Implant Case 1A. Missing Front tooth

	This patient presented with a missing front tooth which he wanted to replace with a dental implant.
	We placed an implant and a gold abutment on top of it. Here you can see the gold implant abutment.
	The abutment acts as the link between the implant and the implant crown.
	We then restored the implant with a temporary crown and allowed time for gum contouring.
	The implant crown can be seen from above, sitting in harmony with the rest of the teeth in the jaw.
	Finally The definitive implant crown is bonded to the implant abutment. Please note the natural looking gum margin around the implant crown.

Implant Case 1B. Immediate Placement in the aesthetic zone

The Patient below presented with a broken down root. We removed this root and placed an implant on the same day.

	This is the X-ray of the root showing a broken post and sub-optimal root canal treatment.
	This is the socket once the root was removed. The extraction was done atraumatically causing no damage to the surrounding soft tissue and bone.
	The Straumann SLActive implant is then inserted into the extraction socket on the same visit as the root extraction.
	The titanium abutment is now attached to the implant. The abutment acts as the link between the implant and the crown.
	The crown is then cemented onto the titanium abutment with cement.

Implant Case 1C. Sinus tap procedure

The patient below presented with a gap in the upper 1st molar region. Her dentist had extracted the tooth a few months previously due to a failed root canal filling.

	From this pre-operative X-ray one can see that the bone in the extraction region has resorbed and the sinus floor is very close and likely to be perforated if an implant is placed carelessly.
	So we used the sinus tap technique to place a 10mm straumann implant and at the same time raise the sinus floor gently without perforating its membrane. We also placed bovine derived Bio-Oss bone grafting material in the sinus floor region to promote bony growth at the implant base.
	We placed a straumann healing abutment over the implant and closed the flap with resorbable sutures. The implant will be restored with a crown once bone & implant integration has occurred.
Eight Weeks Later ...
	This is the implant site eight weeks later, fully healed and the sutures now resorbed.
	The Healing cap is now removed, exposing the implant that has fully integrated with the bone around it.
	The screw retained crown and abutment is attached (screwed) onto the implant. Please note the perfect contact with the adjacent teeth, the size and shape of the implant crown.
	The crown is now in perfect contact with the gum and is shaping it, making its appearance as natural as possible.
	The access hole is now sealed with white filling material.

Implant Case 1D. Full mouth Rehabilitation

The patient below presented with multiple teeth with poor prognosis and asked for a full lower implant supported bridge followed by the same for the top jaw once the work for the lower jaw is completed.

	On this X-ray you can see multiple upper and lower teeth with bone loss caused by previous gum disease. Multiple lower back teeth have already been lost.
	Here you can see the lower teeth extracted and the very back over-erupted upper molars also extracted. The patient was fitted with a temporary denture for eight weeks to allow any residual infection to settle and healing to take place.
	We placed 6 Straumann fast healing implants in the patient's lower jaw in one session. As her bone quality and quantity was good, she did not need any bone grafting. The treatment was carried out under local anaesthetic without any pain or discomfort.
	We will make a temporary bridge with twelve false teeth for these implants six weeks after implant placement. We will then make the permanent bridge six weeks later. Bridge pictures will soon be available.

Implant Case 1E. Missing lower front teeth

	This patient presented having lost his four front lower teeth. We decided to place two dental implants and a four unit bridge to replace the lost teeth.
	Our planning model shows where we planned to place the four front teeth.
	We placed two Straumann dental implants in the jaw and placed a four unit ceramic bridge on top of those implants.
	This is the final X-ray showing perfect bone and dental implant integration. The bridge fits snugly on the two implants below.

Implant Case 1F. Missing front tooth

	This patient had lost her two upper first premolars. She wanted them replaced with two implants and also wanted a smile makeover for the rest of her teeth.
	We first planned where the tooth should be placed with a trial smile. The patient gave the go ahead once he saw the trial smile.
	Here you can see the final crown held in by the dental implant in the jaw.

Implant Case 1G. Missing premolars

	This patient had lost her two upper first premolars. She wanted them replaced with two implants and also wanted a smile makeover for the rest of her teeth.
	We placed two straumann implants in the upper premolar region.
	The implants were left to heal within the bone for 8 weeks,
	The patient wanted her upper front teeth improved in shape and shade.
	Once the implants had healed, we placed two Emax veneers and four Emax crowns on the upper front six teeth. We also re-root treated the front incisor.
	The two Straumann dental implants were restored with two Emax all ceramic crowns.
	The implant crowns blend well with her other crowns and veneers.
	The patient now has no gaps on her upper jaw.

Implant Case 1H. Dental Implants after Bone Augmentation

	This patient lost his front four teeth through gum disease. Due to the bone loss caused by gum disease, we carried out block Bone augmentation using human bone from the tissue bank, six months previously. For Dental Implants to be placed, he needed block bone grafting to supplement his current bone level.
	We placed four Straumann SLActive fast healing implants and checked their final position. The X-ray shows four implants placed in the ideal position. The Final Crowns can be placed in around 8 weeks once bone-implant integration has taken place.
8 Weeks Later ...
	After 8 weeks, implant and bone integration has occurred and at this point the temporary abutments can be attached to the implants.
	The temporary abutments are screwed onto the implants below.
	Temporary crowns are then cemented to the temporary abutments below them.
	The purpose of the temporary crowns is to encourage the gum to take shape around the temporary crowns and create the normal knife edge gum shape between the crowns. This process takes ~2 months.
8 Weeks Later ...
	The final implant titanium abutment positions are planned on models.
	These abutments will be placed on the implants in the mouth.
	The final implant crowns are positioned on the model.
	The implant crowns can be seen before cementation in the mouth.
	The permanent titanium abutments are screwed onto the implants below and sealed.
	The final implant crowns are cemented to the abutments.
	The patient now has four newly restored dental implants.

Implant Case 1I. Missing front tooth

	This patient presented with a missing front tooth which she wanted to replace with an implant.
	We placed a Straumann SLActive implant in the gap. Here you can see the implant placed in the missing tooth gap.
	The implant can now be seen from above buried in the bone.
	We placed a temporary crown to encourage gum contouring.
	The final crown was then placed with a well contoured gum margin around the implant crown.

Implant Case1J. Single unit Implant crown

	Eight weeks after his implant placement, the patient presents for his implant crown impressions. An impression post is placed onto the implant for the impression stage. Shade A3 is chosen by the patient.
	An X-ray is taken to show location of the implant and correct placement of the impression post.
	The crown is produced by the lab and we attach it to the implant.
	The gum will re-grow between the teeth over the next few weeks.