10 implants mandible, Extractions, Immediate loading, CAD/CAM restoration

Tooth and gingival (soft tissue) - with flap or flapless

10 implants mandible, Extractions, Immediate loading, CAD/CAM restoration

Dr. Reiser & Dr. Zinger, Tel-Aviv Sourasky medical center.
This patient requires extraction of all teeth in the lower jaw, immediate implant placement, and immediate loading with a CAD/CAM bridge prepared in advance on a digitally manufactured analog model.
This case presentation shows the digital process.
All the planning and production are provided by ABGuidedService, which gives a complete solution for each case.
The implants, planning, abutments, models and bridge are all from ABGuidedService.

A.

Clinical picture before treatment. All teeth to be extracted in the mandible.

B.

Clinical picture before treatment. All teeth to be extracted in the mandible.

C.

Pre-op model of lower jaw

D.

3D plan of implant positions relating to tooth position

E.

3D model printed from the planning software, after virtual extractions. Anterior teeth have been left to locate the guide in the mouth, as there are no implants planned in these locations.

F.

ABGuide on the 3D model. The sleeve color is according to the drill depth, and indicates the drill color in the ABGuided kit.

G.

3D analog model with abutments prepared for cemented restoration

H.

CAD/CAM bridge is based on the patient’s existing dentition

I.

CAD/CAM metal reinforced bridge for immediate loading

J.

CAD/CAM metal reinforced bridge for immediate loading

K.

After extractions: 4 anterior teeth are used to locate the ABGuide and will be extracted after the implants are placed.

L.

ABGuide in position, with fixation screws

M.

All drilling made with ABGuide. The drills with stoppers are color coded according to drill length.

N.

The implants are inserted through the guide, to the planned depth and direction.

O.

Post-op: Abutments in position. Not all the implants are used for immediate loading.

P.

Bridge in position. This method of fabrication reduces the clinical time to position the bridge.

Q.

Bridge in position. This method of fabrication reduces the clinical time to position the bridge.