This patient had a very nice dental reconstruction with many crowns. In fact I treated this patient about 8 years ago. His lower incisors were jeopardized prior to me treating him as they were really weak but he wanted to save them with regular crowns.
One of them broke off level top the gum necessitating replacement. The rationale for treating these very skinny lower incisors with dental implant is that implants cannot be too close to one another. Implants are best with space between them in the bone.
There is a high likelihood of the rest of the incisors going bad. Those small four incisors are often best removing them and placing one anchor on either side with an immediate extraction, dental implant placement, bone graft and temporary bridge…all in about 2 hours!
This is exactly what I did with this patient. He was able to be in and out of the office in about 2 hours and leave with a decent looking lower front bridge. Teeth are very small so the temporary bridge had to be a bit bulky to prevent breakage.
You can see in the final that I used custom abutments and a screw retained restoration to replace the lower front teeth.
At no point did he ever have no teeth. He does a soft diet for about 3 months and just chew with the back teeth only until the implants integrate.
The final bridges made in zirconia with a little bit of layered ceramics on top to make it look great. The screw access holes were closed with a composite resin and that should last patient hopefully 20 years!
Ramsey A. Amin, D.D.S.
Diplomate of the American Board of Oral Implantology /Implant Dentistry
Fellow-American Academy of Implant Dentistry