Cosmetic Dentistry: Implant Crowns
No one wants to lose a tooth but sometimes it can happen due to trauma, tooth decay, congenital (genetic) conditions, or gum disease. Fortunately, we can replace and restore these teeth. Everyone’s condition and desire is different. So it is impossible to tell you exactly what you need before we do a proper consultation and examination. We are confident that we can restore your teeth and your confidence. Call us today!
Dr. Hogan has spent tens-of-thousands of dollars and countless hours focusing his post-graduate dental education on dental implants. He is a general dentist who thoroughly enjoys implant dentistry. He so thoroughly loves implant dentistry that he was asked to volunteer as a board-examiner for the AAID in Chicago, IL.
A younger, single man in his ‘40s presented to our office determined to fix his mouth. He said, “I know it’s bad and I know if I don’t do anything now then I’ll be in a denture.” He added, “Do whatever you have to do so that I don’t have to wear dentures in my lifetime.”
After a thorough dental examination, he was thrilled to find out that he wouldn’t lose all of his teeth. He had thought that we would pull them all and place implants in every single tooth. But remarkably, we were able to save a vast majority of the teeth. He only needed a few implants and some cosmetic crowns to restore his smile. He picked the shade of his teeth and we engineered the smile for his function and comfort.
The result has had a drastic improvement on his self-confidence and in the way other people perceive him. He would tell you that his personal and professional lives are very different now than they were before meeting Dr. Hogan.
Case A: One Single Implant Crown
A gentleman presented to Dr. Hogan with a fractured front tooth as well as a fracture to the bone around the tooth. Unfortunately the tooth could not be saved. After hearing his options the patient requested the tooth be restored with a dental implant. Due to the extensive trauma and bone fracture, the implant could not be placed immediately. In the first procedure, Dr. Hogan extracted the fractured tooth and bone grafted the area later to be restored with an implant and crown. In a second procedure, Dr. Hogan placed a dental implant with an immediate temporary crown. After the implant integrated, we made a crown to exactly match the adjacent existing crowns. While the overall case took a while to complete due to the preexisting trauma, he was satisfied with the simplicity of the procedure as well as the good result.
|Picture 1: Before
(after grafting and before implant placement)
|Picture 2: AFTER Close-Up|
Case B: One Single Implant Crown
This patient was a 20-year-old male with a congenitally missing lateral incisor. The patient and his mother had sought out other professional opinions about restoring the tooth but all opinions recommended expensive bone grafting before implant placement. Dr. Hogan found a much less expensive way to treat this young man. Through a technique he learned from his studies with the AAID, he painlessly, surgically manipulated the area placing a dental implant without a bone graft. In short time, the implant integrated and Dr. Hogan restored the tooth naturally. Note the unique characterization of color in this tooth blending with the adjacent tooth. The patient’s mother was elated that the treatment was more than half off the other doctor’s recommendations. And the young patient was extremely happy to throw away the partial denture he had worn since middle school.
|Picture 1: AFTER||Picture 2: AFTER Close-Up|
Case C: One Implant and 5 crowns
This patient presented to our office with a fractured front tooth requiring extraction. She had several front teeth that were bonded over the years with different colors of material. In a first procedure, Dr. Hogan extracted the root of the fractured tooth, placed an implant and an immediate crown satisfying her immediate cosmetic concerns. Six months later the implant was integrated and ready for final restoration. At that time, Dr. Hogan prepared and cemented 6 porcelain crowns. The patient desired six perfectly white crowns.
|Picture 1: After||Picture 2: After|
Single, Fixed (Cemented/Non-removable) Implants to Replace One Missing Tooth
Not every case can be a complete reconstruction. Dr. Hogan and many patients would love to replace or restore every tooth in the mouth. But this is real life. And this is real dentistry. Sometimes patient’s don’t want every single tooth fixed. Sometimes they can’t afford to have every single tooth fixed. Dr. Hogan doesn’t push them and he doesn’t demand it. We can do amazing things when just addressing your needs or wants. We can limit our dentistry to your desires, needs and resources while still achieving phenomenal results.
This gentleman presented with a broken central incisor. Dr. Hogan removed the hopeless root and placed a bone graft for a future dental implant. (In some cases the implant and tooth can be replaced the same day. But this was not a good case for immediate replacement.) Dr. Hogan helped the patient pick and acceptable option for a temporary replacement of the tooth while the bone graft healed. The patient wanted a realistic and natural looking tooth that blended with the adjacent teeth. He was not interested in a complete “makeover” and Dr. Hogan would never push that on anyone. In proper fashion, Dr. Hogan surgically placed his own implant subsequently fabricating a tooth that perfectly matched the other central incisor. The patient was very happy with the results. Like 99.2% of Dr. Hogan’s implants, this one is doing very well five years later.
Case B: Traumatically lost Lower Canine
SINGLE, FIXED TOOTH (cemented, non-removable)
Case B: This young man came to Dr. Hogan with a sports injury. Given the traumatic nature of the loss, the patient did require bone grafting before placement of a dental implant and fabrication of a tooth. In many dental settings 2 or 3 doctors in multiple offices would complete this treatment. But in our office, Dr. Hogan completed all phases of treatment. He did the bone grafting, implant placement and tooth reconstruction. The young patient was completely restored to comfort, function, cosmetics and confidence.
CASE C: Emergency Patient, Fractured Front tooth on a Beautiful Baby-Boomer
MULTIPLE, FIXED Tooth (cemented, non-removable)
5 anterior crowns and 1 implant with a crown
Case C: An attractive female patient of Dr. Hogan’s showed up at the office with an emergency. She had a fractured and hopeless front tooth. She was concerned about her smile and going about her daily life without a front tooth. Thankfully, Dr. Hogan painlessly removed the hopeless tooth root, bone grafted, surgically placed an implant with fabricated a temporary tooth crown IN JUST ONE DENTAL VISIT AND ON THE SAME DAY! The patient took necessary precautions and followed all post-operative instructions. After healing and implant integration, Dr. Hogan prepared and delivered 6 crowns and an implant crown. It was the patient’s desire to have beautiful, bleach-white teeth and the results were amazing. She was very pleased with her new smile and the ability of Dr. Hogan to restore a tooth over the implant on the same day she lost the tooth. She never lost a single day of confidence in her smile.
|Implant with Temp||After||After|
CASE D: Elder Gentleman with traumatically lost teeth desiring realistic looking permanent replacement
MULTIPLE, FIXED BRIDGE (cemented, non-removable)
Case D: A gentleman lost two of his front teeth and desired to not wear a partial denture. The challenge here was that his adjacent teeth were off-color, multi-colored and he did not want to replace or veneer all of his other teeth. He simply desired natural looking teeth that blended well with the other teeth but were only “slightly whiter.” He definitely didn’t want people to notice that he didn’t have natural teeth or that these teeth were “replaced.” But he didn’t want them looking as dark as the other teeth. The restoration was simple. Dr. Hogan surgically placed his own two dental implants. The implants healed and integrated effortlessly while the patient wore a temporary replacement. Then Dr. Hogan restored the teeth with a blend of shades to camouflage the “fake” teeth but also lighten the overall smile. The patient was enthusiastic about the result! He loved it. It was a good compromise of color and shading for the patient’s self-confidence. Not all “cosmetic dentistry” requires replacement of 4, 6 or 10 teeth but Dr. Hogan can do that too! The patient was happy and proud of his “cosmetic dentistry” that successfully disguised his “fake” teeth and kept him eating well and looking good.
|Before||After||After Close Up|