1. Anterior Immediate Implant & Restoration
Implants
Anterior Immediate Implant & Restoration
Pamela Nicoara DDS

2. Pamela Nicoara DDS

3. Patient presents with mobile #8 due to prior trauma with subsequent internal/external root resorption.
Pamela Nicoara DDS

4. Immediate implant possible because of good apical bone …
Pamela Nicoara DDS

5. Pamela Nicoara DDS

6. Pamela Nicoara DDS

7. Pamela Nicoara DDS

8. Final crown with Procera abutment
Pamela Nicoara DDS

9. Pamela Nicoara DDS

10. Day of seating
Final Restoration
Pamela Nicoara DDS

11. Initial Final Pamela Nicoara DDS
Combo of use of tissue former and reproduction of temporary crown subgingival contours
Pamela Nicoara DDS

12. Initial
Final
Pamela Nicoara DDS

13. Maxillary Staged Implant Restoration
Implants
Maxillary Staged Implant Restoration
Pamela Nicoara DDS

14. Patient presents with long-standing temporary bridge on failing abutments.
Pamela Nicoara DDS

15. Missing teeth due to traumatic horse injury years prior.
Pamela Nicoara DDS

16. 25 October 2004
Pamela Nicoara DDS

17. Initial Extractions
14 January 2005
Pamela Nicoara DDS

18. Pamela Nicoara DDS

19. Ovate pontics prepared on existing temporary fixed partial denture to preserve gingival contours.
Pamela Nicoara DDS

20. Implant Placement #6, 8, 9 and 11 4 months post extraction
Pamela Nicoara DDS

21. Pamela Nicoara DDS

22. Note ridge resorption and apical infection #10.
Pamela Nicoara DDS

23. Implants placed and tooth #10 extracted.
Zimmer implants (centrals are 3.7, canines are 4.3 all 13mm long)
Pamela Nicoara DDS

24. Bone grafting used to reconstruct ridge
Bone grafting used to reconstruct ridge. Immediate provisional implant placed #7 site to support existing temporary fixed partial denture since tooth #10 extracted.
Puros, Ossix
NobelBiocare IPI (Immediate Provisional Implant) #7 (2mm diameter, 16mm long)
Pamela Nicoara DDS

25. 25 May 2005
Pamela Nicoara DDS

26. Extraction and Implant placement #4 and 13
3 months after initial implant placement
Pamela Nicoara DDS

27. Pamela Nicoara DDS

28. 2 August 2005
Pamela Nicoara DDS

29. Atlantis abutment placement and removal of IPI and remaining teeth.
Pamela Nicoara DDS

30. Pamela Nicoara DDS

31. Final Restoration
Pamela Nicoara DDS

32. Happy Patient
Pamela Nicoara DDS

33. Thank You! Pamela A Nicoara DDS MSD PLLC
3125 Colby Avenue, Suite H
Everett WA 98201
T: • F:
16030 Bothell Everett Hwy, Suite 260
Mill Creek WA 98012
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