He told me that he has not smiled in several years...sad story but when we took a look it was apparent why.
Wow! No wonder...well, we got him motivated with a patient education appointment, several periodontal deep cleaning appointments and then the big day for him....we would extract the 4 front teeth, root canal therapy on the 2 canine teeth and place 4 mini dental implants. DFDB (Demineralized Freeze Dried Bone) was placed around the minis to keep the proper height and width of his gum and bone tissue.
Our plan is to let the mini implants heal into the bone and make 6 crowns for the final restoration. While the minis are healing and the body is creating new bone from the bone grafting material, the patient will have a temporary bridge made from chair side acrylic.
I was not completely pleased with the final picture (a few drops of blood and a sagging lip from the anesthetic)...but he jumped out of the chair when he saw his smile in the mirror.
I will keep the case post going as the case progresses.