The introduction of dental implants to replace missing teeth, has revolutionized dentistry. Adiscovery by swedish scientist Dr Per-Ingvar Branemark in the mid sixties has lead to the introduction of the term osseointegration, which describes the potential of certain surface textures on metals to promote bonegrowth. This, in turn, will lead to a permanent attachment between the metal and the bone. Permanent replacement of teeth can be made without any involvement of adjacent teeth.
This
19-year old male lost his upper right central incisor, due to a traumatic
injury. A decision was made that a fixed partial prosthesis was not the
treatment of choice, because of the unrestored adjacent abutment teeth.
Instead we decided to insert a 3,75 by 15 mm titanium implant.
Ater
six months of healing the implant was uncovered and a temporary healing
abutment was placed. The implant is now ready to have a permanent restoration
placed.
A metal fused to porcelain crown using an UCLA-abutment is anchored to
the implant and secured with a goldscrew.
This shows a radiograph.after
the implant has been in function for 6 years. The bonelevel and tissue
appears healthy.The implant has functioned without any problems.The fine
prosthetic treatment is courtesy of Dr Gerald Biss in Port Angeles Washington.