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Chief Complaint

Chief Complaint. Upper anterior teeth – “they are getting more loose everyday” “My dentist told me I have gum disease and that I need gum surgery and implants”. Medical History. General Health: Patent is in good overall health Allergies: None Medications: None Smoking: None.

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Chief Complaint

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  1. Chief Complaint • Upper anterior teeth – “they are getting more loose everyday” • “My dentist told me I have gum disease and that I need gum surgery and implants”

  2. Medical History • General Health: Patent is in good overall health • Allergies: None • Medications: None • Smoking: None

  3. Periodontal Examination • Probing depths: 3-9mm pockets • Mobility: #8, #9 (Grade 3), #10 (Grade 2), and #7 (Grade 1) • Recession: Maxillary anteriors:#6, #7, #8, #9, #10, and #11

  4. Diagnosis • Periodontal Diagnosis: Generalized moderate chronic periodontitis and localized severe chronic peridontitis With bleeding on probing (Patient may have had aggressive periodontitis when he was younger)

  5. Periapical X-rays

  6. Frontal Maximum Intercuspation

  7. Patient expectations • He would like to address the pockets in the posterior teeth and then address the upper maxillary anterior teeth • He would like to have implants and “something fixed”

  8. Extractions

  9. #7

  10. #10

  11. Before Bone graft

  12. Initial Incisions

  13. Pre-bone graft

  14. Bone Graft

  15. Membrane

  16. Sutures

  17. 1 week post-op

  18. 1 month later

  19. 3 months later

  20. 6 months later-Day of implant Placement

  21. Initial Incisions

  22. Pre-implant placement #7 and #10

  23. Markers at sites #7 and #10

  24. Implant Placement

  25. Sutured

  26. 3 months after implant placement

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