North Texas Dentistry Volume 6 Issue 4 | Page 16

SMILES SPOTLIGHT in the LEADERS IN NORTH TEXAS DENTISTRY CREATING UNFORGETTABLE SMILES Implant Dentistry Meeting Esthetic Challenges with Creative Solutions Esthetic Challenges Implant Dentistry can be a rewarding and esthetically beautiful treatment for many practitioners and their patients. Implant dentistry can be successful with a wide variety of clinicians providing surgical and restorative procedures in their dental offices. Teams of specialists often bring together skills and experiences treating complex problems that can meet the needs of more challenging hard and soft tissue conditions. And many times the existing conditions presented to the restorative doctor require unique solutions with regards to meeting the functional and esthetic desires of the patient. Case Presentation A mid-forties female was involved in a motor vehicle accident that left significant hard and soft tissue lose in the maxillary right anterior quadrant. After emergency triage followed by bone grafting procedures, two implants were placed in teeth sites #6 & #7. Her desire for an esthetic smile was paramount to all other treatments. She was referred to the office at this point for consultation and evaluation for any esthetic option that could be created after being treated by Drs. Gil Triplett and Jerry English. 16 NORTH TEXAS DENTISTRY | www.northtexasdentistry.com Treatment Decisions Implants placed properly and that had already integrated provided a starting point. Without adequate hard and soft tissue support, significant laboratory and restorative collaboration was undertaken to recreate for her a “Best Possible Compromise”. Her provisional restorative phase was accomplished to determine the proper height of the crowns as well as to evaluate the amount of esthetic soft tissue creation that would be required prosthetically. Crowns were planned on natural teeth #5, #8, #9, #10 and #11 and implant supported custom abutments and crowns were planned for teeth #6 and #7.