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DENTAL STREET BLOG

Case of the Quarter - Dr. Bill Robbins 

8/26/2015

2 Comments

 
Published By: Dene LeBeau
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Dr. Bill Robbins
San Antonio, TX


Patient presented with infection tooth #9. (X-rays and figs. 1 & 2)

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I removed bridge #7-9 and crown #10 and amputated the teeth at the gum-line. I did a gingivectomy #4,6,13 and prepared #4,6,11,13 for crowns and placed a chair-side fabricated provisional bridge  #4-6-11-13. I also made an impression for a lab fabricated provisional bridge #4-6-11-13 since it would be in place for several months. The laboratory fabricated provisional bridge was inserted (fig 3).
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I then referred the patient to Dr. Rindler and he extracted  #7,9,10, did connective tissue grafts #8,9 and placed implants #8,9. He also did functional crown lengthening surgery #4,6,13. After implants  integrated, we placed a screw retained provisional, but is was long and unaesthetic and had screw access holes through facial (fig 4).


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So we made impression for JKAD custom abutments and laboratory-milled screw retained provisional with pink gingiva, which was very esthetic (figs 5,6,7).


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Ultimately we placed crowns #3,4,6,11,13,14 and the bridge from #7-10.  (figs 8,9)
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         J. William Robbins, D.D.S., M.A.
         1202 East Sonterra Blvd. 
         Suite 402 San Antonio, Texas 78258
         Phone: (210) 341-4409
         E-mail:  robbinsdds@aol.com
         Website:  www.robbinsdds.com


Click here to view Dr. Robbins upcoming courses: 
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2 Comments
Kaz
9/3/2015 04:22:26 am

How did this case go from a situation where the anterior teeth were too short, to just about OK and then way too long after the periodontist took over?? That is very strange.

Reply
J. William Robbins
9/3/2015 06:29:35 am

Good question! Here is my answer. There was significant loss of facial bone due to failing teeth and endos. Once they were removed, vertical bone height was lost, resulting longer teeth.

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  • Home
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    • Testimonials
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    • Zirconia
    • E-Max
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