When I first met Laurie, she was 15 and in the middle of orthodontic treatment. Her upper left canine tooth was impacted (hidden in the bone and not in a position to erupt.) We determined that the tooth could not be saved and we elected to extract it and have an implant placed. The tooth was removed and a bone graft placed. The adjacent teeth were repositioned orthodontically so there would be enough room for the implant. The implant was placed and it was allowed to integrate to the bone. During this time Laurie wore a flipper type partial denture to replace the missing tooth. Once the implant was integrated, the implant was exposed and a screwed in temporary implant crown was placed.
The photos below show the space where the tooth was missing and the temporary crown in place. The crown looks terrific – but the permanent crown will look even better. Laurie is thrilled not to have to wear the removable denture anymore. Once further healing of the surrounding gum tissue takes place we will place the final implant abutment and crown.
Laurie just left for college, but she will be back in Coram for Thanksgiving when we will place a permanent implant crown. This type of dental treatment is complex and cannot be rushed – it takes a lot of planning and coordination among myself as restorative dentist, the orthodontist, the oral surgeon and periodontist. But is the wait worth it? You bet!