The patient presented to my office as a 20 year old male with a chief complaint oriented around a missing upper front tooth. The patient indicated that he wanted this tooth replaced with a dental implant supported crown. The patient also indicated that he had lost this tooth 5 years ago in a BMX accident. Since the accident, a number of problems occurred that interfered with the unity, balance and stability of his teeth would complicate the treatment. The teeth on either side had tipped, one tooth had discoloured and the tissue in the site of the missing tooth had receded creating a significant tissue deficiency in the site of the missing tooth. All of the above problems and treatment options were discussed with patient.

1. A Positive Dental Treatment Outcome is Based on a
Positive Doctor to Patient Relationship
Energy Square Prosthodontics
Riverside Dental
Alberta
ENERGYSQUAREDENTAL.CA

3. Case #4
• Before Treatment in 2007
• Patient’s Chief Complaint
– Lost front tooth via a trauma incident
– Wanted a missing front tooth replaced
– Patient’s preference was to replace tooth with a
dental implant

4. Before treatment in 2007

5. Before treatment in 2007

6. Case #4
• Before Treatment Problem List
• Remaining teeth have tipped resulting in a
space that is too narrow
• Remaining teeth have discoloured
• There is now a significant soft tissue
depression in the site of the missing tooth

7. • Treatment involved:
• Preliminary orthodontic treatment
• Replacing the missing tooth with an all
ceramic bridge

8. After Treatment in 2010

9. After Treatment in 2010

10. Before & After with Frames
2004 2011
Energy Square Prosthodontics
www.energysquaredental.ca 10

11. Before After

12. After treatment in 2011

13. After treatment in 2011