A remarkable 51-year-old woman came to my practice, seeking a solution after a challenging experience. She had undergone the extraction of 14 teeth at another location, two hours from my office, and was relying on a flipper denture for her upper teeth. While serving as a temporary measure, it didn’t provide the comfort or aesthetic she sought. It was clear she was looking for a more permanent and confident smile. Out of respect for her privacy, I didn’t take any photographs at that initial stage.
To thoroughly understand her bone structure, we began with a CBCT (Cone Beam Computed Tomography) scan, a sophisticated 3D X-ray that provided a detailed blueprint of her jaw. Following this, we engaged in a comprehensive consultation and developed a tailored treatment plan. We decided on the placement of 12 dental implants. While we aimed for an implant for each missing molar, we strategically chose to forgo implants in two specific areas of the upper front, as these areas were not crucial for stress bearing.
To ensure the highest precision and success, we utilized a surgical guide during the implant placement. (For more information on surgical guides, please refer to my blog post.)
We were fortunate to complete the placement of all 12 implants in a single, well-managed session.
Her recovery was smooth, with only mild discomfort. Contrary to common misconceptions, dental implant procedures are generally not painful. In my experience, tooth extractions often result in more discomfort than implant placements, unless extensive bone grafting is involved.
The next phase involved a three-month period of osseointegration, a vital process where the bone naturally bonds with the titanium implants. During this time, we addressed any minor issues, including root canal treatments and the creation of temporary crowns. We used this time effectively to ensure a solid foundation for her final restoration.
After the osseointegration period, we performed a second, minor surgery to expose the implants and take impressions for her final crowns. For complex cases like hers, I prefer to create temporary crowns first. This allows us to assess the shape, color, and bite, ensuring her complete comfort and satisfaction before fabricating the final restorations.
While the placement of the final crowns marked a significant milestone, achieving optimal function and aesthetics with multiple implants often requires fine-tuning. We scheduled follow-up appointments, making adjustments to ensure a perfect fit and bite. Unlike natural teeth, which can shift over time, implants remain fixed, necessitating these meticulous adjustments.
Today, she has a beautiful, confident smile and a stable, comfortable bite. Despite the two-hour drive, she continues to visit my practice every six months for routine check-ups. It’s a testament to her dedication and our shared commitment to maintaining her oral health and happiness.
Boston Finesse Dentistry & Implant Center
183 Essex St, Boston MA 02111
617-286-6515 (Call/Text)
SLee@BostonImplant.com