case study 2 - Smile Design and Tooth Replacement with Dental Implant

We combine dental implants with digital smile design to restore missing teeth with precision and custom aesthetics. Dental implants provide an ideal long-term solution to replace missing teeth, while digital smile design ensures that your new smile looks natural and balanced. This advanced approach allows us to create a truly customized, patient-specific approach for seamless and lasting results that not only restore function but also enhance your overall smile.

This case highlights a male patient that was missing a front tooth. He was concerned with the space, as well as the chipping and thinness of his front teeth. The restoration included a dental implant and full-coverage ceramic crowns.

Clinical examination revealed that the patient had a missing front tooth, multiple chipped teeth, and a crossbite in the anterior. Additionally, there was moderate erosion wear on the tops of the teeth. This resulted in increased sensitivity as well as a collapsed bite.

Digital imaging combines photography, digital intraoral scans, and CBCT (3D X-rays) technology. Clinical photography captures detailed visuals of your smile, while intraoral scans create precise 3D models of your teeth and gums. With CBCT scans, we gain a comprehensive view of bone structure, nerves, and sinuses, allowing for accurate diagnosis and precise treatment planning. This powerful combination ensures a tailored, efficient approach to creating a beautiful, functional, long-term smile.

The digital implant planning is used to create a custom surgical guide. The guide is fabricated through a 3D printing process in our state-of-the-art dental lab. This process ensures precise and accurate surgical placement of the implant based on our desired restorative outcome.

Using advanced EXOCAD software, we create a custom, patient-specific smile design right in the office. This powerful technology allows us to efficiently design your new smile with unparalleled precision and speed. Tailored to your unique facial features and dental needs, EXOCAD ensures a personalized, natural-looking result—all while streamlining the process for quicker treatment and beautiful outcomes.

The digital preplanning of smile design cases like this ensures for a streamlined, predictable and conservative tooth preparation appointment.

Due to the extensive erosion and missing tooth structure, full coverage crowns were indicated with minimal reduction. A dental implant was placed and needed to heal for 4 months

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Experience your future smile before committing to the final ceramics with our 3D printed prototypes. These prototypes allow the patient to test-drive their custom smile design, allowing adjustments and ensuring the perfect fit and appearance. The remarkable fit and detail of these prototypes allow for astonishing tissue healing and visualization of the final restorations. This process provides confidence for both the clinician and patient regarding the predictability of desired outcome before moving forward with the final ceramic restorations. A 3D printed ceramic prototype is placed to allow for gingival contouring, while allowing time for the implant to fully integrate into the bone. The precision fit and durability of these long-term prototypes eliminates the need for a “flipper” or temporary “tray” during the healing phases of treatment.

Our combination of 3D printing and in-office milling allows us to transform smiles with speed and precision. Each restoration is fully customized to the patient’s unique needs and designed with an artistic touch for a natural, beautiful result. This streamlined process ensures quick fabrication without sacrificing the personalized detail that makes every smile truly unique.

A 3D printed model is used to ensure optimal esthetics of the ceramics. The models utilize materials that mimic tooth structure and gum tissue, all of which are created right in our lab. The ceramics are taken from a milled state, contoured, and then fired in one of our ceramic ovens. The restorations are then individualized with ceramic stains and glazing to give a truly “custom” result.

The individual ceramics are bonded in a very clean, controlled environment. The custom implant crown is placed to replace the missing tooth. The final result is an esthetic, custom-made smile that is not only a tooth replacement, but custom smile transformation.

meet Dr. Timothy Anderson
meet Dr. Timothy Anderson

dr. anderson
MISSOURI RIVER DENTAL

“I believe in comprehensive, quality oral health care that is patient-centered. I strive to create a positive and comfortable experience for each patient while still meeting their dental needs, wishes and expectations.”

Kayla Desk Missouri Dental

our team
MISSOURI RIVER DENTAL

At Missouri River Dental, our goal is to create an exceptional patient experience. We strive to exceed that experience through being compassionate, clinically thorough and providing excellent communication.

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our team
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Every little detail matters,
relationships matter,
experience matters,
first-class dental care matters.

dr. anderson using the solea laser. missouri river dental <br>features the latest in dental technologies.
dr. anderson using the solea laser. missouri river dental
features the latest in dental technologies.

TECH AT
MISSOURI RIVER DENTAL

We were the first to bring the Solea Laser to North Dakota which allowed us to do fillings without anesthetic which was a game changer for the patient experience.

our team is excited to welcome you to your new dental home
our team is excited to welcome you to your new dental home

TEAM AT
MISSOURI RIVER DENTAL

All team members have an education focus in being constant learners in all things dental and you will experience that the minute you walk into our doors.

dental implants help to preserve the integrity of your jawbone density and save your jawbone from atrophy
dental implants help to preserve the integrity of your jawbone density and save your jawbone from atrophy

EDUCATION AT
MISSOURI RIVER DENTAL

We believe that our guests deserve the best in cutting edge technology and information; and we pride ourselves in being experts to answer questions for our guests.

our entire practice centralizes on <br>patient experience and positive dental outcomes.
our entire practice centralizes on
patient experience and positive dental outcomes.

EXPERIENCE AT
MISSOURI RIVER DENTAL

Our goal of this office was to create a dental atmosphere like no other in our community, almost a modern high end hotel-like experience for guests to arrive and feel at ease all while receiving exceptional dental care.