|Florida Reconstructive Dentistry||One Day Teeth Replacement||Maxillary Mandibular Implant Reconstruction|
Mitchell Pohl, D.D.S.
2900 N. Military Trail
Boca Raton FL
South Florida FL 33431
Home Credentials Photo Gallery Reconstruction Underbite - Overbite Physical Trauma Collapsing Bite - Age
Gum Disease Non Invasive Perio Bone - Tooth Loss
Dentistry Cosmetics Enamel Repair Zoom Whitening Invisalign Clear Braces Reconstructive Orthodontics
Dental Implants Single - Multiple Immediate Load - 1 Day Guided Surgery Implant Failure
Video Clips Photo Gallery
Bridge Solutions Implant Supported Cemented Bridge Lava - Porcelain Bridge
Denture Solutions Cosmetic Dentures Imtec Implants
Jawbone Deterioration 3 - Dimensional CatScans Bone - Gum Grafting
Porcelain Restorations Crowns Veneers Failed Crowns Failed Veneers
Consult Request Ask The Dentist
Reconstructive Cosmetic and Implant Dentistry
Immediate Load - One Day Dental ImplantsSame day dental implants or teeth in a day refers to a group of procedures that enable Dr. Pohl to extract and replace a given tooth all in one treatment session.
No one really enjoys being toothless in an area that is immediately evident. Immediate loading or implants in a day have become a popular choice for adults of all ages.
Typically a traumatized or broken tooth is the event. Tooth structures that don't have complex root structures (an anterior tooth compared to a molar, for example) can usually be extracted easily and quickly without causing any damage to the jawbone.
The tooth socket is then prepared by Dr. Pohl to accommodate any one of several Nobel Biocare implant devices that are specifically designed for immediate load, creating a near rock solid placement into the jaw.
A temporary or provisional restoration is created during the treatment session and is immediately placed on the implant. Since the osseointegration process will occur over a 2-3 month time frame, the tooth is seated out of occlusion so no undue forces impact upon the implant device.
The crown material is designed to fail in the event a major biting force is accidentally applied to the treatment area. This is one of the rare occassions where a crown is designed to fail... as a protective measure for assuring uninterrupted osseointegration.
One Day Implant Surgery Procedure PhotosThis 48 year old female presented with a chief complaint of a cracked tooth. Upon examination it was found that she had fractured (cracked) the lingual (inside) cusp of her left upper first bicuspid.
It was fractured below the gum line to the crest of the bone. The main reason it eventully cracked was the existence of a large amalgam filling which weakened the tooth.
Treatment OptionsThe patient had two treatment choices. We could perform root canal therapy, place a post and core, and then do a crown lengthening procedure to expose more tooth structure. Doing so would have required removing some gum tissue and bone. Then place a crown on the tooth.
The other option would be to remove the tooth, place an implant and immediately place a temporary crown.
The patient opted for an implant and crown.
Immediate Load Implant CriteriaTo do an immediate load implant, specific conditions had to exist.
Adequate, healthy bone is required, the availability of an implant device that matches the extraction site, and the implant must be able to resist at least 40 ncm of force (indicating optimum bone health).
A template was made of the tooth prior to removing it.
This enables our patient to have a replacement tooth that represents almost a perfect match of what was removed. The newly created crown provides a nice esthetic (cosmetic result) while the implant is healing (becoming fused to the jawbone).
For this patient, the extraction of the cracked bicuspid was uneventful and caused no bone loss (simple root structure).
Preparation of Implant SocketThe photo here shows successful removal of the broken bicuspid and all root material.
The remaining bony socket (darker elliptical area) can be seen after the tooth was removed.
Socket DrillingThe socket was prepared with sequentially sized bone drills to accept a Nobel Biocare Select 5.0mm x 13mm implant. Implant failures are often caused by the failure of drilling too quickly. Overheating occurs and causes necrosis of the bone (kills bone tissue) which will lead to failure.
Dr. Pohl's use of a series of special drills prevents the occurence of necrosis caused by rapid drilling.
Precision Implant PlacementThe implant is placed and tested with a torque wrench to see if it can be displaced with a force of 40 ncm.
This implant was proven to be extremely stable.
Zirconium AbutmentNext we customized a zirconium abutment and attached it to the implant with a torque of 35 ncm.
One of the advantages of using a white zirconium abutment as opposed to the silver colored titanium is that there is no graying of the overlying gum tissue.
X-ray Confirmation: Successful ImplantThis is an immediate post operative x-ray taken showing the implant, zirconium abutment and temporary crown. Note how well centered the implant is between the canine and 2nd bicuspid.
The size of the implant and surrounding bone give more than adequate anchorage to place an immediate abutment and temporary crown.
Temporary CrownThe last photo shows the fitting of the temporary crown (Vanity Crown) that enables the patient to avoid the "toothless look" she was fearful of.
After 9 weeks, osseointegration has been achieved (bone material has completely integrated the implant substance), the permanent porcelain crown will be placed.
The porcelain material will be matched precisely with the patient's existing teeth.
Questions: Teeth In A DayImmediate loading implants, when the option is available, is a popular treatment that can be performed from start to finish in relatively little time... all in one treatment session.
Immediate implants are the perfect solution for replacing a broken or cracked tooth... either on the day of injury or the following day.
Implant patients nonetheless need to be aware of the limitations and certain requirements of tissue health.
Call our office at (561) 999-0889 to arrange a prompt Consultation.
Patients with specific questions about procedures or reconstructive components can contact Dr. Pohl directly with our on-line Ask The Dentist form. Dr. Pohl will reply to you directly with the information you are seeking.
[ Home ]
[ Training ]
[ Teeth Whitening ]
[ Invisible Orthodontics ]
[ NobelGuide Implants ]
[ Imtec Dentures ]
[ Veneers ]
[ PerioProtect ] [ Implant Bridge ] [ Trauma Dentistry ] [ Bite Fix ] [ Implants Gone Bad ] [ Enamel Erosion ] [ Over Bite ]
[ Porcelain Crown ] [ Lost Bone Teeth ] [ Replace Bone Gums ] [ Dental Implant Surgery ] [ Bad Crowns ]
[ Ask The Dentist ] [ Consultation Request ]
[ Photo Gallery ] [ Video ]
Florida Reconstructive Dentist
Mitchell Pohl, D.D.S.
2900 N. Military Trail, Suite 105
Boca Raton South Florida FL 33431