Jaime A. Vergara, DDS, PA

Periodontal Practice with Emphasis on Dental Implants

When nature fails, a dental implant is the next best option !

 

 

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Implants in the Anterior Area

Description

The replacement of a maxillary anterior tooth is the most challenging case from all aspects of dentistry. Today, our office recognizes that the challenge of the maxillary anterior tooth replacement is not reconstructing lost tissues but rather preserving the existing hard and soft tissue components present around the natural tooth.

Immediate single tooth replacement allows for faster healing by promoting bone healing in one phase. Previous techniques needed healing after tooth extraction, during implant osseointegration and after the second stage surgery. The immediate implant protocol combines all into one stage. Furthermore, the management of the soft tissue is minimal since it does not change during healing.

Cases

Case 1. Extraction and immediate implant replacement. All tissues were preserved completely. All treatment done in one surgery.

Case 2. Extraction and immediate implant replacement. Perfect gingival contour after one surgical procedure.

 

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Length

Average 2 hours or more

Cases are followed closely for 6 months prior to final crown placement

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After surgery

Temporary soreness, minimal gum tissue brushing, no face swelling.

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Recovery

Back to work: next day

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Risk

Implant loss due to early loading ( biting on the implant too soon). Infection could appear if the extracted tooth is severely infected or antibiotics are not taken as recommended. Slight gum recession is commonly (0.5-1 mm) depending on local trauma.

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Results

Very predictable. Dental implants are a permanent solution. They do not need to be removed at a later time unless problems appear.

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Patient Status

Outpatient. Does not need to go to a hospital.

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Anesthesia

Local without any need for IV sedation. Oral sedation can be used ocaccionally.

 

 

 

 

 

 

 

 

 

 

 

 

 
 
 
 
 
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