IAN Bypass – 3 implants with 1.5 years follow-up

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IAN Bypass – 3 implants with 1.5 years follow-up

Dr. Gustavo Yatzkaier

 

  • 52 year-old woman, healthy, came to the clinic with 3 failed implants replacing teeth #45 #46 #47.
  • The challenge: extensive bone loss near the faild implants, and proximity to the Inferior Alveolar Nerve (IAN) in the area of #46, #47.
  • Solution: IAN bypass in #46 and #47 implants, with the help of tooth and bone supported guide.

 

Prosthetics by Dr. Jakob Haboosha

A.

Pre-OP panoramic image

B.

Image after old implants removal showing bone loss

C.

CT after implants removal showing bone loss

D.

CT sections pre-op

E.

Computerized planning

F.

Computerized planning - implants sizes

G.

Computerized planning

H.

Day of operation, with splint in place

I.

The surgical splint

J.

Day of operation, with a temporary bridge

K.

CT after implantation

L.

CT sections after implantation

M.

CT sections after implantation

N.

2D comparison between pre and post-OP CT

O.

Implant replacing tooth #44 - comparison of planning, before and actual implant

P.

Implant replacing tooth #46 - comparison of planning, before and actual implant

Q.

Implant replacing tooth #47 - comparison of planning, before and actual implant

R.

After restoration

S.

After restoration

T.

Follow-up of 1.5 years