Case Overview
Age: 39 years Tooth Involved: 12 (Maxillary Right Lateral Incisor) Chief Complaint: The patient reported a missing front tooth and wanted a replacement for aesthetic enhancement and improved smile confidence.
Clinical Examination
- Facial symmetry: Normal
- Smile line: High indicating the need for precise aesthetic planning
- Intraoral findings: Missing tooth in the 12 region
- Adjacent teeth (11 and 13): Healthy and stable
- Gingiva: Adequate attached gingiva present, providing good soft tissue support
Diagnosis
- Missing right lateral incisor (12) due to previous loss
- Good bone and soft tissue support, making the site ideal for implant placement
Pre-Treatment Evaluation
- Clinical and radiographic assessment (including IOPA/CBCT) was done to evaluate bone height, width, and surrounding anatomical structures.
- Based on findings, a single dental implant was planned to restore the missing tooth with excellent aesthetics.
Treatment Plan
- Implant placement in the region of missing tooth 12
- Healing period to allow osseointegration
- Crown placement for natural appearance and function
Step-by-Step Procedure
1️ Local Anaesthesia
The area was numbed to ensure a painless and comfortable experience.
2️ Implant Site Preparation
A small incision was made to expose the underlying bone, and a precise osteotomy (implant site preparation) was done at the 12 region.
3️ Implant Placement
The dental implant was placed carefully into the prepared site following standard surgical protocols.
4️ Healing Cap Placement
A healing abutment was placed to guide soft tissue healing and maintain the emergence profile.
5️ Healing Phase
The site was allowed to heal naturally for a few months to ensure proper osseointegration the process where bone fuses with the implant surface.
6️ Crown Placement
After successful healing, an impression was taken, and a customized ceramic crown was fabricated and fixed over the implant
Postoperative Results
- The implant-supported crown matched perfectly with the adjacent natural teeth.
- Smile aesthetics were fully restored.
- Patient reported improved confidence and natural feel while speaking and smiling.
Postoperative Care
- Maintain good oral hygiene with gentle brushing and flossing.
- Regular dental checkups every 6 months.
- Avoid biting on hard foods in the initial phase.
- Use prescribed mouthwash to maintain soft tissue health.
Key Benefits of Implant-Supported Crown
- Looks and feels like a natural tooth
- Prevents bone loss in the missing tooth area
- No need to trim adjacent teeth
- Long-term and durable solution
- Enhances smile aesthetics and self-confidence
Summary
This case of implant placement with crown in a missing lateral incisor demonstrates how modern implant dentistry restores not only missing teeth but also the patient’s confidence and smile harmony. At Summirow Dental Hospital, every aesthetic case is carefully planned using advanced imaging, precision techniques, and digital design to ensure life-like results.