A 44 year old male patient from andhra pradesh approached us with a complaint of shaking lower front teeth with bleeding and swollen gums. The patient stated that his lower front teeth started to shake a year back, which over time led to severe mobility. He was more concerned about his crowding of lower front teeth and told he is having difficulty in brushing there and thought that might be the reason for his loose gums. As a result of mobility and gum infection, patient felt difficulty in biting food and bleeding gums while brushing his teeth. So, patient wanted to correct his malalignment as well as to find a solution for his shaking teeth and finally approached us.
ON CLINICAL EXAMINATION-
Patients lower front teeth appeared to be crowded and malaligned, gum tissue surrounding the relative teeth seemed to have mild inflammation with bleeding on probing and palpation.
ON RADIOGRAPHIC EXAMINATION -
OPG and CBCT taken shows moderate to generalised bone loss in all teeth except for the corresponding lower front teeth which shows slightly more bone resorption, due to poor maintenance of the patient.
TREATMENT PLAN-
AFTER 4-6 MONTHS OF HEALING
Well aligned natural looking fixed teeth(zirconium crowns) fulfilling the patients requirement
ON CLINICAL EXAMINATION-
Patients lower front teeth appeared to be crowded and malaligned, gum tissue surrounding the relative teeth seemed to have mild inflammation with bleeding on probing and palpation.
OPG and CBCT taken shows moderate to generalised bone loss in all teeth except for the corresponding lower front teeth which shows slightly more bone resorption, due to poor maintenance of the patient.
TREATMENT PLAN-
With regards to patient concern on his malaligned and shaking teeth in lower front region and after complete clinical and radiographic examination we planned to extract his lower front teeth and replacing the missing teeth with basal dental implants in a day follwed by teeth fixing. And informed consent was obtained from the patient.
Then the extraction and implant placement placement procedure was carrried out under local anesthesia on the same day of consultation and provisional teeth were given on the same day of implant surgery. Patient is informed that these provisional teeth will be replaced by permanent zirconium crowns after a healing period of 4 to 6 months.
Then the extraction and implant placement placement procedure was carrried out under local anesthesia on the same day of consultation and provisional teeth were given on the same day of implant surgery. Patient is informed that these provisional teeth will be replaced by permanent zirconium crowns after a healing period of 4 to 6 months.
AFTER 4-6 MONTHS OF HEALING
Post operative OPG showing well osseointegrated implants after the healing period
FINAL OUTCOME
Then 3D digital scanning was done fot the delivery of the prosthesis
3D DIGITAL SCANNING
A natural looking prosthesis was fixed on the implants. The teeth was mimicking the natural teeth and looked very real and was well aligned with the patients natural teeth, enchancing the patient look and smile. The patient was extremely happy with the final outcome.