Treatment of Congenitally Missing Teeth

Case Study #1: Marcia J.

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Chief Concern: Marcia had aesthetic concerns since she was missing her right lateral incisor (#7) and soon would lose her left lateral incisor.

Treatment Received:  In one surgical visit, the #10 tooth was removed with single implants placed in both #7 and #10 sites with hard and soft tissue augmentation. Final crown restorations for #6 through #11 was commenced four months later.

youtube-img  See Marcia’s Video Testimonial

Before Treatment

After Treatment

Case Study #2: Henry F.

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Chief Concern: Henry was born with congenitally missing lateral incisors.

Treatment Received:  After confirmation of skeletal growth cessation, Henry’s gummy smile correction was completed and single implants were placed in sites #7 and 10, all in one surgical visit. Eight weeks later his case commenced to completion with single crowns.

Before Treatment

After Treatment

Case Study #3: Shannon D.

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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.

 

Before Treatment

After Treatment

Case Study #4: Samantha

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Chief Concern: Shannon needed to replace congenitally missing maxillary lateral incisors #7, 10 post-orthodontic therapy.

Treatment Received: Single implants were placed and restored as single crowns with porcelain veneers #8 and #9 (central incisors).

Before Treatment

After Treatment

Case Study #5: Jessica

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Chief Concern: Jessica’s maxillary lateral incisors were missing (#7 and #10 teeth). She also had a large bony defect (patient’s right side #7) due to previous traumatic canine extraction. She was completing orthodontic therapy.
Treatment Received: We placed single implants #7 and #10 with cosmetic bleaching of all other teeth. Large defect reconstruction was necessary for implant site development at #7 tooth prior to implant placement. Provisional restorations were fabricated to sculpt the soft tissues prior to final crowns, which were completed two months later. See Dr. Levine’s article highlighting this case. http://www.padentalimplants.com/infoarticles/2012-LevineMartin-Inside-Dentistry.pdf

Before Treatment

After Treatment

Case Study #6: Hui

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Chief Complaint: Hui was concerned about his tooth color and teeth positioning as his maxillary lateral and central incisors (#7 thru #10) were in cross-bite to his lower front teeth.
Treatment Received:  Hui had full mouth orthodontics with immediate extractions of #7 and #10. Upon orthodontic completion (both teeth were non-restorable) single crowns #7 thru 10 were his final restorations.

Before Treatment

After Treatment

Case Study #7: Robin P.

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Chief Concern: Robin came in post-orthodontics with congenitally missing lateral incisors (#7 and #10).

Treatment Received: We placed dental implants with crown lengthening of both cuspid teeth (#6 and #11) and Guided Tissue Regeneration (GTR) using Emdogain™ around both central incisors. Single porcelain crowns were placed six months later.

Before Treatment

After Treatment

Case Study #8: Chareeta

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Chief Concern: Excess gum tissue gave Chareeta the appearance of “short” teeth. Additionally, both of her lateral incisors were missing.

Treatment Received: We completed gum recontouring/crown lengthening with implants used to replace Chareeta’s lateral incisors.

Before Treatment

After Treatment

Case Study #9: Sophia B.

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Chief Concern: Sophia had completed full mouth orthodontics to create room to place dental implants to replace congenitally missing lateral incisors (#7 and #10).

Treatment Received: After confirmation of Sophia’s growth cessation, we placed two dental implants with single porcelain crowns for #7 and #10.

Before Treatment

After Treatment