3 Implants Left Maxilla, 1 Extraction, Immediate Loading, Cad/Cam Bridge

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3 Implants Left Maxilla, 1 Extraction, Immediate Loading, Cad/Cam Bridge

Dr. Dov Kishinovsky, Oral Surgeon.
Tooth 14 was extracted 20 years ago, and the treatment of choice at that time was a 3-unit bridge with cantilever. Tooth 16 was extracted due to failed root canal 1 year ago.

A.

Current status

B.

Upper model with bridge 14,15

C.

Upper model without bridge

D.

Planning Option 1: 2 implants

E.

Planning Option 2: 3 implants

F.

3D Images: Planning, tooth positions and lower model

G.

3D Images: Planning, tooth positions and lower model

H.

3D Images: Planning, tooth positions and lower model

I.

Design of AB Guide, Holes at 13 and 23 to view that guide fully positioned

J.

Design and Digital manufacture for immediate loading

K.

Manufacture for immediate loading

L.

Before and after Extraction of Root 2

M.

Accurate fit of guide

N.

Tissue Punch

O.

Drilling with ABGuide

P.

Drilling with ABGuide

Q.

Drilling with ABGuide

R.

Inserting Implant through the ABGuide

S.

Inserting Implant to full depth with colored guided implant mount

T.

3 Implants-Flapless

U.

Temporary Screw Retained bridge - the abutments

V.

Abutments for Screw retained Immediate Loading

W.

Bridge Post-op

X.

Post-Op X-ray