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Among the newest breakthroughs
is the convenient Inclusive ®
Tooth Replacement Solution. ... For one
inclusive price, dentists looking to offer a
single-tooth replacement service receive
virtually everything that is needed to provide
the patient with a safe, predictable and
highly esthetic implant restoration.
Figure 1: Clinical view of edentulous area #3
Figure 2: Preoperative X-ray of edentulous area #3
Case Report
The 33-year-old female patient presented with concerns
about her missing maxillary first molar (Figs. 1, 2). She
wondered about the potential for the adjacent teeth
shifting, and she also worried that the missing tooth might
compromise her job-hunting prospects. The patient’s medical
history was non-contributory, and she was in excellent
health. The tooth had been endodontically treated and
subsequently removed due to a vertical fracture that had
occurred five months earlier. Upon clinical examination, it
was evident that the ridge was sufficient to accommodate
a traditional-sized dental implant to restore the area to
proper esthetics, form and function. After all the risks
and benefits of the various treatment alternatives were
reviewed with the patient, she chose to have an implant
placed in the area of the missing first molar.
In order to plan for this implant and restoration, an
Figure 3: Prosthetic guide with gutta-percha
impression of the upper and lower arches was taken,
along with a bite registration, and forwarded to Glidewell
Laboratories. Radiography and clinical evaluation led to the
prescription of an Inclusive ® Tapered Implant (Glidewell
Laboratories), 5.2 mm in diameter and 11.5 mm in length.
Based on information from the models and radiograph, the
laboratory fabricated a clear prosthetic guide that identified
the parameters for ideal implant placement. A custom
polyether ether ketone (PEEK) healing abutment, a custom
PEEK temporary abutment, a custom impression coping and
a BioTemps provisional crown were designed and milled.
All items — including the implant and related drills — were
delivered from Glidewell in a single, convenient package.
The first molar area was anesthetized using 1.8 ml 4%
Septocaine with 1:100,000 epinephrine. The prosthetic
guide was placed on the adjacent teeth, and a gutta-percha
point was positioned in the access hole (Fig. 3). A radiograph
– Recession Relief: Incorporating Dental Implants into Your Daily Practice – 35