CLINICAL OVERVIEW

This clinical case demonstrated an accelerated treatment timeline by combining extraction, grafting and placement of a fixed provisional FPD initially supported by teeth. After osseous healing, the hopeless tooth was extracted; implants were placed and immediately restored with an implantretained provisional FPD. Osseointegration and soft-tissue healing occurred at the same time. Total treatment time for this patient was approximately eight months. With the more traditional, earlier protocols, this treatment would likely have taken 18 to 24 months because the treatment steps would have been done individually, in sequence. At least one more surgery would also have been required—uncovering the implants and placement of conventional healing abutments.

BIOGRAPHIES

†Dr. Emery completed his residency program in Oral and Maxillofacial Surgery at the University of Maryland. He is a Senior Attending at Washington Hospital Center in Washington, DC. He lectures extensively both nationally and internationally and maintains a private practice in Washington, DC.

‡Dr. Watkins completed the Advanced Prosthodontic Residency Program at the Medical College of Virginia School of Dentistry, and Fellowship Program in Advanced Implant Prosthodontic Education at the University of Maryland, School of Dental Surgery. He is a clinical advisor for Clinical Research Associates and in private practice limited to Prosthodontics, in Washington, DC.

++Dr. Guttenberg completed his residency program in Oral and Maxillofacial Surgery at the Washington Hospital Center. He is a Senior Attending at Washington Hospital Center in Washington, DC. He lectures extensively both nationally and internationally and maintains a private practice in Washington, DC.

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