
Issue: Patient had lost her upper back teeth over the years and desired a cost effective way to replace the missing teeth and increase her chewing ability.
Solution: An implant was placed on each side of her upper jaw and an RPD (removable partial denture) was made to attach to the implants. The implants secure the RPD to the upper arch, preventing the need for visible metal clasps to hold the RPD in place. This was a more cost effective approach that placing several implants on each side and a more esthetic and secure approach than making a traditional RPD that gains its retention by visible metal clasps around the teeth.