Immediate Dental Implants for Anterior Tooth Replacement in Older Patients

A 78-year-old female patient presented to the practice for an emergency visit because her left lateral incisor (tooth No. 10) had fractured at the gumline. She reported that she was "simply biting into a sandwich when her tooth broke off." The patient had a long history of consistent dental care throughout her life, and more than 30 years ago, tooth No. 10 had been previously restored with a root canal treatment, post and core buildup, and a porcelain-fused-to-metal (PFM) crown. Upon examination, it was noted that tooth No. 10 was fractured with no coronal tooth structure left and that a vertical root fracture was present. The tooth was deemed non-restorable. Treatment options were presented to the patient, and the risks and benefits of an implant-supported restoration versus a fixed partial bridge were discussed. If possible, the patient decided that she would like an implant placed. Her fractured PFM with its intact post and core was temporarily re-cemented that day and the patient was appointed to return for records.

Jeffrey Lineberry, DDS
Fellow
Academy of General Dentistry
Fellow
International Congress of Oral Implantologists
Accredited Member
American Academy of Cosmetic Dentistry
Private Practice
Mooresville, North Carolina