Dentaltown January 2023 - 35

GBR, stuffed-sausage technique.
Defi nitive prosthesis, #7 is a cantilever pontic.
Luckily, she has a lopsided smile. ■
Are these what the implants looked like on the day of surgery? Are you getting bone loss
after the surgical placement? If this bone loss continues, it is going to be a disaster. Is the patient
OK with the result? ■
3/9/2022
DrillaNvanilla
I saw the patient for a hygiene appointment, but not again in the operatory until after a
torque test and the perio cleared her to restore. The bone height seems to have stayed consistent
and the implant collar appears the same at this appointment the photos were taken (nearly three
months after impressions).
I'm concerned with the kind of collar exposure; the area could be a bad food trap and the
bone height could be compromised more.
I asked the patient what she thought and she asked for our opinion. I told her I want a better
result for her and she appreciates the extra efforts we're making, but she's ready just to have her
front teeth back. ■
3/9/2022
At this stage, I'd recommend attempting a graft and exhausting that option. Otherwise, pink
porcelain and accepting the collar is likely the best option next to regrafting and explant, etc. ■
What has she been wearing as a temp? To me, it looks like #8 needed to be placed deeper. It
3/9/2022
TomWhitdmd
would be nice to see implants day of placement.
Getting a papilla between two implants with a defect she has would be extremely diffi cult if
not impossible. As another poster stated, the cantilever pontic would be a nice choice here, but
not with the placement of the #8 implant.
I don't think you have a ton of options, restoratively speaking, in this case other than maybe
adding some pink porcelain on mesial #7, and have it inserted fi rst, and then placing #8 restoration.
Interested in other opinions also. ■
3/9/2022
Member Since: 01/25/12
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NORTHBOUNDandDOWN
Member Since: 03/21/11
Post: 5 of 33
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3/9/2022
Indie0uting
Member Since: 05/30/14
Post: 3 of 33
dentaltown.com \\ JANUARY 2023 33

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Dentaltown January 2023

Table of Contents for the Digital Edition of Dentaltown January 2023

Dentaltown January 2023 - Intro
Dentaltown January 2023 - Cover1
Dentaltown January 2023 - Cover2
Dentaltown January 2023 - 1
Dentaltown January 2023 - 2
Dentaltown January 2023 - 3
Dentaltown January 2023 - 4
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Dentaltown January 2023 - Cover3
Dentaltown January 2023 - Cover4
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