The photos show Justin’s completed tooth movement. You will notice in the intraoral pictures with the aligners in place, on the right side, you can see through the aligner to the healing abutment of the implant in the #29 area. The aligners fit the teeth, and the space distribution for the implant restoration is equal to the M-D width of the first bicuspid #28.
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Our treatment plan was to extract the retained deciduous tooth #T. Using a precise surgical guide, place an implant fixture and allow it to integrate while performing tooth movement with Invisalign. We planned to reduce the M-D space to provide for a more appropriate M-D width bicuspid restoration over the implant.
The intraoral photos without the aligners show the final restoration in place. I favor the “screw” retained retention design when possible, as it offers retrieval possibilities for repair that may be difficult to impossible with the “cemented” retention design. I have included photos of the laboratory model and final restoration as well as intra-oral final restoration pictures.
As with all cases, retention is most important. Impressions were sent to Align, as the implant restoration is a “new” shape to the lower arch. Vivera retainers were ordered and will be delivered.
I wanted to add a final note for this case. When this case started, Justin was a senior dental student. He is now a practicing dentist with his GP dentist father in rural southwest Virginia. Justin continues to tell me how pleased he is with his Invisalign results and implant restoration!!!
