The foundation of successful single-tooth restorations lies in outstanding, versatile products and materials that demonstrate verifiable long-term success. When all the elements for single-tooth restorations are provided by a single dependable source and designed to work together, the dentist and the patient can be assured of the best clinical and esthetic result.
These case resources demonstrate real-world applications of Nobel Biocare's innovative, science-based dental solutions for single-tooth restorations. Highlights of these cases are also included in The Success Formula for Single-Tooth Restorations™, a comprehensive supplement to Inside Dentistry. In this supplement, you will find additional information on the full portfolio of products, clinical research, and training courses.
Shahriar Parvizpour, DDS
A 20-year-old male presented with a trauma to tooth No. 7, which had occurred 3 weeks earlier. A preoperative radiograph revealed a major fracture to tooth No. 7, with no peri-apical pathology or changes to the alveolus. A pulp test was normal, and there appeared to be no periodontal concerns. As the patient had very unique, characterized teeth, he was concerned about the difficulty of matching a single tooth to the rest of his dentition.
Scott MacLean, DDS, FADI, FPFA, FACD
Halifax, Nova Scotia, Canada
A 41-year-old male presented on emergency with a fractured left maxillary second premolar. He was missing the upper left first molar, where he was planning to receive an implant in the next 6 months. The fractured cusp upper left second premolar had a previous root canal requiring crown coverage (an amalgam was already in place). The patient opted for placement of a porcelain-fused-to-metal crown to support the remaining teeth.
Robert M. Bentz, DMD, FACP
East Norriton, Pennsylvania
The patient was a 47-year-old building contractor with crowns on both his central maxillary incisors. He experienced a traumatic injury that fractured the left crown at the gum line. As he had no other facial lacerations, he presented for dental treatment immediately after the accident. His medical and dental histories were otherwise unremarkable. The patient chose to have the tooth extracted, followed by immediate implant placement and temporization.
Peter K. Moy, DMD
Los Angeles, California
Baldwin W. Marchack, DDS, MBA, FAGD, FICD, FACD
A 60-year-old man presented with a 10-mm pocket on the distal aspect of his left mandibular molar. A nonsmoker, he had no positive medical history relevant to his dental treatment. Clinical examination along with radiographic evaluation confirmed that the root canal filling had failed, and the tooth had fractured. The patient elected for implant treatment, to be delivered in a staged approach, with immediate temporization.
Michael R. Sesemann, DDS
Bruce Kuhn, MD, DDS
A 27-year-old woman presented to the office with a chief complaint concerning the esthetics of the porcelain-fused-to-metal (PFM) crowns on her maxillary lateral incisors, which had been placed at different times in the early 1990s. The objective was to use contemporary materials and techniques to have them blend better with her natural dentition. In general, the patient's periodontal health was excellent. A slight amount of inflammation of the gingival tissues was present around the PFM crowns.
Gary Orentlicher, DMD
Scarsdale, New York
Matthew Teich, DDS
White Plains, New York
A 50-year-old man in good medical and dental health presented for replacement of tooth No. 9 because of a root fracture of the previously endodontically treated tooth. Due to the lack of infection and the excellent bone and gingival architecture, it was decided that this patient was a good candidate for immediate extraction, immediate implant placement, and immediate provisional restoration.
Daniel J. Velinsky, DMD
William E. Lippisch, DMD
The patient, a healthy 62-year-old woman, was referred by a local periodontist for an implant evaluation. She was missing teeth Nos. 1 through 4. Her oral hygiene was excellent, and there was no evidence of active periodontal disease. The patient's treatment goal was to have teeth in the posterior with which to chew, and she wanted treatment performed without the use of systemic antibiotics.