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Surgical Portfolio
Everyone starts somewhere! Check out these humble beginnings of restoring smiles!
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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.