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Restoration

Five implants in the lower jaw with 8-year follow-up

Dr. Yehuda Gill

 

A 70-year-old man who suffers from ischemic heart disease, and wanted a quality of life by means of a permanent restoration. An implantation could not be done in the right posterior segment.

The solution: five i5-3.75,16 implants, two at extreme angles of 45 degrees, and immediate restoration with an acrylic bridge, in one sitting.

A. Panoramic x-ray before the treatment. The CAT scan shows a bone deficiency in the vertical dimension in the posterior segments. This is a 3-dimensional CAT scan in the lower jaw.

B. Teeth extraction – identifying the location of the mental nerve

C. Initial drilling at a 45-degree angle above the point of mental foramen, which enables placing the future abutment as as possible

D. Spraying the I5 implant. Notice the horizontal marking on the conduit that enables optimal placement of the implant

E. Affixing the abutments – pay attention to the parallels during the use of a 45-degree abutment

F. 17:20 – construction of an acrylic bridge

G. 17:45 – conclusion of the preparation of the temporary bridge and affixing it in the mouth

H. The temporary bridge prepared with immediate loading

I. A final panoramic x-ray

J. 8-year follow-up

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