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Prosthetics

Multiple Single Tooth Extraction & Anterior Immediate Implant Placement and Restoration, Full Mouth Reconstruction

This clinical presentation demonstrates full mouth reconstruction involving multiple single-tooth extractions, anterior immediate implant placement, and immediate restoration using minimally invasive one-piece zirconia implants. The treatment focused on restoring esthetics, function, and occlusion while preserving soft tissue architecture and achieving highly esthetic final outcomes.

The case documents comprehensive rehabilitation of a patient with severe restorative, periodontal, and esthetic compromise requiring full mouth reconstruction. Initial facial and intraoral photographs demonstrated:

  • Multiple failing restorations
  • Missing and fractured teeth
  • Malocclusion and uneven occlusal plane
  • Severe anterior esthetic compromise
  • Generalized wear and functional deterioration

Preoperative panoramic radiographs and 20 × 20 CT scans demonstrated extensive restorative history and compromised dentition requiring implant-supported rehabilitation.

Detailed clinical images revealed significant maxillary anterior tooth loss and fracture with compromised gingival architecture. The surgical phase involved minimally invasive extraction and placement of one-piece zirconia implants in the anterior maxilla.

Three-day postoperative photographs demonstrated rapid soft tissue healing and successful integration of immediate provisional restorations. The restorative workflow then progressed to:

  • Initial final posterior restorations
  • Anterior provisional restorations
  • Occlusal rehabilitation
  • Full arch esthetic refinement

Final “Case Complete” clinical photographs showed:

  • Harmonized occlusion
  • Improved facial esthetics
  • Stable gingival contours
  • Symmetric anterior restorations
  • Full arch functional and esthetic rehabilitation

Final radiographic comparisons between preoperative and postoperative imaging demonstrated successful implant placement and full mouth restorative reconstruction.

Case Details

  • Full mouth rehabilitation with emphasis on the anterior maxillary esthetic zone.
  • Comprehensive clinical and facial evaluation Preoperative panoramic radiographs and CT imaging Full mouth treatment planning Atraumatic extraction of failing anterior teeth Minimally invasive one-piece zirconia implant placement Immediate anterior provisional restorations Three-day postoperative healing evaluation Posterior definitive restorative phase Anterior provisional refinement Occlusal rehabilitation and esthetic contouring Final full mouth restorations Postoperative radiographic and clinical comparison evaluation
  • Final “Case Complete” clinical and radiographic outcomes presented after completion of full mouth reconstruction
  • Dr. Paul Petrungaro