Tag Archives: dental implants

Broken dental implant case

This patient presented with a broken lower implant. I originally restored this implant crown a few years ago, and I was quite surprised and curious as to why it broke. This is very rare, and I used all the best, highest quality, Swiss made, Straumann Implant parts. The implant porcelain crown and titanium abutment broke apart leaving the screw still in the implant. She clenches and grinds her teeth, but still, this should not have occurred. I redid the implant crown and did not charge the patient. These are the clinical pictures:

broken_implant
broken implant parts
broken_off_implant
view in mouth
implant_broken
x-ray of broken implant
implant
ready to make a new crown
impression_post
impression post in place
impression_post_film
confirming post seating
straumann_implant_parts
restorative implant parts
implant_screw_channel
implant crown in place/screw channel
final_implant_picture
case completed, screw channel filled, beautiful :-)))
implant_seating_check_x-ray
confirming proper alignment prior to final screw torquing

Implant and crown case of the day

On this patient I noticed decay under two 20 year old crowns on teeth #30 and 31.  Removal of the old crowns revealed tooth #30 with deep decay sub-gingival into the root furcation. This tooth was non-restorable.  I recommended extraction and an implant. For tooth #31, I was able to clean out the decay and do a crown build-up and make her a new crown.

decay under old crowns
decay under old crowns
decay-under-crowns
decay on x-ray
under_crown
after removal of crown #30
healing_abutment_crown_build-up
#30 extracted-implant placed, #31 cleaned up
implant
#30 implant, #31 new crown placed
screw_channel
implant crown in position
final_implant
screw access channel filled
final_implant_&_crown
finished implant and crowns-looks great!!!
parfect_crown_&_dental_implant
perfect fit!
Dr_Philip_Gentry
happy patient

implant_gapparfect_crown_&_implant

The first x-ray above shows my initial try-in with a gap between the implant crown and implant. The crown would not fully seat, so I re-did the implant crown. The second x-ray, after re-doing the implant crown, shows a perfect fit!!! Both the implant crowns #30 and #31 fit and look beautiful.

Re-making a broken dental implant crown.

This patient presented with a broken implant crown. It was done 20 years ago in Los Angeles, California. What made this case interesting is that the dentist had retired and there was no record of the type or size of the implant. I sent pictures to different implant companies, but none were familiar with the design. I eventually figured out the implant manufacturer, but after checking, discovered they were no longer in business.  Another complication was that the screw was stripped and difficult to remove. Eventually after trying different sized external hexed implant fixtures, I was able to get one to fit and made a beautiful new implant crown. Here’s the clinical photos:

broken-implant
broken implant crown/stripped screw
broken-dental-implant
the old implant external hex attachment
dental-implant-x-rays
making the new implant crown
after-new-implant
the new implant crown
happy-patient
happy patient

Dental Implant case of the Day.

For this patient, we were unable to save her back right lower molar. We extracted the tooth and placed a dental implant. Here are the clinical photos:

implant#31
dental implant
implant-crown#31
screw retained crown
implant-crown#31-final
screw access channel filled
digital-design-scan
digital design scan
implant-crown-screw
restorative torque wrench, titanium screw, implant crown
tooth#31-before-extraction
back molar before extraction
implant-tooth#31
final implant x-ray
happy-patient
happy patient

Dental Implant case of the Day

Here are the clinical photos from today’s implant delivery appointment:

encode-healing-abutment
Encode healing abutment
dental-implant
dental implant
implant-crown
screw access channel
implant-final
access channel filled
final-x-ray
perfect fit
happy-patient
happy patient

         

These x-rays show the importance of taking an x-ray to confirm that the implant  crown is lined up and seated correctly.

x-ray1
gap between crown and implant
x-ray2
crown repositioned-no gap

Nice dental implant case :-)))

This patient had a fractured molar that we tried to save with a root canal. The root fracture was too large and we were unable to save and restore the tooth.  So I recommended to extract the tooth and placed a dental implant. Turned out fantastic and the patient is very happy he can chew again on his left side :-)))

Dr Gentry dental implant

Extraction, bone graft, dental implant.

Today I finished up this nice case. The upper right first molar tooth was broken down and non-restorable. I first extracted the tooth and placed a bone graft. Following 3 months of healing we placed a Zimmer-Biomet 3i titanium dental implant. Then after allowing 3 months for the dental implant to isseointegrate, placed the computer scannable Encode healing abutment. Then took the final impression and delivered the screwed retained implant crown.

extraction site
extraction site
bone graft
bone graft placed
collagen bio-plug
collagen bio-plug, sutures placed
healed extraction site
healed extraction site
dental implant
dental implant
healing-abutment
healing abutment
screw retained implant-crown
screw retained implant crown
dental-implant-crown
screw access channel filled in
non-restorable molar
non-restorable molar
grafted socket
grafted socket
dental-implant
dental implant

Implant case of the day

This patient came in to my office having broke off his upper right front tooth leaving only the root. This was a challenging  case because his other upper front teeth had old crowns on them with receded gums. This space was also larger than the width of the other incisors. I would have liked to replace all his old crowns at the same time so I could make everything perfect and even, but he just wanted me to restore only this broken off tooth.  It turned out pretty nice. Since he has a low lip line, he only shows half of the upper teeth anyway when he smiles. My implant tooth actually looks better than his other teeth. This is how I did it:

fractured off tooth
fractured off central incisor
fractured tooth
x-ray image of root
tooth extracted
root extracted and implant placed
custom abutment
custom abutment screwed into implant
implant crown
implant crown cemented
Dr. Gentry and happy patient
happy patient
implant
implant and custom abutment
implant parts
torque wrench, crown, screw, custom abutment
design scan abutment
computer design scans

design scan