This
70-year-old patient was missing a maxillary right second
bicuspid. Instead of constructing a 3-unit bridge, an implant
was surgically placed.
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A
porcelain-fused-to-metal
crown was constructed and cemented
onto the implant abutment. Functionally,
it works the same as a 3-unit-bridge, but it is a more conservative
approach because the adjacent tooth structure does not need
to be re-shaped.
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This
patient came to see Dr. Anshu after his previous dentist
told him that he should have his last few teeth removed and
have a denture made. The patient did not feel he was ready
to wear dentures! He did not realize just how important those
last few teeth really were. A
couple of teeth, as insignificant as that dentist thought
they were, are often the key to a more precise sensation
of pressure and position during chewing. Although, the patient
had lost a significant amount of bone over the years due
to an ill fitting partial denture, we were able to improve
the quantity of bone also.
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Several
dental implants were then placed
and subsequently restored with esthetic porcelain crowns.
He
now enjoys his meals because he can chew more efficiently,
his food tastes better due to the lack of an acrylic appliance
in his mouth and he is more confident in laughter, speech
and most other social interactions.
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