With dental trauma or fracture of anterior teeth, it is desired to replace the teeth as quickly as possible. Many times we can remove the fractured tooth, place the dental implant and place a crown. In order to do this, the implant must be stable and strong enough to hold the temporary crown. Otherwise, a removable temporary appliance will be needed.
In an recent article in the International Journal of Oral & Maxillofacial Implants (2014;29:432-440), the author described the importance of the stability of the bony tooth socket, the stability of the placed dental implant and the thickness of gingival tissue (gum tissue) around the implant. It was the conclusion of the study that in patients with thin gingival tissue, a soft tissue graft be preformed at the same time as the dental implant is placed.
So in cases of trauma, the tooth is removed, an implant is placed, bone and gingival grafting is preformed and if ideal conditions are found a temporary crown is placed. All surgery done in less than a hour. Hopefully this never happens to you.
John Freeman MD, DDS, FACS is on staff at your local hospitals-Methodist, Methodist West, and Katy Memorial Hospital. He has been serving the the west Houston, Katy, Sugarland, Memorial, Richmond/Rosenberg, and Cypress area for almost 14 years.