
BDS (Hons), MFDS, MBChB (Hons), MClinRes, PhD, MOralSurg, FDS, FHEA
Dental Implants - Bone Augmentation - Oral Surgery
Example Case 1:

B
A
This gentleman was referred for the management of a large failing standard dental bridge that replaced all the front upper teeth from canine to canine
The patient was keen to preserve as much of his natural dentition as possible, and therefore had the bridge sectioned and only the failing portions of the bridge removed, preserving part of the bridge including the upper left canine tooth (A) and also a "cantilevered" floating prosthetic tooth in the upper left second incisor region (B). This reduced the overall span necessary for an implant solution, reducing the cost and complexity of treatment.
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The upper left image shows the area of missing teeth after the failing portions of the dental bridge had been removed (A denotes preserved natural canine "abutment" tooth, B denotes the "floating" prosthetic lateral incisor from the original bridgework). The lower right image shows an implant bridge supported by two implants. The right image shows the patient with a wide smile, demonstrating the overall aesthetic outcome.
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Implants and restoration by Dr. Robert Bolt
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Example Case 2:


Implant
Crown
Crown
Implant
Implant
Bridge
This lady was referred for implants to replace a failing front bridge and also replace the missing rear teeth.
The top left image is before implant treatment: the upper left canine and lateral incisor teeth are together supporting a bridge that has a "floating tooth" replacing the upper left central incisor. The two central incisors are overlapping and there are some gum problems around the teeth supporting the bridge. The bridge was removed, and the lateral incisor and canine teeth restored with standard dental crowns. A single implant was then placed in the upper left central incisor region, and a further two implants placed to support a bridge to replace the rear teeth. The lower left image shows the result after implant treatment was complete. The right image shows the biting surfaces, as seen in a mirror.
Implants by Dr. Robert Bolt
Restored by Dr. Sam Erabadda
Example Case 3:

This lady was referred for implants to replace a missing first molar tooth; the gap was visible with a wide smile, and as a result of the missing tooth, the unsightly amalgam filling of the tooth behind was visible.
The top image is before implant treatment: the amalgam filling in the second molar tooth can be seen to the rear of the gap. The lower image shows the gap filled with an implant crown; even with the cheek retracted it is now difficult to see much of the amalgam filling.
Implants by Dr. Robert Bolt
Restored by Dr. Elizabeth Borland
Example Case 4:
This lady was referred for an implant to replace the upper left lateral incisor tooth.
The top left image is after an implant has been placed in the gap, and the bottom left image is after the final crown has been fitted. This lady wanted an appearance that looked as similar as possible to her natural teeth: additional characterisation such as dentine shading & fine enamel cracks have been added to the crown in order to mimic the appearance of the adjacent teeth as closely as possible.
Implants by Dr. Robert Bolt
Restored by Dr. Jamie Denholm

Example Case 5:

This lady was referred for implants to replace a gap following the failure of a bridge off natural teeth from the upper right canine region to the upper right premolar region.
The top images are before, and the bottom images are after an implant bridge has been fitted. This lady was mainly concerned about filling the gap that was visible with smiling, and was happy to leave a gap in the upper right molar region immediately behind the bridge.
Implants and restoration by Dr. Robert Bolt