Toine (photograph 17 till 39) Unfortunately Toine ran a year ago into a wrong man in a cafe: a big blow and his tooth was out: the radix was broken on gingiva level. With an endo and a glass fibre pin I succeeded to repair the tooth and Toine was able to move on again. However he was acting with too much entousiasm and a year later the second blow was fatal. I tried to repair the tooth again but as you can see on the photograph (23) of the extraction, there were too many loose components for a second repair. A zirconium implant has been placed directly into the fresh extraction wound. With colloidal silver* preventing infection and oxygengel ** to accelerate the healing, Toine went home with his own front-tooth etched, as one can see on photograph 25 . After one week it was already been healed beautifully and the implant felt firmly. The beautiful rose gingiva closed the implant as the palatinal view shows. The detail photograph shows the nice connection of the element and the implant and once again the beautiful rose of the gingiva, with conservation of form without the necessary stitches as usual in case of a titanium implant.
The principle here is very different, because there is no need to pay attention to the implant at boneconnection level, because this is always right. The important place lies here in the sulcus, the prepartionmargin. Some months after placing it was time for the glass fibre buildup and the temporary crown could be made. It became an extra special temporary crown, because Toine planned to travel around the world and for a whole year to come there was no time to pay me a visit. l made it labially out of composite and fixed it with Fuji-cement. Almost a year later, due to lots of cigarettes and bottles of wine there was a considerable discoloration. But the implant had endured the wild travel and the gingiva surrounded as beautiful as before the implant . Now the definite impression could be made and it was my own technician, Martin Smulders’ task , to make a beautiful final crown there. The final result is a beautiful crown, indistinguishable from a natural element. The white translucency and gingiva-friendly properties of the zirconium made it possible to replace a lost fronttooth on a simple manner .
17. Toine a few days after the accident, a nice healthy gingiva. Time for restoration, CA(OH_) in channel and covering with Fuji. 18. X-ray of the fracture 19. 21 after the endo and the glass fibre pin. 20. Glass fibre pins to buildup the implant. 21. Status after restoration. 22. Some years later, shortly after the renewed restoration, just before the extraction. I did the restoration for letting the gingiva recover before implantation.
17
18
19
20
21
22
Pagina 4
23. 21 after removing the complicated fracture. 24. Placed zirconium implant directly after extraction to support the buccal bonestructure 25. The own tooth was used as a temporary restoration. 26. One week after placement of the implant. 27. Palatinal view one week after implantation. 28. X-ray of the implant. One can see; no loss of interproximal boneheight and as a result of that, natural support of the papillas. 29. Six months after implantation. Beautiful healthy gingiva, no loss of height along the cervical line. 30. Incisal view of the implant in situ, here again a nice healthy gingiva is visible around the implant. 31. Buildup of glass fibre and composite of the implant. 32. Temporary restoration, labially composite, permanent cement because of the long journey, little too short edges for an incisal access of the gingiva.
23
24
25
26
27
28
29
30
31
32
Pagina 6
Heeft u een flyer, turnpages of web kranten? Gebruik Online Touch: onderwijsmagazine digitaal zetten.
Tandarts Praktijk Lees publicatie 80Home