case presentation
play

International Multi-Center Study for the Megagen Anyridge Implant System Case Presentation Dr Howard Gluckman Aesthetic Evaluation The patient presented with a main complaint of a loose crown on the 21 and very swollen gums around the crowns

0 downloads 5 Views 1,55 MB Size Report
  1. International Multi-Center Study for the Megagen Anyridge Implant System Case Presentation Dr Howard Gluckman

  2. Aesthetic Evaluation The patient presented with a main complaint of a loose crown on the 21 and very swollen gums around the crowns in the upper right anterior section. She does not like her smile and she would like to improve her smile

  3. Soft tissue swelling around the crown margins due to violation of the biological width

  4. Radiographic Examination Peri-apical examination reveals good root structure on the 12 and the 11 but the 21 shows secondary caries as well as an inadequate endo

  5. Aesthetic try in Following DSD an aesthetic try in was completed realigning the centrals and laterals on the left side and gingival correction of the upper right side.

  6. Treatment Plan • Crown lengthening of the 12 and the 11 • Replacement of the crowns in the 12 and 11 area due to poor margins • removal of the tooth 21 and replacement with an implant. The use of a socket shield technique to ensure ideal sift tissue contours. • New crown on the 22 and adjustment of the soft tissue margin with the new crown into a more ideal position. • Correction of the incisal contours of the 23 and 24 and cutting back of the 13 to improve the position in a bucco-palatal dimension

  7. Soft tissue surgery with the use of a diode laser followed by lifting of the gingiva and osteoplasty and ostectomy to correct the biological width violation

  8. Socket shield technique

  9. Implant placement The placement of a 4mmx13mm Megagen Anyridge implant and packing the jump gap with xenograft

  10. Provisional Fabrication Provisionalisation of the implant using a titanium provisional abutment. We retrofit the crown to the abutment using composite

  11. The crown was indexed using lab putty before it was removed. The abutment is replaced and a toothpick is placed in the abutment to prevent the composite flowing into the screw hole

  12. The crown is filled with composite and then placed in position. The composite is cured in position.

  13. Finalising the Provisional Once the crown is indexed on the abutment it is unscrewed and composite is flowed to create ideal crown contours. Temp glaze is used to highly polish the surface.

  14. Final fitting of the provisional.

  15. Radiography shows the remains of the root structure both buccal and inter- proximally. The second xray shows excellent adaptation of the crown to the implant

  16. Final healed tissue 6 months later showing excellent soft tissue integration and outstanding papillae. The patient is now ready for the final crowns.

  17. Excellent soft tissue healing and contour 6 months post op.

Recommend Documents


1 quick comparison
1 Quick Comparison Variance (existing

Variances and Case-by-Case Determinations 1 OAC 3745-300-12 Certified

case study 2 case study 2 case study 2 case study 2
Case study 2 Case study 2 Case study

Case study 2 Case study 2 Case study 2 Case study 2 Former Industrial Site,

ul mate goal memorandum constitution and or statute and
ul#mate goal MEMORANDUM

ul#mate goal MEMORANDUM constitution and/or statute and/or regulation

case management
Case Management Best P r actice Case

Case Management Best P r actice Case Management regulations. Case Study.

ii directive for case documentation case reports must
II . Directive for case documentation :

Guidelines for Comprehensive Case Presentation I . Case Type: Generalized

femoral fracture during cesarean section a case of
Femoral Fracture During Cesarean

DOI: 10.26502/acmcr.96550087 Arch Clin Med Case Rep 2019; 3 (5): 242-249 Case

case project case project implementation 2017 and plans
CASE PROJECT CASE PROJECT

CASE PROJECT CASE PROJECT IMPLEMENTATION 2017 AND PLANS FOR 2018 Antoine

analyse
ANALYSE A CASE LAW Acelegal

HOW TO ANALYSE A CASE LAW Acelegal (Education Series) 1/38 ACELEGAL

case
Case Sleep Disorders: A Case-based

Case Sleep Disorders: A Case-based Approach ROS: 30 Lbs wt gain/1year

the montreal case the montreal case
The Montreal case The Montreal case 1

The Montreal case The Montreal case 1 The Montreal case The Montreal case

accelerated bridge construction examples
Accelerated Bridge Construction

Accelerated Bridge Construction Examples We have been using ABC methods to

kiss quattro abutment system kiss quattro abutment system
KISS Quattro Abutment System KISS

KISS Quattro Abutment System KISS Quattro Abutment System Choose matching

push in implant system
Push-In Implant System Prosthetics

your comfort is our goal! Push-In Implant System Prosthetics Quick Reference

presentation amp management of common thoracic disease
Presentation & management of common

Presentation & management of common thoracic disease Objectives: Done

drug induced liver injury dili classification using us
Drug-Induced Liver Injury (DILI)

Drug-Induced Liver Injury (DILI) Classification using US Food and Drug

6 11 2015
6/11/2015 Benign Focal Hepatic

6/11/2015 Benign Focal Hepatic Lesions: Derek DuBay, MD Associate Professor

dental implant cement flow simulations with star ccm
Dental Implant Cement Flow Simulations

Dental Implant Cement Flow Simulations with STAR-CCM+ Sabine Goodwin Problem

rigid inclusions for support of roadways on challenging
Rigid Inclusions for Support of

Rigid Inclusions for Support of Roadways on Challenging Soils JASON GRIFFIN

trb 91 st annual meeting session 442 trb 12 2813 outline
TRB 91 st Annual Meeting Session 442

1 First Fully Prefabricated Full-Depth Deck Panel Bridge System in Michigan:

monmouth county bridge s 17 on county route 10 west front
Monmouth County Bridge S-17 On County

Monmouth County Bridge S-17 On County Route 10, West Front Street over the

ida lake dam
Ida Lake Dam Chris Wheland,

Alternatives Analysis for Ida Lake Dam Chris Wheland, Superintendent

rehabilitation of the bay of quinte skyway highway 49
Rehabilitation of the Bay of Quinte

Rehabilitation of the Bay of Quinte Skyway Highway 49 Pre-Bid Presentation