Full maxillary fixed denture on tilted implants

Restoration

Full maxillary fixed denture on tilted implants

Dr. Zev Rothkoff

DMD Tel-Aviv University 1992
FICOI 2007
DICOI 2009
Using AB Dental implants since 2004

The patient: A woman who suffers from her gums, had root planning that did not help. Also suffers from frequent pain and esthetic issues.
She was aware that many teeth need extractions, and requested a fast treatment.
Had controlled Diabetes and family history of perio problems.
On examination – TMJ issues, halitosis, short lips, anterior crowding, deep perio pockets (up to 10mm on posteriors) and mobility II-III most teeth.
Prognosis was determined to be good because the patient is motivated. Importance of hygiene visits was explained.
Treatment plan: Fixed dentures.

AB Dental I-5 implants were chosen for the Maxilla and an implant level screw-in bridge planned.
AB Dental I-7 one-piece implants were chosen for the Mandible.
Grafting materials included PRF and Bondapatite (CaSO4).

Lab: Oman, Jerusalem

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Pre-op CT

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Pre-op CT

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Pre-op panoramic image

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Pre-op clinical image

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Pre-op profile image

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Pre-op clinical image

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Pre-op profile image

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Panoramic image during treatment, with sleeves for screw in temp

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Clinical images during treatment, impressions for new temp

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Clinical images during treatment, impressions for new temp

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Post-op panoramic image

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Post-op clinical image

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Post-op clinical image

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Follow-up clinical image after 2 months

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Follow-up radiographic image after 5 months

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Final restoration

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Final restoration - cemented full zirconia bridge

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Final restoration - cemented full zirconia bridge

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Follow-up - two years after final restoration

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Follow-up - two years after final restoration

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Follow-up - two years after final restoration