South African Society for Periodontology

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IMAGE GALLERY (2 of 2)

 

Denture Reconstruction

 

 

 

Patient has a full upper denture and a lower partial denture with metal clasps - a most unaesthetic appearance. Gum treatment was performed to create healthy tooth substance above the gum margin of the lower teeth. Later, crowns were placed on these teeth. A lower partial denture was constructed without clasps as well as an upper denture with irregular tooth placement and staining procedures to create a natural appearance. At a later stage, the lower plate was replaced with crowns cemented to Dental Implants.

 

 

Crown Replacement

 

 

 

2 slides to show a correctly prepared tooth for crown placement - note the pale pink firm appearance of healthy gum tissue. No crown, bridgework or implant placement should be carried out prior to rendering the tissues healthy.

 

 

Implants With Sinus Lift

 

 

 

Bridge #25-27 had been in place for 25 years before root #15 fractured and had to be extracted. A temporary bridge was placed. Shortly afterwards, root #24 suffered the same fate. It was then decided to place 3 implants with a sinus lift procedure at the same visit. 3 replace select implants were placed in positions #24, 25 & 26. The sinus being packed with Dynagraft mixed with Bio-Oss granules and autogenous bone harvested from the site. Healing was uneventful. A partial denture was worn in the interim period and the implants were exposed 9 months later when healing abutments were placed. Subsequently, three crowns were splinted and placed with temporary cement.

 

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