Clinical eChronicle of Treatment Outcomes – Case I – Periodontally involved central incisors

I wish to thank Dr. Ken Hebel and Dr. Reena Gajjar for their support, their commitment and their contribution to making the seminal phase of the Clinical eChronicle of Treatment Outcomes a reality. This is the future of all elearning efforts………CRITICAL THINKING IN TREATMENT PLANNING, DISCUSSION FORUMS, ENHANCED GRAPHICS AND ANIMATION, WEBCASTS, REAL TIME EVENTS, HANDS ON TRAINING and ARCHIVES AND LIBRAIRIES INTERLINKED AND NEXUS’D.  Welcome to the present………throw in an iPHONE or an iPAD and you’ve discovered the magic and wonder of MOBILE BLENDED LEARNING.

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Category – Replacement in the Esthetic Zone:

This patient was referred by a periodontist for replacement
of the maxillary central incisors. Both teeth were condemned due to short
roots, mobility and attachment loss. The treatment plan was the extraction of
the central incisors, along with implant placement and all ceramic
restorations.

Animation: Implant Placement into Socket

Image 1: Anterior view demonstrating flaring of the central
incisors

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Image 2: Right view

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Image 3: Left view

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Image 4: Initial Panorex showing short roots and loss of
attachment

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Movie 1: Tooth Removal

Movie 2: Implant right

Image 5: Healing after several months showing healing
abutment in place

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Image 6: Impression copings in place

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Movie 3: impression copings

Image 7: Provisional flipper denture

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Image 8: Cast showing Zirconia abutments

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Image 9: Cast showing final all-ceramic restorations

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Movie 4: Abutment removal

Movie 5: Cast abutment 1

Image 10: Zirconia abutments inserted in mouth and torqued
in place

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Movie 6: Cementation

Image 11: Final anterior view showing excellent esthetic
result with proper soft tissue framing

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Image 12: Right lateral view showing maintenance of papilla

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Image 13: Left lateral view

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Image 14: Panorex showing implant placement

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