There are some patients that make an impact on the entire practice as soon as they walk in the door! This gentleman is no exception, and captivates everyone while here.
He had aggressive external resorption and had the tooth extracted. While his implant was integrating, we made him a Valplast spider partial to fill the space. We love doing Valplast partials in this situation. They always look great and fit in the contours of the teeth and gingiva so much better than standard acrylic and wires!
He referred to his provisional partial as his “church tooth!” “Yes! I need a tooth in here, just for church! It don’t matter any other time!” He was quite the jokester and had us rolling.
So, the day he had his tissue abutment placed, his good ol’ church tooth wouldn’t go! He ran right over to our office, and we worked him up with a long-term provisional.
We think this will look great at his church!
We used Procera stock abutment and milled a crown out of Lava Ultimate. We bonded the crown to the abutment and drilled a hole through the lingual surface to screw retain the entire restoration. This will give the tissue a great opportunity to heal to this contour rather than the generic tissue abutment. Plus, it will be easy to remove the Lava Ultimate composite resin restoration from the abutment and finish it later with a ceramic.