Immediate Load with Cantilever

This case involves a patient that lectures frequently in front of other people. The patient held off from treatment for a long time, because after consultations with other dental offices, the patient was informed that immediate implants would not be possible for their specific case. When the patient finally came to the office, #11 and #21 were completely unsalvageable. We explained to the patient that immediate loading, would be extremely difficult in this case, and may not be possible. However, ultimately we decided that we could do an immediate plan using specific treatment protocols, as show in the video. In a previous case, Sinus Lateral Approach followed by Immediate Placement, the implant was shifted a bit. In this case, a technique was used to prevent this from happening. To do this a section of palatal bone is removed to prevent the shift in the implant. Also, covered in the case video, are suggestions on of how to select the proper drilling location, depth and implant, so that the implant can be immediately loaded successfully even in a very difficult case like this.

2 thoughts on: Immediate Load with Cantilever

  1. Ashwath M Gowda says:

    1. Is the final facio-lingual (axial) position of the implant too far labial. You removed palatal plate of bone un-necessarily… did you?

    2. Aesthetically acceptable Length of crown and pontic on the final restoration may not be easily achievable…. because the crestal bone level that you reduced was “irrational”, meaning it (crestal bone) was being removed for NO KNOWN REASON.

  2. Ashwath M Gowda says:

    Also, You need to describe the nature/kind of occlusion.
    Maxillary and mandibular anterior and posterior teeth in function.
    Is there a good posterior stop?….. pano does not indicate any comfort in the aspect.

    Pre-op clinical photo indicates that the teeth that you removed were being practically kicked out of the actual arch form!!!!!!!! and that (occlusal disaster) was quite prominently evident by observing the lingual of the remaining anteriors in the arch… what would be your opinion?

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