The PA Center for Dental Implants and Periodontics provides a broad range of treatment and surgical options for patients with everything from mild periodontal disease to severe periodontal disease that has resulted in tooth and bone loss. The cases presented in this photo gallery provide a glimpse of several of the complex cases that the Center has handled in recent years with the SameDay Smile® concept that allows patients to complete implant surgery in just one visit.
Chief Complaint: Kaitlin wanted to improve her smile and alleviate constant pain from severe dental decay associated with most of her teeth.
Treatment Received: The SameDay Smile® concept was used upper and lower with final 3 crown and bridge restorations in the upper jaw (8 implants) and a 1 piece fixed bridge in the lower jaw (6 implants).
Chief Concern: Zhanna had been treated as a “dental tourist” in foreign countries. All her previous dental work, including implants, had failed. Recently, two lower right implants had fallen out.
Treatment Received: In two surgical visits starting with the lower arch, all Zhanna’s teeth and failed implants were removed and six implants were placed for a SameDay Smile®. Zhanna’s case was completed with three separate, porcelain bridges in each arch.
Chief Concern: Due to generalized, severe dental decay on abutement (connecting) teeth, Maria came in with 20-year-old upper failing reconstruction. She was also unhappy with her “gummy” and asymmetrical smile.
Treatment Received: In one surgical visit, all of Maria’s upper teeth were removed, eight dental implants were placed for a SameDay Smile®. An immediate fixed provisional was inserted and Maria’s case was completed three months later as three, separate, fixed porcelain bridges. A night guard was made to protect her porcelain restorations.
Chief Concern: Joan had non-restorable, recurrent decay on all her upper teeth. She also wanted to be rid of her troublesome, upper partial denture.
Treatment Received: Eight SameDay Smile® dental implants replaced her uncomfortable upper partial denture, offering her a complete set of permanent teeth.
Chief Concern: Max was unhappy with his smile, had loose teeth and generalized, advanced periodontitis.
Treatment Received: In one surgical visit, all of Max’s remaining teeth were removed with placement of six implants in his lower arch with the SameDay Smile® concept. Ridge preservation was completed in the upper jaw with bone grafting to preserve remaining bone contours. Bilateral lateral wall sinus augmentations were completed in the upper jaw eight months later followed by eight dental implants. Max’s case was completed with a framework-reinforced, doctor removable hybrid restoration in both arches.
Chief Concern: Robert hated his full upper denture and lower partial denture. He couldn’t eat properly or enjoy food since his false teeth keep coming out.
Treatment Received: In two surgical visits, separated by three weeks, starting with the lower jaw, Robert’s remaining lower teeth were removed with six immediate loaded SameDay Smile® implants placed. His upper jaw was treated with four implants. Robert’s case was completed with an upper patient-removable bar-splint bridge and the lower as a fixed, doctor-removable bridge.
Chief Concern: Bob had non-surgical, periodontal l therapy completed with placement of three dental implants in his lower left (#18, 19, 20) with Dr. Levine. He was aware of his failing upper reconstruction and non-restorability of his abutment (connecting) teeth in his front section (#6, #9) due to dental decay.
Treatment Received: In one surgical visit, Bob had #6, #7, #9 and #10 teeth removed, with placement of immediate implants in #6, #8 and #10. An immediate fixed bridge was inserted followed by three separate upper bridges upon completion of surgical periodontal therapy around all upper posterior teeth. A night guard was made to protect his lovely new porcelain restorations.
Chief Concern: Harold was unhappy with his full upper denture and failing lower fixed bridgework. He wanted a fast, comfortable, permanent solution with minimal downtime which would not affect his TV work as an on-air consultant.
Treatment Received: In one surgical visit, all lower teeth were extracted except a lower left molar. Six dental implants were placed, with an immediate lower fixed provisional. In a separate visit, all of Harold’s upper teeth were removed and eight dental implants were placed for a SameDay Smile®. Both arches were completed as fixed hybrid restorations with a night guard made to protect his important investment.
Chief Concern: Ludmilla had recently lost her lower right fixed bridge due to severe recurrent dental decay. She had not seen a dentist in many years, was aware of her generalized, advanced periodontitis and loose teeth and wanted to improve her smile.
Treatment Received: In one surgical visit, Ludmila’s remaining lower teeth were removed with six, immediate dental implants placed for a SameDay Smile®. An immediate fixed provisional was inserted the next day and her case was completed as crown and bridge on two, fixed bridges three months later. A removable partial denture replaced all her upper back teeth. A fixed implant restoration is planned for the upper jaw in the future.
Chief Concern: Maria was unhappy with her smile, had loose teeth and problems chewing. She was aware of her advanced periodontal disease.
Treatment Received: In one surgical visit, all of Maria’s upper and lower teeth were removed. Bilateral sinus augmentation (lateral wall approach) was completed with ridge preservation (i.e. bone reconstruction) for future implant site development. In addition, six lower SameDay Smile® implants were placed and immediately loaded in function. Six weeks later, we started on her lower jaw which was completed in three sections with porcelain fused to metal crown and bridge restorations. A few months later, eight implants were placed in her upper jaw. She was restored in four sections in the upper jaw with porcelain fused to metal crown and bridge restorations. A night guard was made to protect her new smile.
Chief Concern: Shannon was concerned with the looseness of her two, upper primary canines and desired permanent single teeth. In addition, she was unhappy with her asymmetrical, gummy smile.
Treatment Received: In one surgical visit, we removed Shannon’s loose canines and placed immediate implants with bone grafting and correction of her gummy smile. Fixed, screw-retained temporary crowns were placed the following day and final crowns were made a few months later.