Case report


Fig 5 Buccal view of the provisional crowns


Fig 6 Buccal view of the final bridge


Fig 7 Occlusal view of the final bridge


Continued » The abutments were


torqued to 35 newton centim- eters; the abutment screws were covered with cotton wool and a temporary resin cement.The bridge cemented with provisional cement and the excess cement was very carefully removed. The patient saw our hygienist who gave her precise oral hygiene instruction and we empha- sised the importance of this to the patient.


Discussion This case report describes the placement of immediate implants in the rehabilitation of a patient who did not wish to have a partial denture. There is no doubt that the majority of our patients would prefer to have this treatment wherever possible. There are some situations


where it is not advisable to immediately place implants. These include: the presence of acute infection; inadequate bone volume for primary


stability; highly aesthetic areas where the outcome may be unpredictable; and in severe bruxists, where excessive loading of the implants may occur. None of these applied in the case of CM and I was there- fore confident that we could immediately replace her teeth. We were able to meet the


patient’s wish of avoiding a denture, either in the short or the long-term. She is very happy with the outcome and will be followed up regularly over the coming years.


ABOUT THE AUTHOR


Arshad Ali is a specialist in restora- tive dentistry and prosthodontics and also clinical director of Scottish Centre for Excellence in Dentistry. The centre accepts referrals for all aspects of dentistry. Further details can be obtained by telephoning 0141 427 4530, or on their website at www.scot- tishdentistry.com


58 Scottish Dental magazine


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