Implant Microsurgery

Upper front teeth are very often prone to fracture, lost crowns and/or failed root canals. Fortunately for our patients,  Dr Bryan Edgar is able to offer an immediate implant solution which results in an esthetic tooth replacement while the implant bonds with the bone.  This technique was originally developed by Dennis A. Shanelec, DDS, periodontist in southern California.  Dr Edgar has been using this approach for more than 5 years  and was trained by Dr Shanelec at the Microsurgical Training Institute in Santa Barbara.

This case is an example of a patient with a fracured crown below the gumline. The crown was cemented back on the root temporarily until an inplant placement appointment could be scheduled. On the day of implant placement the fractured tooth was atraumatically extracted, the implant was placed and the original crown was converted into a temporary crown attached to the root with a scew retained anchor. The following are phots and x-rays of the case.

	This front central incisor has a broken root and notice the dark spot above the root where there is an infection.
	Day of the implant surgery for placement of the implant. Notice the great looking gum tissue which is only possible by use of a microscope for the surgery.
	This is a photo of the 1 week postoperative. Notice the healthy gums.
	This is the x-ray showing the fracture root with the crown missing. The crown was cemented temporarily prior to the implant surgery.
	This is the implant in place of the fractured root. Note the improved position from the natural tooth.
	The patient’s right front tooth was made to look very natural with the other teeth and the gum tissues are very esthetic. This patient was extremely pleased with the results.