Case 5.

Adolescent female patient..Single implant to replace congenitally absent UR2, with bone expansion and restorative reconstruction of peg-shaped UL2.
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Favourable biotype 11. Residual ridge form depressed labially in the region of the UR2 as a result of alveolar resobtion or which predispose to poor aesthetic outcome.

The patient has had orthodontic treatment to open the space in the region of the UR2, congenitally missing lateral incisors often associated with reduced alveolar ridge width.

This hard tissue defect will need to be addressed surgically to improve aesthetic out, fortunately the patient has a low smile line.
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Peg-shaped UL2 - this malformation is often associated with a congenitally absent contralateral tooth.
PA radiograph confirms there is sufficient space between the roots to permit the safe insertion of an implant in the region. Often the roots may converge following orthodontic movement increasing the probability of damaging the adjacent roots during implant placement and site preparation.

OPG confirms absence of ectoptic teeth or supernumeraries.

Note : -reduced compliment of permanent teeth also a feature of this condition.
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The soft tissue is manipulated and flap designed to increase soft tissue bulk in the region.

The orthodontic retainer and provisional restoration is adjusted so as not to load the soft tissue which would adversely affect aesthetic outcome.

Soft tissue left 3months to maturate.
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Although the gingival zenith on UR2 is not at the same horizontal level as at UL2 , the local bone grafting and soft tissue manipulation techniques employed were tolerable to the patient and delivered a good aesthetic result. This was acceptable to the patient whose smile line is low. The UL2 peg-lateral was restored with a veneer using minimal preparation.


Great dentist had my first appointment/consultation today for tooth enlightening! Really informative, patient DR who has a genuine intrest in your teeth and Keeping the cost low! :)

Georgia Ewins

4 months ago

One of my friends recommended me this clinic. And my orthodontic treatment is going far better than before and I can see the changes. So kind and helpful staffs.

Sebastian Hale

11 months ago

Awesome customer service! All the staffs are very helpful and kind in nature. High quality treatment with great result. Would definitely recommend.

Elsia Martin

a year ago

Very much impressed with Wimpole Dental Office. Their provided services are excellent. Even the receptionist was extremely kind and welcoming.

Jennifer Smith

a year ago

Very friendly and efficient service!! All the staffs and dentists are well experienced. Highly recommended.

Eva Morgan

a year ago

I just want to say thank you to the whole team of dentists of Wimpole Dental Office. The dentists are highly skilled and experienced.

Shirley Miller

a year ago

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