"Simple - The way it was meant to be"

immediate central implant after one year

	A young woman, about to be married, presents with intractable pain from the upper right central incisor. On a recent visit to a postgraduate teaching hospital she was told the pain was psychsomatic. She had a history of tooth trauma some 20 yrs previously when her brother had knocked out the lower right central incisor.
	Palatal view gives a view of the damage to the tooth
	Tooth carefully removed using periotomes. This technique avoids damage to the delicate cortical plates of bone - esssential to preserve the bony architecture
	A composite shell crown has been made by the lab technician to aid in the chairside procedure. The shell crown is roughly luted to the plastic abutment sleeve and any voids are filled in with composite resin. The crown/abutment can then be carefully shaped and polished
	Implant in, provisional crown/abutment seated into implant with finger pressure. The crown is then bonded to the adjacent teeth for support during the healing phase.
	A view of the healed tissue and provisional crown at 12 weeks. The final crown is now made.
	Completed crown one week after fitting. NB the crown was cemented to the abutment extra-orally. This way no extraneous cement can cause a problem with the gingival tissue
	The crown one year after surgery. This kind of result can only be achieved with the immediate replacement of the failing tooth. Dentist Geoffrey Pullen, technician Simon Newbold