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Treatment provided by Dr Robert Dalby (implant-restorative dentist) and Dr Paul Coceancig (oral & maxillofacial surgeon).
This 19 year old farrier was kicked in the face by a horse the previous day, with shattering of the two front teeth.
The traditional forms of therapy which were to devitalise the live teeth, and for later root canal and crown replacement were not possible as the teeth roots were also shattered with the injury.
X-ray image showing deep nature of fractures across both upper central teeth.
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Photo showing smile at presentation to surgical office. The central incisor teeth have been completely shattered by a kick to the face.
Fractures also involve underlying bone, and the attached gum tissue. For long term maximal aesthetic results, treatment must be immediate. |
Use of narrow healing abutments, with staged widening of the peri-implant gums, allows for both healing of the torn gums, and for moulding of papillae between natural and future zirconia- porcelain crowns. |
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A temporary denture was placed once gum healing had maximised, and four months after the injury, crowns were placed.
Removal of the teeth, and repair of the fractured local bone and torn gums was enhanced by immediate implant replacement of the teeth. |
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X-ray image of osseointegrated titanium implants with attached crowns |
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Clinical photo of implants with attached crowns, 4 months after initial implant insertion. Throughout the integration period, a temporary partial denture is worn to fill in the gap. |
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