Case Studies

from Contemporary Smiles in Corrimal

Immediate Implant to Replace Central Incisor

Initial Situation

This lady has been a patient of Dr Barry Phelan at Contemporary Smiles Dental in Corrimal since 2011. During the initial consultation it was noted that the patient was a bruxer (teeth grinder). A mouthguard was prescribed but declined by the patient.

This central incisor had been treated years prior with root canal treatment, post, core and crown placement. Due to the para functional bite force applied and the fact that the tooth had been greatly weakened from previous treatment, the tooth fractured at the gumline. The tooth had an unfavourable prognosis and required extraction.


The Treatment Plan

Dr Barry Phelan took the time to outline the issues to the patient and provided her with a comprehensive treatment plan that addressed all of the issues. The patient was able to take the treatment plan away and consult with her family members to make a decision about the course of treatment.

The patients decided to proceed with the recommended treatment plan that consisted of the following:

Extraction of the fractured tooth with immediate implant placement

Placement of a screw retained temp crown on the day of surgery. This picture shows the surgery one week post operation with a beautiful response around the soft tissue

After 3 months of healing we took impressions of the implant. Our laboratory technician (RWD Dental Imaging, Bondi Junction) fabricates the final crown. Using a highly skilled local technician allows us to achieve restorations that can blend seamlessly with the natural teeth.

The Outcome

The patient was very happy with the outcome of the dental treatment. Having an immediate implant placed compared with traditional implant placement, meant that the patient was able to have a temporary restoration fixed to the implant. There was no need for removable dentures for the duration of the treatment.

Although the patient was unable to chew on this tooth for 3 month due to healing time, the quicker treatment timeframe was more convenient for the patient both from a comfort and time perspective. The immediate placement of the implant also allowed for better maintenance of the soft tissue and bony architecture around the neck of the crown. This is crucial in giving the tooth such a natural appearance.

NOTE: Not all situations allow for immediate implant placement and certain clinical criteria needs to be met before advancing to each subsequent stage.



Book in for a FREE consultation with one of our dentists at our Corrimal Dental Clinic.
Why choose Contemporary Smiles Dental?

At our practice in Corrimal, patients have access to a comprehensive range of dental treatments. We strive to provide state-of-the-art procedures, including dental implants, orthodontics, hygiene, cosmetic, and unique/bespoke services. Our team of highly skilled and experienced dentists works together to ensure our patients receive the care they need all in one place, without the need for referral to another clinic.

Why do regular dental visits matter?

The importance of routine dental check-ups lies in their ability to detect oral health issues at an early stage, making treatment simpler and more cost-effective. Preventive measures can also be taken to avoid the onset of oral problems. Additionally, certain diseases or medical conditions may manifest symptoms in the mouth, making regular visits to the dentist crucial.

How often do I have to go to the dentist?

Dental treatment is tailored to the individual, as every person's oral health needs are unique. The frequency of dental visits may vary, with some requiring only one or two visits a year, while others may require more. Your smile is unique, and your dental care should reflect that.

What should I look for when choosing a dentist?

It's advisable to consult multiple dentists before making a decision. Dental care is a personal service that relies on a strong relationship between dentist and patient. During your initial visit, you should be able to assess if the dentist is a good fit for you.

What are the early signs and symptoms of mouth cancer?

Mouth cancer can occur in various parts of the mouth including the lips, tongue and the throat. Sadly, mouth cancer has a high mortality rate due to late detection. However, there is hope as precancerous conditions can develop well before cancer and if detected early, can be effectively treated with a high chance of prevention or cure. Some common early signs of mouth cancer include:


  • An ulcer or sore throat lasting more than three weeks.
  • A white or red patch on the soft tissue, gums, tongue, or inner mouth.
  • Chronic sore throat or hoarse voice for over six weeks.
  • Difficulty swallowing or feeling of something stuck in the throat.
  • Neck swelling lasting more than three weeks.
  • Numbness of the tongue or other mouth area.
Is bad breath a sign of gum disease?

Chronic bad breath or a bad taste in your mouth can be a warning sign of gum disease and other oral issues, making it important to identify the cause. If you are experiencing persistent bad breath, schedule a visit with your dentist. Regular check-ups enable them to detect any underlying problems, as your bad breath may indicate a medical condition. If your dentist finds no oral health issues, they may refer you to a primary care physician.

Should I have my wisdom teeth removed?

Wisdom teeth removal is not always necessary, but in certain situations, their arrival can cause discomfort, swelling, or infection. The most frequent issue we encounter is the lack of sufficient space for the wisdom teeth to emerge, leading to the recommendation of extraction for impacted wisdom teeth.

How long will my implants last?

Your new teeth's lifespan depends on the quality of care you provide after the implant area has fully healed (typically 3-6 months) and the crowns have been properly fitted. Proper care, such as you would give to natural teeth, will ensure the longevity of your implants and they can last a lifetime.

How can you get in touch with us?

If you're located in the Illawarra and seeking any dental treatments, we welcome you to contact us for a consultation. We'd be happy to discuss your options with you.