Chief Complaint
• Upper anterior
teeth – “they
are getting more
loose everyday”
• “My dentist told
me I have gum
disease and that
I need gum
surgery and
implants”
Medical History
• General Health: Patent is in good
overall health
• Allergies: None
• Medications: None
• Smoking: None
Periodontal Examination
• Probing depths: 3-9mm pockets
• Mobility: #8, #9 (Grade 3), #10
(Grade 2), and #7 (Grade 1)
• Recession: Maxillary anteriors:#6,
#7, #8, #9, #10, and #11
Diagnosis
• Periodontal Diagnosis: Generalized
moderate chronic periodontitis and
localized severe chronic peridontitis With
bleeding on probing (Patient may have had
aggressive periodontitis when he was
younger)
Periapical X-rays
Frontal Maximum Intercuspation
Patient expectations
• He would like to address the pockets
in the posterior teeth and then
address the upper maxillary anterior
teeth
• He would like to have implants and
“something fixed”
Extractions
#7
#10
Before Bone graft
Initial Incisions
Pre-bone graft
Bone Graft
Membrane
Sutures
1 week post-op
1 month later
3 months later
6 months later-Day of implant
Placement
Initial Incisions
Pre-implant placement #7 and
#10
Markers at sites #7 and #10
Implant Placement
Sutured
3 months after implant
placement