This was done with a zirconia abutment, which is white so there will be no “metal showing” even if the gum receeds. Which will probably not happen because this was such a thick gingival biotype.

Bridge Replacement

Bridge was sectioned, the patient healed for 6 months and after about a year has come back desiring teeth in that area. I explained that we could do implants. Below are the placed implants and the CT scan workup for this site.

Patient had a front tooth that jetted out and didn’t want to re-trude it with an appliance.

We placed an immediate implant. This is where we can take out the tooth atraumatically and place the implant in the extraction site. We then place a bone graft and a collagen membrane and suture the flap closed.

Lower Left Implant Placed where patient was missing a tooth.

A CT Scan should always be taken prior to implants to give the surgeon forsight in to the vital structures such as nerves and blood vessels.

Tissue Level Straumann SLA implant 4.8mm diameter was placed in the area of #18.