Replacing Missing Teeth with Implants
- Posted on: Mar 30 2014
Over the last several years, advances in implant surgery have made the replacement of missing teeth easier and more cost effective than ever before. Areas in the mouth that did not have enough bone or tissue can now be augmented with various grafts, allowing not only the placement of an implant, but a very predictable outcome, both esthetically and structurally. In the early days of implants, the placement of the implant was driven by “where is the bone”. In many cases, this caused the restorative dentist a nightmare, since the bone was not always available where the tooth needed to be placed.
Here you can see the implants were placed too far buccal, and angled way too much, causing the teeth to be too buccal and resulting in a very “toothy” look. Also note the dark areas around the gum…that is the implant head /abutement showing which should be below the gum line. There is a loss of attached (connective) tissue, resulting in a very poor esthetic result.
This case exemplifies perfect implant placement, allowing the dentist (Dr Langer) to make a very predictable and highly esthetic outcome. Proper grafting techniques and tremendous planning on the part of the surgeon and the restorative dentist, will produce a great result each and every time. We are no longer locked into the old mentality of where the bone is available, but instead, with 3 D planning, using models, diagnostic wax ups, and proper scanning, we can now plan necessary ahead what must be done from a surgical standpoint, allowing the restorative dentist the best possible opportunity to restore the implants in their correct tooth positions without any compromises.