86 The Journal of Cosmetic Dentistry · Winter 2006
Volume21·Number4
A
bstrAct
Loss of a key tooth after complex cosmetic rehabilitation can
spell disaster for the case. This article discusses recovering from
this predicament with the use of immediate implants. This method
preserves tissue contour to set the stage for optimum clinical re-
sults.By using a fixed provisional beginning on the day of implant
placement, patient satisfaction is maximized.
When the center tooth of a 10- or 20-unit cosmetic case
fractures at the gum line, the cosmetic dentist must do some
quick thinking.
I
ntroductIon
In the quest to create the optimum smile for patients,cosmet-
ic dentists frequently must use compromised teeth as part of the
treatment plan.Endodontically treated teeth of tenare badly bro-
ken down, and we generally choose to lengthen the upper teeth
to enhance the overall esthetic out come. This increases the crown-
to-root ratio. When we start with a weak tooth, remove additional
structure to allow for the restoration, and increase the potential
forces on the tooth by lengthening the incisal edge, disaster can
strike.When the center tooth of a 10-or 20-unit cosmetic case frac-
Recovering Cases Using Single-Tooth
Immediate Implants
C
liniCal
S
CienCe
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rlaCh
/J
arviS
Dr. Erlach graduated from the University of Cali-
fornia at San Francisco School of Dentistry in
1986. He then joined the U.S. Army and com-
pleted a one-year Advanced Education in General
Dentistry program before serving in Korea
in the 82nd Airborne Division. He is a Fellow of
the Academy of General Dentistry and a member
of the Association of Military Surgeons of the
United States. An Accredited member of the
AACD, he maintains a private practice in Santa
Rosa, California. He continues to serve as a Colo-
nel in the U.S. Army Reserves and has recently
returned from Iraq.
Dr. Jarvis graduated from the University of Cali-
fornia (UCLA) School of Dentistry in 1981. He
continued his training at UCLA, specializing in
oral and maxillofacial surgery. He is board certi-
fied by the American Board of Maxillofacial Sur-
gery and is a Fellow of the American Association
of Oral and Maxillofacial Surgeons (AAOMS).
Dr. Jarvis is a member of the American Dental
Association and the AAOMS. He is on staff at all
major hospitals in Santa Rosa, California; and
also is an instructor in Advanced Cardiac Life
Support and CPR. Dr. Jarvis' hobbies include golf,
running, scuba diving, baseball, and weight
lifting.
by
Robert W. Erlach, D.D.S.
Robert E. Jarvis II, D.D.S.
"Reprinted with permission, The Journal of Cosmetic Dentistry, ©2006 Ameri-
can Academy of Cosmetic Dentistry, All Rights Reserved. Telephone 608/222-8583; Fax
608/222-9540; www.aacd.com."