Upper Lateral Incisor Implant Case: Thoughts?
Last Updated: Aug 26, 2014
This post is in response to a posted case I just left a comment for.
This patient is a 22 year old female with a congenitally missing # 10 and an extremely high esthetic demand.
After years of orthodontics, retention with different kinds of retainers, failed adhesive bridges, I saw this case an the lower limit of mesio-distal width where an implant could be safely placed and restored with a good short and long term esthetic outcome. AT the crest this ridge measured 4.5 mm mesio-distally. The orthodontist had done everything they could do at this point to optimize the site for a dental implant.
I used a Nobel Biocare Active 3.0 fixture, with a platform switch to 2.5 mm. This left me about .8 mm on either side of the implant if I could get it perfectly in the middle. I do not use guides for these cases, I’m more comfortable free handing it and taking lots of check films. I took 4 check films to place this implant.
The implant has been temporized, and 6 months out it looks great.
I posted this case in response to a previously posted lateral incisor case. The surgeon did an excellent job doing surgery, but failed the most important step, treatment planning. When implants are placed in tight spaces, it is imperative to understand that huge restorative problems can be created. A thorough work up, models, calipers, etc… All necessary to make these things work.
As adhesive dentistry gets better and better, so must our results with dental implants. This patient had several consultations regarding Maryland type bridges. I did feel that an implant was the best solution here. If the site was any smaller- not sure if I could pull it off.
Interested to hear what you all think.
11 Comments on Upper Lateral Incisor Implant Case: Thoughts?
sb oms
08/26/2014
CRS
08/26/2014
rsdds
08/27/2014
myonphu yip
08/27/2014
peter Fairbairn
08/27/2014
Pisitroj
09/02/2014
peter Fairbairn
09/04/2014
k e wirth
09/09/2014
Baker
09/09/2014
sb oms
09/10/2014
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