Dentaltown September 2017 - 36

show your work
case study

All in a Day's Work
Fixed provisionals on immediately placed implants ... in a single session

A note from the editor
Last October we introduced a new
department called Show Your Work
that gives Townies another opportunity
to do just that. Here, you'll find
straightforward case studies that your
fellow dentists take pride in.
Maybe they feel like they've finally
mastered a new technique they've
been working on. Perhaps they rose to
the challenge of a particularly tough
patient case. Or it could be that they
just want bragging rights for something
that, in their eyes, approaches
perfection.
If you've got a case you think might be
a great fit, shoot me an email:
sam@farranmedia.com. Be sure to
include a sentence that sums up why
this case is so special to you, to help us
review and select the best contenders
for publication.
One last clarification: This opportunity
is available to registered Townies only!
So be sure to update your member
information on Dentaltown.com before
giving us a shout.

When a patient comes to your
dental practice with nonrestorable teeth
requiring full-mouth extractions, the
biggest concern is whether implants
can be placed at the same surgical visit
and, if so, will they be able to walk out
with fi xed teeth?
Having an implant within your
practice that allows you to load or
progressively load so that a patient's
demands are met, allows you to bring
your practice to a whole new level. Of
course, certain parameters must be
met to facilitate this type of treatment.
This includes, but is not limited to,
the quality and quantity of bone, the
presence of infection, the patient's
health and the skills of the dental
provider. Additionally, being able to
objectively test the implants' stability
at the time of placement is essential
for this treatment.
A patient presented to my practice
for a consultation wanting to restore
her lower dentition. She complained
of generalized discomfort in these
teeth due to the apparent gross caries

Fig. 1. Preoperative view of lower dentition

and periodontal disease (Fig. 1). The
upper arch was already edentulous and
restored with a denture.

Planning
A CBCT scan, using the CS 8100
3D (Carestream Dental) (Fig. 2, page
38), was taken to accurately treatment-plan this case and make certain
that no complications would arise from
doing all the procedures (extract, graft
and implant placement) within one
visit. Since her entire lower dentition
had caries as well as periodontal disease,
the treatment would require extracting
all the remaining teeth.
To further develop a treatment plan,
diagnostic model impressions were taken

Thank you!
Sam Mittelsteadt

Continued on p. 38

by Dr. Ara Nazarian
Dr. Ara Nazarian, DDS, DICOI, maintains
a private practice in Troy, Michigan,
with an emphasis on comprehensive
and restorative care. He is a diplomate
in the International Congress of Oral
Implantologists and the director of

36

SEPTEMBER 2017 // dentaltown.com

the Ascend Dental Academy. Nazarian
has conducted lectures and hands-on
workshops on aesthetic materials, grafting
and dental implants throughout the United
States, Europe, New Zealand and Australia.
http://www.Dentaltown.com http://www.dentaltown.com
Table of Contents for the Digital Edition of Dentaltown September 2017
