10/17/2023
Before & After: Implant Bridge #23-26
This Before & After is part of a full-mouth oncological caries management case that is still in progress. My .us Rep and I worked together to get some parts for this case donated so that I could do this patient’s work at cost for them, as they’ve been fighting an uphill cancer battle for many many years now and struggle with the rapid caries progression, severe dry mouth, and delayed healing issues that so many of our cancer patients frequently face.
In addition to their current chemo, they had a history of bisphosphonate use, further decreasing healing and increasing the risk of complications!
These teeth were extracted nearly two years before this photo was taken, and one of these implants failed and was explanted, grafted, and allowed to heal before being re-placed. Healing was incredibly slow, with exposed bone for several months after both surgeries.
But we persevered! My surgeon was ultimately able to give the second implant the all-clear to restore and I was finally able to deliver front teeth to a supremely deserving individual who had gone without lower front teeth for roughly 18 months!
This case is far from ideal, and I elected to keep these pontics quite high off the gingiva so that the patient could keep the abutments and implants as clean as possible for happy and healthy tissue and successful implants into the future.
While this case is not a showstopper, it is near and dear to my heart. Ultimately, the patient was absolutely ecstatic to have their lower front teeth back and is now enjoying corn ON the cob and many other foods that require biting with front teeth. Their smile is completely transformed, as well 🥰.
(More case info in comments)
Material(s) used: Multilayered Translucent Zirconia implant bridge and custom abutments.
Lab used: .dandy
.l.lewin