#dental implants

A Failing Crowned Tooth, Rebuilt with an Implant

Extraction of a cracked, cystic tooth and a zirconia crown on an implant

Severely destroyed tooth under an old crown, fractured root with a cyst before treatmentBefore
Titanium implant with a healing cap placed in the site of the extracted toothDuring
Result: a zirconia crown on the implant, indistinguishable from the natural teethAfter
Problem

The patient came in with a tooth that had been crowned years earlier. Beneath the old crown the tooth had split and a cyst had formed at the root. The structure was too compromised to save. Left in place, a tooth like this stays a source of chronic infection.

Diagnosis

Examination and imaging confirmed a fractured root and a cyst at the apex. The tooth was non-restorable and had to be removed. The surrounding bone, however, was healthy enough to support an implant.

Treatment Plan

Remove the fractured tooth together with the cyst, let the site heal, and replace the missing tooth with a titanium implant restored with an all-zirconia crown. A fixed, metal-free solution that spares the neighbouring teeth.

Treatment Steps
1

Extraction

The fractured, crowned tooth and the cyst were removed carefully, preserving as much bone as possible for the future implant.

2

Implant placement

A titanium implant was placed into the site and secured with a healing cap, then left to integrate with the bone.

3

Zirconia crown

Once the implant had fully integrated, a permanent all-zirconia crown was fixed on top, shaped and shade-matched to the neighbouring teeth.

Result

A tooth that is impossible to tell apart from the natural ones beside it. Full chewing function restored, the chronic infection gone, and the neighbouring teeth left completely untouched.

Why an implant instead of a bridge?

When a tooth cannot be saved, an implant replaces it without grinding down the healthy teeth on either side, the way a bridge would. The titanium root also keeps the jawbone active so it does not shrink away. Topped with an all-zirconia crown, the result is metal-free, biocompatible and built to last for decades.

Photos published with patient consent