Case of Interest 1

INTERESTING IMPLANT / MUCOGINGIVAL CASE

Over the past decade, one of the biggest challenges in implant dentistry has been the development of peri-implant gingival aesthetics, particularly in the anterior maxillary region. Implant restorations present a unique challenge compared to natural teeth.  A harmonious gingival architecture is required around the implant restoration and the surrounding dentition. An aesthetic implant provisional restoration is also a critical component for evaluating and modifying the tissues surrounding an implant.

Dr. Emiliano Zanaboni’s excellence as an implant surgeon and in particular his expertise in augmentation of the soft and hard tissues has been recognised nationally and internationally.  The following case study is a good example of the expertise and surgical time required to obtain superlative outcomes in the aesthetic zone. Two surgical procedures were carried out by Emiliano in order to preserve the papilla between UL2 and UL3.  Inevitably, achieving a highly aesthetic result incurs higher costs than a straight-forward implant.

The UL2 is hopeless after several apicectomies.  Now a fistula is present on the buccal.  UL3 has cervical decay under the soft tissue and apically to the mucogingival line.

Initial presentation

    View of the bone defect UL2 after raising a flap

    Occlusal view of the U-shaped bone defect  

   Occlusal view of the implant after bone and soft tissue grafting                                                                            

    Buccal view of the final implant crown. Cervical decay still present UL3

        After the removal of the decay UL3

 

Connective tissue graft after a composite filling UL3

 

Healing after the connective tissue graft

 

Front view of the UL2 Implant and of the UL3 after the the composite filling

Case of Interest 2

Recession and Severe Inflammation

 

Radiograph Shows Severe Bone Loss 

 

Surgery Shows Severe Bone Loss 

 

Result After Periodontal Surgery

Case of Interest 3

Interdisciplinary treatment of a complex case: 8-­‐year follow-­‐up by Dr EmilianoZanaboni. Click HERE to download the PDF (18Mb file size)

Case of Interest 4

Before Gum Grafting    

 

After Gum Grafting



Mount Vernon Dental Specialists provides Quality Dental Treatment to patients in North West London, Northwood, Buckinghamshire, Hertfordshire, and Middlesex. We have Dental specialists in Dental Implants, Periodontic (Gum) Disease, Prosthodontics, Endodontic (root canal) Treatment and Cosmetic Dentistry. Contact us today for more details or to book an appointment.