Tag Archives: dental implant

Broken dental implant case

September 4, 2017dental implantsdental, dental implant, dental implants, dentist, dentistry, Dr Gentry, Dr. Philip Gentry, Philip GentryDoctorGentry

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:

implant_broken — x-ray of broken implant

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

August 5, 2017dental implantsarlington, caries, cavities, cavity, crown, decay, dental implant, dental implants, dentist, dentistry, Dr Gentry, Dr. Philip Gentry, northern virginia, Philip Gentry, virginiaDoctorGentry

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.

under_crown — after removal of crown #30

healing_abutment_crown_build-up — #30 extracted-implant placed, #31 cleaned up

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!

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.

July 23, 2017dental implantsarlington, dental implant, dental implants, dentist, dentistry, Dr. Philip Gentry, northern virginia, Philip Gentry, virginiaDoctorGentry

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-dental-implant — the old implant external hex attachment

dental-implant-x-rays — making the new implant crown

after-new-implant — the new implant crown

Dental Implant case of the Day.

July 8, 2017dental implantsarlington, dental, dental implant, dental implants, dentist, dentistry, Dr Gentry, Dr. Philip Gentry, northern virginia, Philip Gentry, virginiaDoctorGentry

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-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

Dental Implant case of the Day

July 1, 2017dental implantsarlington, dental, dental implant, dental implants, dentist, dentistry, Dr. Philip Gentry, northern virginia, Philip Gentry, virginiaDoctorGentry

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

encode-healing-abutment — Encode healing abutment

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

Nice dental implant case :-)))

May 20, 2017dental implantsarlington, dental, dental implant, dental implants, dentist, dentistry, Dr Gentry, Dr. Philip Gentry, northern virginia, virginiaDoctorGentry

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 :-)))

Extraction, bone graft, dental implant.

May 13, 2017dental implantsarlington, bone graft, dental implant, dental implants, dentist, dentistry, Dr Gentry, Dr. Philip Gentry, northern virginia, Philip Gentry, virginiaDoctorGentry

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.

screw retained implant-crown — screw retained implant crown

dental-implant-crown — screw access channel filled in

Implant case of the day

March 18, 2017dental implantsarlington, dental, dental implant, dental implants, dentist, dentistry, Dr Gentry, Dr. Philip Gentry, northern virginia, Philip Gentry, virginiaDoctorGentry

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: