A 39 year old male patient from chennai came to our clinic with a complaint of shaking lower front teeth since 1 year, because of which he was also having gaps in his front teeth. On questioning about his past dental history, patient told that he underwent implant procedure and the tooth next it was shaking and giving gap. Patient told that he is having bleeding in his gums while brushing and also having difficulty in chewing foods. The patient finally approached us seeking treatment for his shaking teeth and wants a painless treatment with fast recovery. Since it was a front teeth and also he is a social speaker he stressed that he cannot be without teeth and asked us to fix the teeth on the same day or the next day of the treatment.
ON INTRAORAL EXAMINATION
Implants and the teeth fixed to it was good was stable, the teeth next to the implants were grade 1 mobile with gaps present between them. The surrounding gums were inflammed and bleeding on probing.
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ON INTRAORAL EXAMINATION
Implants and the teeth fixed to it was good was stable, the teeth next to the implants were grade 1 mobile with gaps present between them. The surrounding gums were inflammed and bleeding on probing.
3D AND 2D RADIOGRAPHIC EXAMINATION
Both 3D and 2D xrays shows good quality of cortical and basal bone for accurate placement of implants.
TREATMENT PLAN DISCUSSION
After complete clinical and radiographic examination, treatment plan was discussed with the patient to extract the 2 shaking teeth and placing 2 additional implants under local anesthesia(STA painless computerised anesthesia) and giving provisional teeth on the same day. And we informed patient that after 4-6 months of healing, these provisional crowns should be changed to permanent zirconium crowns.
TREATMENT PROCEDURE
On day 1, implant placement procedure was done under local anesthesia and impressions were taken for delivery of provisional crowns. And the provisional teeth were fixed on the same day. The patient is asked to report us after 4-6 months of healing period for changing his provisional crowns to permanent zirconium crowns
IMMEDIATE POSTOPERATIVE OPG
OPG showing accurate placement of basal implants at appropriate sites
Finally our patient reported us after 4 months healing period to change his provisional teeth. Patient was happy with the provisional teeth but he was more eager to use zirconium crowns for chewing and came back to us.
HEALING AFTER 4 MONTHS
On the same day, digital impressions by 3D scanning was recorded and teeth were fixed the very next day
3D DIGITAL SCANNING
ZIRCONIUM CROWN FIXING
The next day zirconium crowns of perfect shade matching the adjacent teeth was fixed and gum colors were also added to match his natural gums.
Patient was extremely happy with his treatment. And finally he was asked to report us for follow ups during initial 6 months.
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