A 48-year-old female recall patient presented with a large area of decay on the mesial of #12. It was not restorable. There had been a previous filling but it had failed, and the decay was so extensive it had gone down to the root. She was a sensitive patient with some dental phobia and was nervous about the extraction but ultimately agreed to the treatment plan.
Patient is a 57-year-old man that presented with edentulous sites where teeth had been extracted three years prior [image 1]. He was not happy with the upper denture he currently used [image 2]. His chief complaint was that the denture plate caused him to gag and it was uncomfortable. He expressed that he wanted to keep his original denture, just without the palate. Sites #4, 6, 8, 9, 11 and 13 were determined for optimal implant placement through a CT scan [image 3]. Only one appointment was required after initial assessment.
I’ve had very limited success when placing implants in the posterior maxilla, but with OsteoReady implants, I’m excited to learn that they are changing this fact. I had a 75-year-old woman who presented with a maxillary denture that was supported unilaterally with an ERA attachment on #15 with no palatal coverage due to a severe pharyngeal reflex. During the initial exam, I discovered a retained root in the #1 position (Figure 1) that she claimed supported the root side of the denture for an overdenture from many years ago. She had only one original tooth left in her maxilla.
A patient presented with a complaint about the retention of his maxillary overdenture, as the tooth-retained locator abutments had failed. During initial examination it was discovered that some locator attachments were missing and there was recurrent decay. After discussing procedure options, the patient expressed interest in having implants to stabilize the denture. This was my preferred option as it also allowed for a reduction in palatal coverage of the prosthetic.
In 2012, a 29-year-old female recall patient complained of pain from a previous root canal on her first bicuspid, #12. A CEREC digital image was taken with my recommendation to extract the tooth. It was not an easy extraction. It took two to three appointments over the span of eight months to completely remove as it had become ankylosed. It took multiple appointments to expel the tooth as gently as possible in order to preserve the bone. The removal was complete in October 2012.
After attending Dr. Brady Frank’s 2-Day Mini-Residency course in Ashland, Oregon, I ordered my OsteoReady Starter Package, which arrived three days later. That same day, a long-term patient of mine presented with a complaint of pain on the upper left maxilla. After a scan I could see that tooth #13 was mobile and a previously placed large post in the premolar had fractured all the way down to the root (Image 1). The tooth was not salvageable and when I informed the patient, he immediately asked for an implant!
Patient presented with a failing tooth. Her current amount of bone was minimal with pneumatized sinuses; therefore an extraction with immediate placement of an implant was suggested for treatment. Patient was very fearful of procedure, but because the implant would be placed using the No-Drill™ Implant Procedure she gave consent to move forward. The tooth was damaged and she expressed she liked the idea of a "replacement tooth." An immediate implant placement was done with an OsteoConverter™ implant size 5.0 mm x 10.0 mm. The treatment was efficient and easy, taking only five minutes.
This patient came to Dr. Brady Frank’s office distraught after another office had presented him with a $72,000 treatment plan and recommended all of his teeth be extracted. The patient preferred to keep some teeth to maintain proprioception. Seeking a second opinion, he scheduled a consultation with Dr. Frank. Dr. Frank outlined a treatment plan for him that included crowning all his remaining teeth and placing implants in the edentulous sites (Figure 1). The patient was not only pleased that Dr.