Premolar Implant Replacement After a Crown Came Loose
Dr. Utsav Butta
Managing Director & CEO | MDS (Oral and Maxillofacial Surgeon & Implantologist)
Chief Complaint & Initial Presentation
A loose upper right crown prompted this patient to seek care at Dental World. The tooth had undergone root canal treatment around five years earlier. Food getting trapped and sensitivity to hot, cold and sweet foods were also reported, making everyday eating uncomfortable.
Clinical Methodology & Biomechanical Approach
Assessment found that the upper right second premolar had a compromised prognosis. Treatment focused on replacing this tooth while supporting the surrounding tissues and maintaining appearance during healing. The compromised tooth was extracted and an implant was placed immediately at the same site. Bone graft material was used to support the area. A temporary crown was provided during healing, followed by the final implant crown approximately three months later, after satisfactory healing and integration. The definitive crown was assessed for shade and fit.
Clinical Outcome & Long-Term Stability
The final implant-supported crown was delivered after satisfactory healing, with assessment of its shade, fit and function. Care then moved into monitoring and maintenance. The patient received instructions on cleaning around the implant, interdental care and regular professional review.
A crown that had come loose was accompanied by food trapping and sensitivity. This premolar implant case followed the replacement of a compromised upper right tooth, with a temporary crown during healing and a definitive restoration afterwards.
Conducted by Dr. Utsav Butta
Managing Director & CEO | MDS (Oral and Maxillofacial Surgeon & Implantologist) at Dental World Super Specialty Centre (Park Street, Kolkata & Khar West, Mumbai). Dedicated to zero-compromise precision digital dentistry.
