Dentaltown August 2021 - 65

by Dr. LeRoy Horton
Dr. LeRoy Horton completed his bachelor's degree in
biology from Pacifi c Lutheran University in Washington
state in 2003, then earned his DDS degree from
the University of Washington School of Dentistry in
2007. Having always been fascinated with dental
implants, Horton pursued advanced training over the
years, attaining fellowships and completing master's
courses. Eventually he earned his board certifi cation
as a diplomate of the International Congress of Oral
Implantology. He owns two practices in the greater
Seattle area and serves our profession as a nationally recognized AGD instructor.
Case study
The patient presented with an edentulous
#12 and was seeking implant therapy
options.
I typically have the luxury of having
my patients' comprehensive dental health
information; with referral cases, however,
that information often is absent. I try to get
the patient's history during a consultation
in which I do a full perio charting and
note any concerning needs, such as active
or pending infections, occlusal challenges
and gross decay.
As a rule of thumb, I place implants only
in patients who show a fair to good degree
of overall oral health and stability. If there
are any red fl ags, I initiate an informative
conversation with the patient and the
referring doctor about options, priorities
and timelines. This may sometimes lead to
rejecting or postponing implant therapy, but
always in the best interest of the patient.
I have developed a preliminary checklist
to guide my decision-making and standardize
my case selection, which helps ensure that
I stay within my parameters for treatment
safety and success. Checklists have been
associated worldwide with improved outcomes
for patients, and having a systematic
approach and standardized plan has shown
to decrease communication failures and
complications.2
For this particular patient, the list was
as follows:
* Medical history/medications:
No contraindicative conditions
or medications.
* Oral health: Missing teeth #2, 12,
14, 18, 19 and 31; generally healthy
gingiva and apparently fair oral
hygiene; no history of periodontal
disease; no pending emergencies or
infections; minor restorative needs
only.
* General occlusion: Class I molars
and canines, adequate restorative
space, stable bite.
* Anterior occlusion: Mild wear,
1 mm overjet, 2 mm overbite.
* Biotype: Medium to thick.
* Aesthetic demand: Mild to moderate.
* Goal: To augment the defi cient
bone for implant placement and
subsequent restoration.
The panoramic image (Fig. 1) shows
stable occlusion from the right molars to
left second premolars. The patient was
interested in implants for #14, #18 and #19
in the future, but were not a priority for
him at this time.
Fig. 1
Fig. 1: Panoramic image showing the general
oral health and the patient's dental state.
Fig. 1
Fig. 2a
Fig. 2b
Fig. 2a: CBCT cross-sectional image
of the edentulous site showing the
measurements of existing bone.
Fig. 2a
Fig. 2b: Intraoral image showing the
visual defect of bone on the buccal.
Fig. 2b
dentaltown.com \\ AUGUST 2021 65
http://www.dentaltown.com

Dentaltown August 2021

Table of Contents for the Digital Edition of Dentaltown August 2021

Dentaltown August 2021 - Intro
Dentaltown August 2021 - Cover1
Dentaltown August 2021 - Cover2
Dentaltown August 2021 - 1
Dentaltown August 2021 - 2
Dentaltown August 2021 - 3
Dentaltown August 2021 - 4
Dentaltown August 2021 - 5
Dentaltown August 2021 - 6
Dentaltown August 2021 - 7
Dentaltown August 2021 - 8
Dentaltown August 2021 - 9
Dentaltown August 2021 - 10
Dentaltown August 2021 - 11
Dentaltown August 2021 - 12
Dentaltown August 2021 - 13
Dentaltown August 2021 - 14
Dentaltown August 2021 - 15
Dentaltown August 2021 - 16
Dentaltown August 2021 - 17
Dentaltown August 2021 - 18
Dentaltown August 2021 - 19
Dentaltown August 2021 - 20
Dentaltown August 2021 - 21
Dentaltown August 2021 - 22
Dentaltown August 2021 - 23
Dentaltown August 2021 - 24
Dentaltown August 2021 - 25
Dentaltown August 2021 - 26
Dentaltown August 2021 - 27
Dentaltown August 2021 - 28
Dentaltown August 2021 - 29
Dentaltown August 2021 - 30
Dentaltown August 2021 - 31
Dentaltown August 2021 - 32
Dentaltown August 2021 - 33
Dentaltown August 2021 - 34
Dentaltown August 2021 - 35
Dentaltown August 2021 - 36
Dentaltown August 2021 - 37
Dentaltown August 2021 - 38
Dentaltown August 2021 - 39
Dentaltown August 2021 - 40
Dentaltown August 2021 - 41
Dentaltown August 2021 - 42
Dentaltown August 2021 - 43
Dentaltown August 2021 - 44
Dentaltown August 2021 - 45
Dentaltown August 2021 - 46
Dentaltown August 2021 - 47
Dentaltown August 2021 - 48
Dentaltown August 2021 - 49
Dentaltown August 2021 - 50
Dentaltown August 2021 - 51
Dentaltown August 2021 - 52
Dentaltown August 2021 - 53
Dentaltown August 2021 - 54
Dentaltown August 2021 - 55
Dentaltown August 2021 - 56
Dentaltown August 2021 - 57
Dentaltown August 2021 - 58
Dentaltown August 2021 - 59
Dentaltown August 2021 - 60
Dentaltown August 2021 - 61
Dentaltown August 2021 - 62
Dentaltown August 2021 - 63
Dentaltown August 2021 - 64
Dentaltown August 2021 - 65
Dentaltown August 2021 - 66
Dentaltown August 2021 - 67
Dentaltown August 2021 - 68
Dentaltown August 2021 - 69
Dentaltown August 2021 - 70
Dentaltown August 2021 - 71
Dentaltown August 2021 - 72
Dentaltown August 2021 - Cover3
Dentaltown August 2021 - Cover4
Dentaltown August 2021 - SI_1
Dentaltown August 2021 - SI_2
Dentaltown August 2021 - SI_3
Dentaltown August 2021 - SI_4
Dentaltown August 2021 - E_1
Dentaltown August 2021 - E_2
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2021
https://www.nxtbook.com/farran/dentaltown/2021January
https://www.nxtbook.com/farran/dentaltown/2020December
https://www.nxtbook.com/farran/dentaltown/2020November
https://www.nxtbook.com/farran/dentaltown/2020NewGrad
https://www.nxtbook.com/farran/dentaltown/2020October
https://www.nxtbook.com/farran/dentaltown/2020September
https://www.nxtbook.com/farran/dentaltown/2020August
https://www.nxtbook.com/farran/dentaltown/2020July
https://www.nxtbook.com/farran/dentaltown/2020June
https://www.nxtbook.com/farran/dentaltown/2020May
https://www.nxtbook.com/farran/dentaltown/2020April
https://www.nxtbook.com/farran/dentaltown/2020March
https://www.nxtbook.com/farran/dentaltown/2020February
https://www.nxtbook.com/farran/dentaltown/2020January
https://www.nxtbook.com/farran/dentaltown/2019December
https://www.nxtbook.com/farran/dentaltown/2019November
https://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
https://www.nxtbook.com/farran/dentaltown/2019October
https://www.nxtbook.com/farran/dentaltown/2019NewGrad
https://www.nxtbook.com/farran/dentaltown/2019September
https://www.nxtbook.com/farran/dentaltown/2019August
https://www.nxtbook.com/farran/dentaltown/2019July
https://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
https://www.nxtbook.com/farran/dentaltown/2019June
https://www.nxtbook.com/farran/dentaltown/2019May
https://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
https://www.nxtbook.com/farran/dentaltown/2019April
https://www.nxtbook.com/farran/dentaltown/2019March
https://www.nxtbook.com/farran/dentaltown/2019February
https://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
https://www.nxtbook.com/farran/dentaltown/2019January
https://www.nxtbook.com/farran/dentaltownuk/2018Winter
https://www.nxtbook.com/farran/dentaltown/2018December
https://www.nxtbook.com/farran/dentaltown/2018November
https://www.nxtbook.com/farran/dentaltownuk/2018November
https://www.nxtbook.com/farran/dentaltown/2018October
https://www.nxtbook.com/farran/dentaltownuk/2018October
https://www.nxtbook.com/farran/dentaltown/2018NewGrad
https://www.nxtbook.com/farran/dentaltown/2018September
https://www.nxtbook.com/farran/dentaltownuk/2018September
https://www.nxtbook.com/farran/dentaltown/2018August
https://www.nxtbook.com/farran/dentaltownuk/2018July
https://www.nxtbook.com/farran/dentaltown/2018July
https://www.nxtbook.com/farran/dentaltownuk/2018June
https://www.nxtbook.com/farran/dentaltown/2018June
https://www.nxtbook.com/farran/dentaltownuk/2018May
https://www.nxtbook.com/farran/dentaltown/2018May
https://www.nxtbook.com/farran/dentaltownuk/2018April
https://www.nxtbook.com/farran/dentaltown/2018April
https://www.nxtbook.com/farran/dentaltown/2018March
https://www.nxtbook.com/farran/dentaltownuk/2018March
https://www.nxtbook.com/farran/dentaltown/2018February
https://www.nxtbook.com/farran/dentaltownuk/2018February
https://www.nxtbook.com/farran/dentaltown/2018January
https://www.nxtbook.com/farran/dentaltown/2017December
https://www.nxtbook.com/farran/dentaltownuk/2017Winter
https://www.nxtbook.com/farran/dentaltown/2017November
https://www.nxtbook.com/farran/dentaltown/2017October
https://www.nxtbook.com/farran/dentaltownuk/2017october
https://www.nxtbook.com/farran/dentaltown/NewGrad2017
https://www.nxtbook.com/farran/dentaltown/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017August
https://www.nxtbook.com/farran/dentaltown/2017August
https://www.nxtbook.com/farran/dentaltown/2017July
https://www.nxtbook.com/farran/dentaltownuk/2017July
https://www.nxtbook.com/farran/dentaltown/2017June
https://www.nxtbook.com/farran/dentaltownuk/2017may
https://www.nxtbook.com/farran/dentaltown/2017May
https://www.nxtbook.com/farran/dentaltownuk/2017April
https://www.nxtbook.com/farran/dentaltown/2017April
https://www.nxtbook.com/farran/dentaltown/2017March
https://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
https://www.nxtbook.com/farran/dentaltown/February2017
https://www.nxtbook.com/farran/dentaltown/2017January
https://www.nxtbook.com/farran/dentaltown/2016December
https://www.nxtbook.com/farran/dentaltown/2016November
https://www.nxtbook.com/farran/dentaltown/2016October
https://www.nxtbook.com/farran/dentaltown/2016nge
https://www.nxtbook.com/farran/dentaltown/2016september
https://www.nxtbook.com/farran/dentaltown/2016august
https://www.nxtbook.com/farran/dentaltown/2016july
https://www.nxtbook.com/farran/dentaltown/2016june
https://www.nxtbook.com/farran/dentaltown/2016may
https://www.nxtbook.com/farran/dentaltown/2016april
https://www.nxtbook.com/farran/dentaltown/2016march
https://www.nxtbook.com/farran/dentaltown/2016february
https://www.nxtbook.com/farran/dentaltown/2016january
https://www.nxtbook.com/farran/dentaltown/2015december
https://www.nxtbook.com/farran/dentaltown/2015november
https://www.nxtbook.com/farran/dentaltown/2015october
https://www.nxtbook.com/farran/dentaltown/2015nge
https://www.nxtbook.com/farran/dentaltown/2015september
https://www.nxtbook.com/farran/dentaltown/2015august
https://www.nxtbook.com/farran/dentaltown/2015july
https://www.nxtbook.com/farran/dentaltown/2015june
https://www.nxtbook.com/farran/dentaltown/2015may
https://www.nxtbook.com/farran/dentaltown/2015april
https://www.nxtbook.com/farran/dentaltown/2015march
https://www.nxtbook.com/farran/dentaltown/2015february
https://www.nxtbook.com/farran/dentaltown/2015january
https://www.nxtbook.com/farran/dentaltown/2014december
https://www.nxtbook.com/farran/dentaltown/2014decemberb
https://www.nxtbook.com/farran/dentaltown/2014november
https://www.nxtbook.com/farran/dentaltown/2014october
https://www.nxtbook.com/farran/dentaltown/2014newgrad
https://www.nxtbook.com/farran/dentaltown/2014september
https://www.nxtbook.com/farran/dentaltown/2014august
https://www.nxtbook.com/farran/dentaltown/2014july
https://www.nxtbook.com/farran/dentaltown/2014june
https://www.nxtbook.com/farran/dentaltown/2014may
https://www.nxtbook.com/farran/dentaltown/2014april
https://www.nxtbook.com/farran/dentaltown/2014march
https://www.nxtbook.com/farran/dentaltown/2014february
https://www.nxtbook.com/farran/dentaltown/2014january
https://www.nxtbook.com/farran/dentaltown/2013december
https://www.nxtbook.com/farran/dentaltown/2013november
https://www.nxtbook.com/farran/dentaltown/2013october
https://www.nxtbook.com/farran/dentaltown/2013newgrad
https://www.nxtbook.com/farran/dentaltown/2013september
https://www.nxtbook.com/farran/dentaltown/2013august
https://www.nxtbook.com/farran/dentaltown/2013july
https://www.nxtbook.com/farran/dentaltown/2013june
https://www.nxtbook.com/farran/dentaltown/2013may
https://www.nxtbook.com/farran/dentaltown/2013april
https://www.nxtbook.com/farran/dentaltown/2013march
https://www.nxtbook.com/farran/dentaltown/2013february
https://www.nxtbook.com/farran/dentaltown/2013january
https://www.nxtbook.com/farran/dentaltown/2012december
https://www.nxtbook.com/farran/dentaltown/2012November
https://www.nxtbookmedia.com