Providing a cosmetic solution through immediate loading in case of bone deficiency

Implants

Providing a cosmetic solution through immediate loading in case of bone deficiency

Dr. Benjamin Retzkin.
Patient (F, 37), edentulism in 24, 25, 26, removable bridge supported by tooth 27 only.
Root residue 24, 25.

A.

Clinical photos and X-rays displayed significant bone loss on the upper left side, in three dimensions: vertical in region 25, 26; mesiodistal horizontal between 23 and 27, and sagittal, primarily at 24 and 25.

B.

Clinical photos and X-rays displayed significant bone loss on the upper left side, in three dimensions: vertical in region 25, 26; mesiodistal horizontal between 23 and 27, and sagittal, primarily at 24 and 25.

C.

Clinical photos and X-rays displayed significant bone loss on the upper left side, in three dimensions: vertical in region 25, 26; mesiodistal horizontal between 23 and 27, and sagittal, primarily at 24 and 25.

D.

Clinical photos and X-rays displayed significant bone loss on the upper left side, in three dimensions: vertical in region 25, 26; mesiodistal horizontal between 23 and 27, and sagittal, primarily at 24 and 25.

E.

Case Issues: Patient insistence on a cosmetic solution and desire for temporary fixed rehabilitation.

F.

Selected Treatment Plan: Cutting bridge between 26 and 27: Sinus lift with opening lateral window.

G.

Placing 2 short implants (of I5 type 3mm diameter) in teeth 24-25.

H.

Placing implant 26 with standard platform (I5 3.75mm diameter) fixed in place without loading, and use of titanium mesh for stability.

I.

Placing structures on top of 24, 25; subsequently bone graft and membrane placement, sewing and attaching structures by soldering titanium rod on palatial side.

J.

Placing structures on top of 24, 25; subsequently bone graft and membrane placement, sewing and attaching structures by soldering titanium rod on palatial side.

K.

Crowning using temporary crowns. (Dr. Zahi Lehar) Occlusal balance.

L.

After 6 months, exposure of implant 26 and referral for permanent rehabilitation by Dr. Zahi Lehar.