Case History: Dental Implant and Full Mouth Rehabilitation
Reproduced with the kind permission of:
Dr. Tidu Mankoo. Windsor Centre For Advanced Dentistry
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Extensive rehabilitation of an aesthetically challenging case with advanced
periodontal disease, failing teeth and bone loss.
A 40 year female presented with advanced periodontal disease and requested an
aesthetic restoration of her mouth.
She had already suffered some tooth loss and all of the remaining maxillary teeth
were very mobile with advanced bone loss around most of the teeth in the upper jaw
and lower right posterior teeth.
These teeth, with the exception of the upper
canines, were hopeless. The real challenge was to achieve a result where good
soft tissue aesthetics and a scalloped gingival architecture were maintained in
this patient with high aesthetic demands and a high lip line.
bilateral sinus lifts and bone grafts and a full upper and partial lower restoration
was carried out along with thorough periodontal therapy.
The after slides taken 3 years after case completion demonstrate excellent maintenance of a superb result
with a fabulous smile and excellent soft tissue aesthetics. The comparison of the
preoperative smile and the smile at 3 year follow up highlights the aesthetic
improvements with excellent soft tissue form. Not only is the gingival architecture
maintained but the improved tooth form also allows for enhancement of the aesthetics
of both the teeth and gingivae. Note the maintenance of the interdental papillae and
gingival architecture in this extremely difficult case.