extraction, immediate implant placement
DESCRIPTION
Extraction, Immediate Implant Placement, Veneer Provisional; patient presentation prepared by Dr. ChauLong Nguyen, DDS, MAGD. Visit our website www.implantforme.comTRANSCRIPT
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Loma Lin da Un iversity
Patient Presentation Seminar
PATIENT PRESENTATION
Prepared by Dr. ChauLong Nguyen, DDS,
MAGD
November 12, 2015
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Loma Lin da Un iversity
Patient Presentation Seminar
Healed Site Immediate Loading
Veneer Provisional on Abutment
D r. auLong NguyenDDS, MAGD
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Loma Lin da Un iversity
Patient Presentation Seminar
My office- reception desk to the left
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Loma Lin da Un iversity
Patient Presentation Seminar
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Loma Lin da Un iversity
Patient Presentation Seminar
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Loma Lin da Un iversity
Patient Presentation Seminar
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Loma Lin da Un iversity
Patient Presentation Seminar
Reception Area & Hall Way to Treating Rooms
We have 16 windows around the office.
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Loma Lin da Un iversity
Patient Presentation Seminar
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Loma Lin da Un iversity
Patient Presentation Seminar
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Loma Lin da Un iversity
Patient Presentation Seminar
Treating rooms
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Loma Lin da Un iversity
Patient Presentation Seminar
Why most Africans have white teeth?
In November 2013, I went to Africa for safari gaming tour in Boswana, Cape Town South Africa, Zimbabwe, and Zambia for a month.
Behind the elephant is the toothbrush tree/bushes.
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Loma Lin da Un iversity
Patient Presentation Seminar
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Loma Lin da Un iversity
Patient Presentation Seminar
Receptioin area Chobe National Park
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Loma Lin da Un iversity
Patient Presentation Seminar
Toothbrush tree= Salvadora persica
Sal
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Loma Lin da Un iversity
Patient Presentation Seminar
Toothbrush tree= Salvadora persica
From Wikipedia, the tree encyclopediaIt is also known as Arak, Pilu, mustard tree. It is a species of Salvardora. Salvadora
persica has antiurolithatic (anti-urinary stone/calculi) properties. It is used for centuries
as natural toothbrush. Its fibrous branches have been promoted by World Health
Organization for oral hygiene use. Researches suggest it contains a number of medically
beneficial properties including abrasives, antiseptics, astringent, detergents, enzyme inhibitors, and Fluoride.
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Loma Lin da Un iversity
Patient Presentation Seminar
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Loma Lin da Un iversity
Patient Presentation Seminar
Salvadora Perci=sica = toothbrush Salvadora persica= toothbrush tree
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Loma Lin da Un iversity
Patient Presentation Seminar
Healed Site Immediate Loading
Veneer Provisional on Abutment
D r. auLong NguyenDDS, MAGD
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Loma L inda Unive rsity
Patient Presentation Seminar
Patient Demographics
• Gender: female• Age: 67• Race: Caucasian• Marital Status: Single• Employment Status:
Administrator assistant at Stanford University
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Loma Lin da Un iversity
Patient Presentation Seminar
Frontal & Profile View At rest
Ms. Sue
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Loma L inda Unive rsity
Patient Presentation Seminar
Smile in Frontal and Profile View
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Loma L inda Unive rsity
Patient Presentation Seminar
Chief Complaint
“I had 4 dentures for this tooth and many bonded procedures but it didn’t stay. I want to have something fixed.”
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Loma L inda Unive rsity
Patient Presentation Seminar
Medical History• BP 99/47; P= 67• ASA II• Patient has asthma, arthritis,
hypertension, stomach ulcers, gout
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Loma L inda Unive rsity
Patient Presentation Seminar
Medical History
She is taking 1.Amlodipine2.Lisinopril3.Pentoprazole4.Vitamin B125.No Inhaler6.Allergic to Benzocaine
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Loma L inda Unive rsity
Patient Presentation Seminar
Dental History• Sue has several gold and PFM crowns and root
canal therapy in posterior teeth. They are all in good conditions.
• Teeth #s 14 & 15 have extensive recurrent caries with guarded to poor prognosis so she wanted to wait until they bother her then take care of them.
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Loma L inda Unive rsity
Patient Presentation Seminar
Dental History
• Acquired missing Tooth # 11 has adequate bone volume BL = 7mm; MD = 8mm; inter-occlusal space = 5mm;
• Cusp tips of #s 21 & 22 would be reduced to give 1mm of interocclusal space.
• Type III bone
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Loma L inda Unive rsity
Patient Presentation Seminar
Anterior View
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Loma L inda Unive rsity
Patient Presentation Seminar
Protrusive View
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Loma L inda Unive rsity
Patient Presentation Seminar
Occlusal Views
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Loma L inda Unive rsity
Patient Presentation Seminar
Maximum Intercuspation Views
Right Left
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Loma L inda Unive rsity
Patient Presentation Seminar
Working Side Views
Right Left
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Loma L inda Unive rsity
Patient Presentation Seminar
Extra-oral Findings• Head and neck: WNL• Facial asymmetries:
None • TMJ: Normal, healthy• Lymph nodes:
nonepalpable
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Loma L inda Unive rsity
Patient Presentation Seminar
•Soft tissue exam: mild to moderate gingival inflammation around all molars
Intra-oral Findings
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Loma L inda Unive rsity
Patient Presentation Seminar
• Hard tissue exam: moderate bruxism with uniform wear on enamel and crowns of all teeth
• Missing tooth # 11• Several posterior teeth have gold
and PFM crowns.• Moderate to severe recurrent
caries in #s 2M, 18M, 14DB, #15 M.
• Several
Intra-oral Findings
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Loma L inda Unive rsity
Patient Presentation Seminar
• Occlusal Scheme:
• Angle Class I occlusion
• Skeletal class I.
Occlusal Findings
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Loma L inda Unive rsity
Patient Presentation Seminar
Perio Exam09/01/15
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Loma L inda Unive rsity
Patient Presentation Seminar
• AAP: Generalized healthy with localized chronic mild to moderate gingivitis around all molars.
Periodontal Findings
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Loma L inda Unive rsity
Patient Presentation Seminar
Radiographic Presentation
June 26, 2015
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Loma L inda Unive rsity
Patient Presentation Seminar
June 26, 2015
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Loma L inda Unive rsity
Patient Presentation Seminar
• Acquired missing tooth # 11 causes esthetic and functional problems.
• Type III bone• BL= 7mm• MD= 8.5mm• Inter-occlusal space = 5mm• Mild to moderate bruxism
Diagnosis
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Loma L inda Unive rsity
Patient Presentation Seminar
• Good to excellent for implant • Fair to Good for prosthesis due to mild to
moderate bruxism
Prognosis
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Loma L inda Unive rsity
Patient Presentation Seminar
• 1. Take photos, xrays, scan, take bite registration & alginate impression
for tx plan presentation
• 2. place implant Nobel Biocare 3.5mm*10mm
• 3. Immediate placement of Ti-esthetic custom abutment
• 4. Reduce cusp tips of #s 21 & 22 for proper occlusal clearance
• Take bite registration, final impression with PVS and send to lab
• 5. Make bonded provisional veneer with sand blasting F of abutment
• 6. Deliver crown by cementation; Night Guard
Proposed treatment plan
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Loma L inda Unive rsity
Patient Presentation Seminar
Implant and immediate veneer provisional
placed on 8-11, 2015 X-ays of Implant placed 8-11,
I1 week post op 8-18- 2015
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Loma L inda Unive rsity
Patient Presentation Seminar
Custom abutment placed 8-11, 2015
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Loma L inda Unive rsity
Patient Presentation Seminar
Provisional veneer, 9-1, 2015
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Loma L inda Unive rsity
Patient Presentation Seminar
Provisional veneer placed 8-11, 2015
Provisional veneer placed on 8-11-2015 Outof
occlusion
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Loma L inda Unive rsity
Patient Presentation Seminar
Provisional veneer placed 8-11, 2015 Out of occlusion
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Loma L inda Unive rsity
Patient Presentation Seminar
Lily in the Okavango Delta River
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Loma L inda Unive rsity
Patient Presentation Seminar
• Sand Blasting abutment for final cementation
Abutment after provisional was removed
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Loma L inda Unive rsity
Patient Presentation Seminar
PFM crown was cemented on September 1, 2015
FiNnal PFM crown placed 9-1, 2015Out of lateral excursion
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Loma L inda Unive rsity
Patient Presentation Seminar
CBCT Radiographic PresentationOctober 19-2015
2 month 8 days after Implant placement
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Loma L inda Unive rsity
Patient Presentation Seminar
Radiographic Presentation
CBCT Scan
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Loma L inda Unive rsity
Patient Presentation Seminar
Follow up post placement of PFM crown on November 6, 2015
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Loma L inda Unive rsity
Patient Presentation Seminar
Mauna Laani Coconut grove
r
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Loma L inda Unive rsity
Patient Presentation Seminar
• An exposed root is my ideal surgical guide.
Extraction,Immediate Implant
Placement
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Loma L inda Unive rsity
Patient Presentation Seminar
Patient Demographics
• Gender: male • Age: 86• Race: Korean• Marital Status: Married• Employment Status: Retired
English Professor
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Loma L inda Unive rsity
Patient Presentation Seminar
Front View at Rest and Smile
Mr. Kim
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Loma L inda Unive rsity
Patient Presentation Seminar
Profile View at Rest and Smile
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Loma L inda Unive rsity
Patient Presentation Seminar
Chief Complaint
“My bridge is loose. I have many old gold crowns. I want strong teeth to chew. Fixed whatever you think wrong.”
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Loma L inda Unive rsity
Patient Presentation Seminar
Medical History1.BP= 136/87; P= 672.ASA I3.Pt has hypothyroidism &
Gastroesophageal reflux disease-GERD.
4.He is taking Levothyroxine & Femetidine.
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Loma L inda Unive rsity
Patient Presentation Seminar
Dental History Pt has failed PFM bridges #s 2 to 4 & 11-15;
•Teeth #s 19, 31 have recurrent caries under gold crowns
•Pt wanted to have successful implants placed for #s 11, 12, 14 in 2006
•He would like to have teeth #s 2, 3, 4, 19, 31 implants and crowns.
•Pt has fair oral hygiene but doesn’t floss often.
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Loma L inda Unive rsity
Patient Presentation Seminar
Anterior View
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Loma L inda Unive rsity
Patient Presentation Seminar
Occlusal View
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Loma L inda Unive rsity
Patient Presentation Seminar
Occlusal View
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Loma L inda Unive rsity
Patient Presentation Seminar
Maximum Intercuspation Views
Right Left
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Loma L inda Unive rsity
Patient Presentation Seminar
July 10, 2006
July 10, 2006
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Loma L inda Unive rsity
Patient Presentation Seminar
• Bridge #s 11 -15 was removed and sectioned.• # 15 PMF was re-cemented.
• Implants were placed for teeth #s 12, 14 on September 15, 2006 & # 11 on December 1st, 2006.
Pano was taken on August 15, 2006
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Loma L inda Unive rsity
Patient Presentation Seminar
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Loma L inda Unive rsity
Patient Presentation Seminar
July 10, 2006
July 10, 2006
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Patient Presentation Seminar
• 12- 1, 2006 9-16-2015
9 Years Comparison
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Loma L inda Unive rsity
Patient Presentation Seminar
• 8-15-2-06 9-16-2015
9 years post Implant & prostheses placement
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Loma L inda Unive rsity
Patient Presentation Seminar
• Teeth #s 2, 4, 15, 19, 31 were removed and implants were placed immediately at extraction time
• Puros cancellous particulate bone graft• There was no primary closure of gingiva at
extraction site• Used chromic resorbable gut interrupted
sutures
Implants placed on7-31, 2014 & 9-16, 2015
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Loma L inda Unive rsity
Patient Presentation Seminar
January 16, 2014
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Loma L inda Unive rsity
Patient Presentation Seminar
• 3-24-2014 9-16-2015
1.5 Years Post Extraction, Immediate Implant Placement #s 2 & 4
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Loma L inda Unive rsity
Patient Presentation Seminar
![Page 76: Extraction, Immediate Implant Placement](https://reader035.vdocuments.site/reader035/viewer/2022062310/579077b71a28ab6874bf0f22/html5/thumbnails/76.jpg)
Loma L inda Unive rsity
Patient Presentation Seminar
• Annual Recall visit 9-16-2015
Extraction and Immediate Placement of # 31 on 9-24-2015
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Loma L inda Unive rsity
Patient Presentation Seminar
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Loma L inda Unive rsity
Patient Presentation Seminar
• 1. Abscence of infection 2. Soft tissue Closure
• 3. Space maintenance 4. Graft Stability
• 5. RAP= Regional Acceleratory Phenomenon
• 6. Host Bone blood supply 7.Growth Factors
• 8. BMP=Bone Morgenetic Proteins
• 9. Healing time
• 10. Defect size and tophography
• 11. Transitional prostheses
Surgical Keys to Bone GraftingCarl Misch- 3rd Edition-Chapter 36-page 839
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Loma L inda Unive rsity
Patient Presentation Seminar
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Loma L inda Unive rsity
Patient Presentation Seminar
•An exposed root is my ideal surgical guide.
•Puros Cancellous Particulate bone graft & Biomend membrane
Extraction,Immediate Implant
Placement
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Loma L inda Unive rsity
Patient Presentation Seminar
Patient Demographics
• Gender: male • Age: 63• Race: Iranian• Marital Status: Married• Employment Status:
Mechanical engineer
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Loma L inda Unive rsity
Patient Presentation Seminar
Front View at Rest and Smile
Mr. Riazati
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Loma L inda Unive rsity
Patient Presentation Seminar
Profile View at Rest and Smile
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Loma L inda Unive rsity
Patient Presentation Seminar
Anterior View
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Loma L inda Unive rsity
Patient Presentation Seminar
Protrusive View
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Loma L inda Unive rsity
Patient Presentation Seminar
Occlusal View
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Loma L inda Unive rsity
Patient Presentation Seminar
Radiographic Presentation 2-2-2015; #s 12, 13
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Loma L inda Unive rsity
Patient Presentation Seminar
Radiographic Presentation 2-2-2015; # 19
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Loma L inda Unive rsity
Patient Presentation Seminar
Radiographic Presentation 2-2-2015; # 31
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Loma L inda Unive rsity
Patient Presentation Seminar
7 month post implant placement
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Loma L inda Unive rsity
Patient Presentation Seminar
7 month Post Implant, healing cap removed from # 19
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Loma L inda Unive rsity
Patient Presentation Seminar
• 2-2-2015 9-4-2015 11-6-15
• Teeth #s 12, 13
Extraction, Immediate placement, a predictable result
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Loma L inda Unive rsity
Patient Presentation Seminar
• 2-2-2015 9-4-2015 11-6-15
• Tooth # 19
Extraction, Immediate placement, a predictable result
![Page 94: Extraction, Immediate Implant Placement](https://reader035.vdocuments.site/reader035/viewer/2022062310/579077b71a28ab6874bf0f22/html5/thumbnails/94.jpg)
Loma L inda Unive rsity
Patient Presentation Seminar
• 2-2-2015 9-4-2015 11-6-15
• Tooth # 31
Extraction, Immediate placement, a predictable result
![Page 95: Extraction, Immediate Implant Placement](https://reader035.vdocuments.site/reader035/viewer/2022062310/579077b71a28ab6874bf0f22/html5/thumbnails/95.jpg)
Loma L inda Unive rsity
Patient Presentation Seminar
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Loma L inda Unive rsity
Patient Presentation Seminar
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Loma L inda Unive rsity
Patient Presentation Seminar
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Loma L inda Unive rsity
Patient Presentation Seminar
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Loma L inda Unive rsity
Patient Presentation Seminar
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Loma L inda Unive rsity
Patient Presentation Seminar
• MIP-Right side• After Implant and prosthesis
Post-Prosthetic delivery PFM # 31
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Loma L inda Unive rsity
Patient Presentation Seminar
• MIP-Left side• After Implant and prosthesis
Post-Prosthetic delivery PFM #s 12, 13, 19
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Loma L inda Unive rsity
Patient Presentation Seminar
Radiographic Presentation2-2-2015, 9-4-2015, 11-6-2015
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Loma L inda Unive rsity
Patient Presentation Seminar
Radiographic Presentation 11-6-2015, Post PFM crown delivery
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Loma L inda Unive rsity
Patient Presentation Seminar
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Loma L inda Unive rsity
Patient Presentation Seminar
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Loma L inda Unive rsity
Patient Presentation Seminar
• I wish you all peace and happiness.
Thank you for your attention.