Category Archives: dental implants

Dental implant bridge case of the day

bridges to replace missing teeth, dental implants, , , , , , , ,

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Nice note I received from this wonderful patient :-)))

I consider myself very lucky to have found such an outstanding dental professional.
Over the years he has done some truly amazing work for both my husband and me. He filled, he fixed, he patched, repaired and replaced, while employing the latest innovations in dentistry.  All this with a cheerful, kind attitude that would put the most anxious person at ease. Not just best in his field, but BEST ALL AROUND! You can not imagine just how wonderful my new teeth feel! The fit is simply perfect!! My whole outlook has changed and I feel like a new person. Thank you, thank you!  I could not be happier!!!
We have the highest regard for Dr. Philip Gentry and recommend him without reservation.
A grateful patient from Bethesda, Maryland.  Ildiko  Yeni- Komshian

Implants of the day

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This patient had two teeth that were fractured and need to be extracted. I restored them both with dental implants. The teeth were extracted and implants with healing abutments placed.

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healing abutment, lower molar
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scanned into computer
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implant crown

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final x-ray
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upper bicuspid healing abutment
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healing abutment removed
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implant crown
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tightened into place
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implant crown in place
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implant
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crown with access hole
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access hole filled
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final x-ray

happypatient

Implant case of the week.

dental implants, , , , , , , , , ,

This was a challenging implant restoration case due to the alignment of implants. In order for the implant to osseointegrate  firmly into the jaw bone we like to place the implants where the jaw bone is the thickest and strongest. In this case the best bone was not lined up nicely so we had to stagger the implants. I was still able to make the final implant crowns line up perfectly in the mouth.

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Before and After

Importance of taking a radiograph to verify accurate interface of the custom abutment to implant.

dental implants, , , , , , , , , ,

In this case report Dr. Gentry demonstrates the importance of taking a radiograph when seating the custom abutment and crown before final torquing of the gold implant interface connecting screw.

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Implant
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Custom abutment and crown placed with gold screw tightened to finger pressure.
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Upper radiograph shows improper interface-note the gap present at the interface. Lower radiograph shows perfect fit, taken after adjusting the contact and re-positioning the crown/abutment on the implant.
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Gold screw used to attach crown and abutment to implant.
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Now the gold screw can be tightened to 20 Newtons per centimeter squared with the torque wrench.
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Screw hole filled in with composite filling material.

Here’s an example from a case I was doing with a dental student involving the 2 upper front teeth. In the first x-ray the impression copings were not fully seated. I re-positioned the copings and another x-ray was taken to confirm proper alignment. You cannot tell without an x-ray since this is below the gum-line.

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x-ray verification showing implant copings not fully seated
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After re-positioning, perfect seating

Here’s an example of another implant check x-ray to verify proper seating.

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