Ready to hustle as an associate in a fast-paced, modern practice.
Surgical Extractions & Grafting
Everyone starts somewhere! Check out these humble beginnings of restoring smiles!
Deidentified images shared with patient permission.
Pain on biting
Patient presented with pain on biting/percussion isolated to #15, CBCT revealed PARL--four months later, the ridge is ready for implant placement.
Preservation of the buccal plate in the esthetic zone
Patient presented with #10 broken at the gumline and non-restorable. Same-day surgical EXT preserved the thin buccal plate for future restoration.
A big decision!
Patient presented with #9 broken off at gumline, non-restorable. The same thing had happened to #10 two years ago and was replaced with an implant at another office. #8 is mobile and #7 has significant bone loss compromising its stability. Implant #10 is not circumferentially in bone beyond the first few threads. #6 and #11 are sound.
The decision was made to extract and graft #7-#9 and implant #10, provisionalize with #6-11 FPD, and restore with an implant bridge #7-#10. Great care was taken to preserve the thin buccal plate. 4 months later sites are prepared for implant placement with maxillary expansion technique on site #7
Yikes!
Patient presented with a toothache, tenderness and some swelling that "started over the weekend." Surgical extraction and aggressive curettage later, bone graft and PRF membrane placed--four months later and the site is well on its way to being ready for an implant!
Root fracture
Patient presented with draining fistula buccal of #13 and increased probing depths. Surgical extraction, bone graft and PRP therapy--and in four months we have a single implant site with minimal bone loss.
"I bit down and heard a pop!"
Patient presented after biting down and hearing a pop on the upper right a few weeks ago. #4 was split right down the middle. The tooth was extracted and grafted and the ridge was preserved with minimal bone loss before #3 was negatively impacted.
Catching food
Gross buccal decay made #30 non-restorable. Extraction and graft healed well and minimized bone loss.
Out of pain same-day
Apicoectomy may have helped #30 last longer, but it ultimately needed to be replaced. Same-day surgical EXT, bone graft and PRF got the patient out of pain and on their way to an implant restoration.
"This tooth has always been a problem."
This patient spent countless hours in the chair trying to save #19--multiple RCT's, apicoectomy surgeries, multiple crowns--and now there's a sinus tract draining on the buccal. Next-stop--implant!
It's time.
Swelling and pain finally prompted this patient to see the dentist. Extraction, bone graft, PRP--and conversion from a limited eval to a new patient comprehensive exam.
Lower left ridge augmentation
Pt desires implants in the lower left posterior, but loss of ridge width prohibits implant placement at this time. Ridge augmentation was performed to re-establish width suitable for implant placement. A non-resorbable membrane and PTFE sutures hold the graft in place temporarily. Areas of decortication created to facilitate vascularization.
