All-on-6, mandible, immediate loading, cad/cam restoration, guide to locate bridge
Screw-retained
All-on-6, mandible, immediate loading, cad/cam restoration, guide to locate bridge
Dr. Eitan Krause, Prosthodontist.
This case shows 3D planning of implant placement in an edentulous mandible, and the design and production (CAD/CAM) of a bridge for immediate loading.
ABGuidedService uses an innovative technique to locate the bridge in the correct occlusion, saving time in balancing the occlusion, and preserving the occlusal anatomy of the bridge.
2 Guides were made: AB Surgical Guide, bone supported & AB Location Guide for immediate loading. Both Guides have fixation pins in the same locations.

Edentulous Mandible

3D Implant Planning, with abutments and fixation pins on jaw model at bone level. Bone augmentation is planned.

3D planning-occlusal view

Panoramic view in 3D

Jaw Model from CT

Jaw model of bone-occlusal view

Scans of patient’s dentures, superimposed on the bone in correct relationship. The position of the teeth is related to in the planning of implant positions.

Bridge design based on patient’s denture, which was defined as the position of the restoration

Model with abutments and gingival tissue

Analog model

Inter-occlusal height

Bridge at bone level in occlusion

Surgical guide design at bone level

Design of 2nd guide with same fixation, to locate the bridge

Cad/Cam bridge on AB Locator Guide

AB Surgical Guide with fixation pins. The sleeves are color-coded according to drill length

Drilling with ABGuide

Implants inserted through the guide to planned depth and angulation

AB Bridge Location Guide

Cad/Cam bridge in location, before connecting the sleeves for a screw retained restoration

Bridge immediate post-op, Occlusal view

Bridge immediate post-op, Anterior view