Additional Authors

Blake Giuliani, DDS 2024

Presentation Category

Implant Dentistry

Introduction/Context/Diagnosis

Project Summary The patient was seen by two different student dentists before being transferred to me. I came to assist with the implant surgery and continued dental care from there on. The patient presented with missing #8 and a large vertical bone defect from #7-#9. The patient's confidence had gotten worse due to the continuous failure of implants and missing a front tooth. After over 3 years of treatment at the school, the patient felt whole again. Significance: Vertical bone defects can be very hard to manage, but espcially hard to manage when they are in the anterior region. Some implants are better than others; Titanium vs. Zirconium. Bone defects can become more difficult to manage when aesthetics are a concern. There are appropriate uses for titanium mesh in GBR. Soft tissue grafts that increase keratinized tissue are beneficial around implants. Pink Porcelain can be used to mimic soft tissue in both provisionals and final restorations. Replication of emergence profile and communication with the lab is important for the functional and aesthetic outcome of the final restorations. The use of guided surgery makes implant success more predictable. Acknowledgments: Dr. Sadowsky, Dr. Gonzalez, Dr. Tina Cun DDS 23', Dr. Ian Fuller DDS 22', Carlos Correa, Unident Lab

Comments/Acknowledgements

Presentation Category: Implant Dentistry

Location

Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA

Format

Presentation

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Dentistry Commons

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May 8th, 2:15 PM May 8th, 5:00 PM

Overcoming Challenges: Management of Dentat Implants in the Aesthetic Zone

Arthur A Dugoni School of Dentistry, 155 5th St, San Francisco, CA 94103, USA

Project Summary The patient was seen by two different student dentists before being transferred to me. I came to assist with the implant surgery and continued dental care from there on. The patient presented with missing #8 and a large vertical bone defect from #7-#9. The patient's confidence had gotten worse due to the continuous failure of implants and missing a front tooth. After over 3 years of treatment at the school, the patient felt whole again. Significance: Vertical bone defects can be very hard to manage, but espcially hard to manage when they are in the anterior region. Some implants are better than others; Titanium vs. Zirconium. Bone defects can become more difficult to manage when aesthetics are a concern. There are appropriate uses for titanium mesh in GBR. Soft tissue grafts that increase keratinized tissue are beneficial around implants. Pink Porcelain can be used to mimic soft tissue in both provisionals and final restorations. Replication of emergence profile and communication with the lab is important for the functional and aesthetic outcome of the final restorations. The use of guided surgery makes implant success more predictable. Acknowledgments: Dr. Sadowsky, Dr. Gonzalez, Dr. Tina Cun DDS 23', Dr. Ian Fuller DDS 22', Carlos Correa, Unident Lab

 
 

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