Gerard Cuomo Microscope Enhanced Dentistry

Closing spaces with bonding techniques made simple using a special contoured matrix and a dental microscope. Happy patient!

To my dental colleagues,

I'm writing to let you know about a service that I've been providing to dentists and specialists for a number of years--implant rescue treatment. I've devoted a portion of my clinical practice to rescuing implant-compromised cases related to screw and abutment fractures. I credit my high success rate to many years of experience, dental microscope use in all of my operatories, and a strict treatment protocol. Many of the cases I've rescued have been video documented and uploaded onto YouTube and can be viewed at https://www.gcuomodds.com/implant-rescue.html

My ultimate goal is for your patient to avoid unnecessary implant surgery. You will need to download, complete, and fax or email back the referral form from the following link:
https://www.gcuomodds.com/assets/docs/implant-rescue-form-1.pdf

Once we receive it along with any relevant, current x-rays, we will call your patient to schedule an appointment. Rest assured, following treatment, your patient is referred back to you and a full report is sent about the treatment rendered.

I look forward to helping you if or when a difficult implant situation arises unexpectedly.

Gerry

Gerard M Cuomo, DDS
Microscope Enhanced Dentistry
561-391-6290 (o)
561-391-6299 (f)

www.gcuomodds.com

Not all implant cases can be rescued. The following implant was placed 15 years ago. The patient was referred by a dentist for implant rescue of a loose implant crown.

The following implant rescue procedure was performed:

1. External Splinting - to stabilize the implant supported crown during the
drilling phase
2. Pre-soaking of the implant abutment screw head to loosen the screw
3. Removal of the Gold-Tite screw with a lever driver
4. Microscopic examination of the implant fixture - determined that the
implant fixture was fractured at the coronal portion
5. Removed the fractured component with cotton pliers
6. Placed cotton and PVS plug in the top portion of the implant fixture

Recommendation - Refer to implant surgeon and have the broken implant fixture
replaced with a new implant fixture. Recommended an internal conical connection design
- i.e. Straumann RC BL

Implant Rescue - This case involved precise core drilling (.25mm diameter). After removing the broken implant screw, I referred the patient back to the dentist to place an additional implant just behind it. Two new crowns will be made and joined together for strength. Happy implants, happy patient!!

Dropped in to visit my old stomping grounds. Many works of art are on display here at the 2021 FAU Ceramics Guild Winter Show and Sale. Looking forward to another great year of creativity.

A wonderful evening celebrating Christmas and our lives together. God has blessed us all in so many ways. Proud to be part of this great team.

A wonderful evening celebrating Christmas and our lives together. God has blessed us all in so many ways. Proud to be part of this great team.

Patient was referred to me for implant rescue. The case included:
1. Initial radiograph
2. Pre-op photos
3. Laser treatment
4. Square end driver
5. Conical connection surface identification
6. Implant brand identification
7. Treatment plan

There appears to be a miss match between implant abutment/fixture interfaces. The abutment that was presented with the crown did not match the true hex configuration of the fixture located in the patient’s mouth. A Branemark healing abutment was placed and a new radiograph was taken to verify fit.

A Key West dentist referred his patient to me for implant rescue. The implant fixtures were identified as Straumann BL RC from the X-rays taken. The implant abutments and screws were removed by conventional and drill out slotted methods. New healing abutments were placed and the patient was referred back to his dentist for continued care. A Leica MS5 microscope was used to treat this case.