Dr. Gandi Gunther.
Patient (F) with no medical issues.
Upper jaw has a full bridge with fracture in tooth 15. This tooth supports distal cantilever, because tooth 16 is missing. The original treatment plan envisaged cutting the bridge and leaving only the left side, while placing a removable partial temporary denture on the right.
The patient rejected this solution. The decision – implants with surgical split and immediate load. The plan included an inclined implant in the tooth 16 region, sparing the patient sinus lifting surgery.
A temporary bridge (copy of old bridge) was created according to a 3D model integrating the position of future implants. After atraumatic extraction of tooth 15, implants were inserted (following the 3D plan and using surgical splint) and immediate load performed.
The patient expressed satisfaction with treatment outcomes and the fact that the rehabilitation was both functional and aesthetic.