Upper full-arch bridge on narrow implants

Narrow implants

Upper full-arch bridge on narrow implants

Dr. Zev Rothkoff

A 62-year-old woman, healthy, smokes 1 pack a day for 10 years.
Chief complaint: No upper teeth.
The lower restoration was done 3-4 years previously.
Bleeding gums, Not satisfied with the lower restoration.
Dental considerations: Very narrow upper ridge. Large left maxillary sinus, acute gag reflex.
Not aware of the need for dental hygienist visits.

Treatment options
○ A new full upper denture
○ Extensive buccal grafting
○ Fixed immediately-loaded bridge on narrow implants

Treatment plan
○ Prepare a lab-made temporary bridge in advance
○ Implants, posts and a fixed temporary bridge will be done in one visit, using narrow implants and tilted implants to avoid extensive bone grafting
○ After the integration and adaptation – a prepare PFM cemented bridge will be made

A.

CT pre-op

B.

CT pre-op

C.

CT pre-op

D.

CT pre-op

E.

Pre-op clinical image

F.

Panoramic image after implantation

G.

Temporary bridge over implants

H.

Temporary bridge - smile

I.

Fixed bridge

J.

Fixed bridge - smile

K.

Panoramic with Fixed bridge

L.

Fixed bridge after 1.7 years

M.

Fixed bridge after 1.7 years - smile

N.

Panoramic image with fixed bridge 1.7 years after implantation