Case of the Quarter - Dr. Bill Robbins

Published By: Dene LeBeau

 





Dr. Bill Robbins
San Antonio, TX

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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).

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

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