Implant and crown case of the day

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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.