See phenomenal case studies of real patients with real results. These in-depth case studies have been designed specifically to share what outcomes are achievable by utilizing the Gingival Cuff Links System. Each case includes case details and images.

Case Study 1

Advanced resorption of the root of tooth number 8 with resultant significant mobility and discoloration. Removal of the tooth is done and the site addressed with immediate implant placement and provisionalization using the Cuff Links System.

  •    Preoperative photos and x-rays of the tooth number 8.
  •    Removal of tooth and implant placement.
  •    Chairside fabrication of a provisional restoration using a Cuff Links healing cuff.
  •    Bone grafting the surgical site.
  •    Placement of a subepithelial connective tissue graft.
  •    Shade correction of the provisional 3 weeks after implant placement using a flowable composite veneer.

Photo Gallery

Resorption of tooth number 8 root requiring removal.

Pink hue of tooth number 8. Notice the high smile line.

Socket of tooth number 8.

Implant placed into the area of tooth number 8.

Seated Cuff Links healing cuff.

Radiograph verifying the seating of the healing cuff.

Cuff Links healing cuff seated with the buccal “T” handle and palatal guide handle removed.

Fabrication of the provisional crown using the Cuff Links system.

Provisional crown prior to seating.

Implant placed. Evaluation of the gingival biotype revealing it to be thin.

Try-in of the provisional crown prior to gingival grafting.

Packing of bone graft surround the provisional crown prior to gingival grafting.

Harvested connective tissue graft.

Placement of the connective tissue graft.

Connective tissue graft and provisional crown seated.

Post operative PA x-ray of the implant and provisional crown.

Healing of the surgical site at four weeks. The shade of the provisional was changed with flowable composite to allow for a better color match.

Healing at four months.

Healing at four months.

Healing at four months.

Radiograph verifying the bone healing at four months.

Soft tissue healing at four months. Notice the enhanced buccal soft tissue thickness.

Patients lips at rest showing the esthetics of the provisional restoration.

Case Study 2

A The single implant of the left posterior mandible under a failed bridge. An implant was placed in the pontic site and provisionalized immediately.

  •    Removal of the bridge and non restorable tooth number 18.
  •    Placement of an implant into tooth number 19 area.
  •    Immediate provisionalization of the implant using the Cuff Links System.
  •    Soft tissue contour before the restorative phase of treatment.

Photo Gallery

Radiograph of the failing bridge involving teeth numbers 18-20 and the pontic tooth number 19.

Bridge removed showing the gingival tissue under pontic of tooth number 19 and non restorable tooth number 18.

Radiograph of the implant in number 19 site and the provisional restoration.

Gingival healing surrounding the provisional restoration at three weeks.

Gingival healing surrounding the provisional restoration at 1.5 months.

Buccal view of the gingival healing surrounding the provisional restoration at four months

Lingual view of the provisional restoration at four months.

Gingival contour established before fabrication of the final crown four months post-implant placement.

Gingival contour established before fabrication of the final crown four months post-implant placement.

Case Study 3

Tooth number 9 is removed and immediate implant placement is done followed by provisionalization using the Cuff Links System.

  •    Non-restorable tooth number 9.
  •    Immediate implant placement.
  •    Soft tissue maintenance with a Cuff Links healing cuff system.
  •    Fabrication of a provisional crown from a preoperative impression.
  •    Finishing the provisional restoration.
  •    Bone grafting to near the crestal margin.
  •    Final tissue form and function.

Photo Gallery

PA x-ray of root fracture of tooth number 9.

Soft tissue inflammation of gingival tissue of tooth number 9.

Remaining root at the level of the root fracture.

Tooth number 9 socket prior to placement of the implant.

Immediate implant placement.

Seating of a Cuff Links healing cuff.

Preparation of a the Cuff Links healing cuff by removal of the buccal T handle.

Removal of the Cuff Links palatal handle. Note that the custom healing cuff can be shaped to any dimension desired.

Impression of tooth number 9 crown prior to removal of the tooth. Bis-acryl is placed into the tooth number 9 area and placed over the…

Bis-acryl crown fused to the Cuff Links healing cuff with additional flowable composite resin being used to finish the cervical margins of the provisional restoration.

Sculpting and customizing of the provisional restoration using a disk and mandrel with the implant handpiece.

Provisional restoration prior to seating.

Provisional restoration prior to seating.

Provisional restoration prior to seating.

Seated implant with the graft placement prior to final seating of the Cuff Links healing cuff/provisional restoration.

Checking of the interproximal contact.

Checking of the occlusion.

Packing of additional bone around the platform and the provisional restoration.

Facial view of the provisional restoration at the time of surgery.

Incisal view of the provisional restoration at the time of implant placement.

Implant and provisional at four months post-implant plant placement.

Provisional crown at four months post-implant placement.

Implant and provisional crown at four months post-implant plant placement.

Soft tissue at four months post-implant plant placement before final restoration.

Soft tissue at four months post-implant plant placement before final restoration.

Case Study 4

This case involves a 3 unit bridge of the right mandible. The pontic was a food trap and nonesthetic to the patient.

  •   Removal of pontic tooth number 30.
  •    Placement of an implant.
  •    Fabrication of a provisional retainer crown using the Cuff Links System.
  •    Seating of the provisional crown.
  •    Grafting of the buccal contour defect.
  •    Phases of soft and hard tissue healing.
  •    Final emergence profile of the gingival tissue with established form.

Photo Gallery

Preoperative photo depicting the 3 unit bridge and pontic tooth number 30.

Radiograph of the 3 unit bridge involving teeth numbers 29-31.

Pontic is removed revealing the gingival ridge crest and buccal contour defect.

Buccal view of the provisional restoration fabricated from the Cuff Links System.

Occlusal view of the provisional fabricated from the Cuff Links System.

Grafting of the buccal contour defect.

Tissue closed over the graft and around the provisional crown.

Radiograph of the implant and the provisional crown.

Healing of the tissue at two weeks postoperative.

Healing of the tissue 1.5 months postoperative.

Healing of the tissue at approximately four months postoperative.

Tissue contour prior to crown fabrication at 4 months post-implant placement and provisionalization.

Case Study 5

Shorten roots of teeth numbers 8 and 9 with significant mobility causing patient concern that they will fall out. The teeth are removed followed by immediate implant placement and provisionalization using the Cuff Links System.

  •    Non-salvageable teeth numbers 8 and 9.
  •    Removal of teeth numbers 8 and 9.
  •    Placement of implants into teeth numbers 8 and nine areas.
  •    Chairside fabrication of a provisional restoration using the Cuff Links system.
  •    Soft tissue form and function maintained.

Photo Gallery

Preoperative view of teeth numbers 8 and 9 and the surrounding soft tissue.

Teeth have been removed and implants placed.

Cuff Links healing cuffs are seated. Note that the “T” handle is facing to the buccal surface allowing for correct orientation and alignment

Provisional restorations fabricated chairside at the time of implant placement.

Radiograph showing the implant and the provisional restorations.

Provisional restorations before restorative treatment at four months. Note that soft tissue maintenance of form and function.

Case Study 6

Tooth number 8 has had a root canal with subsequent failure including chronic infection and associated significant bone loss. The tooth was removed and the socket grafted. Soft tissue management was initially accomplished with a removable partial denture followed by eventual implant placement and a provisional crown using the Cuff Links system.

  •    Removal of tooth number 8.
  •    Socket/ridge preservation.
  •    Seating a removable partial denture with an ovate pontic for initial soft tissue management.
  •    Placement of an implant and fabrication of a provisional crown using the Cuff Links system.

Photo Gallery

Non Restorable tooth number 8.

Radiograph of tooth number 8.

Fractured off the root of tooth number 8 during tooth removal.

Negative pressure of the socket with the suction to demonstrate the significant buccal bony defect. Note the buccal tissue invagination due to the underlying bone

Seating of the partial denture showing the buccal contour defect.

Seating of the partial denture showing the buccal contour defect.

Grafting of the socket defect.

Placement of a resorbable membrane.

Removable partial denture as it was delivered from the laboratory.

Adaptation of flowable composite to the removable partial denture to form an ovate pontic.

View of the ovate pontic on the removable partial denture.

View of the ovate pontic on the removable partial denture.

Seating of the removable partial denture at the time of initial surgery.

Seating of the removable partial denture at the time of initial surgery.

Tissue and graft maturation at one month.

Tissue and graft maturation at one month.

Tissue healing around the ovate pontic on a removable denture at one month.

Tissue healing at 3.5 months.

Tissue healing at 3.5 months.

Tissue healing surrounding the ovate pontic on the removable denture at 3.5 months.

Radiograph of the bone in tooth number 8 area before implant placement at four months.

Radiograph of the implant post implant placement.

Gingival healing and contour 1-month status post implant placement and provisionalization and five months status post tooth extraction and grafting.

Case Study 7

This case consists of loss of tooth number 4 with narrowing of the space due to molar drift precluding ideal implant placement. Orthodontics was accomplished, an implant placed and provisionalized using the Cuff Links System.

  •    Orthodontic expansion of tooth number 4 area.
  •    Placement of an implant.
  •    Provisionalization with the Cuff Links System.
  •    Establishment of a normal gingival form and function.
  •    Maintenance of the tooth space.

Photo Gallery

Narrow edentulous space tooth number 4

Widening of the edentulous space with a removable orthodontic appliance.

Picture of the orthodontic appliance.

Implant placement completed and seating of the Cuff Links healing cuff.

Contoured custom crown fabricated chairside using the Cuff Links System.

Gingival healing at one month. Note the early establishment of proper soft tissue form and prevention of drifting of the adjacent teeth.

Case Study 8

Implant placement into a very narrow space in the tooth number 28 site with immediate provisionalization using the Cuff Links System

  •    Placement of an implant into the number 28 area.
  •    Fabrication of a provisional retainer crown.
  •    Establishment of a normal gingival emergence profile.

Photo Gallery

Missing tooth number 28 with narrow space and buccal contour defect.

Implant placed.

Radiograph of implant placement.

Chairside fabricated provisional crown using the Cuff Links System.

Closure of the tissue around the provisional crown.

Gingival tissue healing at two weeks.

Radiograph of the implant and provisional at two months

Gingival healing at two months post-implant placement and provisionalization.

Gingival healing at two months post-implant placement and provisionalization.

Gingival healing at two months post-implant placement and provisionalization.

Gingival healing at two months post-implant placement and provisionalization.

Case Study 9

Failed tooth number 30 with immediate implant placement and soft tissue and bone graft management using the Cuff Links System.

  •    Nonrestorable tooth number 30.
  •    Tooth number 30 removed
  •    Immediate implant placement with bone grafting.
  •    Placement of an anatomic gingival healing cuff to maintain tissue form and function as well as contain the bone graft.

Photo Gallery

Failed tooth number 30 with chronic infection.

Radiograph of failed tooth number 30.

Tooth number 30 removed, an implant placed and the peri-implant voids grafted.

Immediate fabrication of a gingival healing cuff using the Cuff Links System to maintain the soft tissue emergence profile, bone graft.

Healing at three weeks post surgery.

Gingival contour and healing at four months post-surgery.

Radiograph at four months post-surgery.