Full Mouth Rehabilitation Using Dental Implants

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Age: 42                                                                                   Gender: Female

Type of Case: Full mouth implant rehabilitation

Chief Complaint: Metal show of the caps on  upper front teeth and missing lower front tooth

Dental History: Upper and lower anterior PFM crowns were fabricated 10 yrs ago.

Pre Operative:

preoperative-labial-profile-dental-implants-case-10

opg-preoperative-dental-implants-case-10

preoperative-right-lateral-view-dental-implants-case-10

preoperative-left-lateral-view-dental-implants-case-10

Clinical Findings:

  • Existing PFM crowns wrt upper and lower anteriors.
  • Missing 16,37,38,43,47,48
  • Deep dental caries wrt 26, 46.

During The Procedure:

maxillary-occlusal-view-after-preparation-dental-implants-case-10

mandibular-occlusal-view-after-preparation-dental-implants-case-10

during-second-stage-surgery-2-dental-implants-case-10

during-second-stage-surgery-1-dental-implants-case-10

Alternative Treatment Plan:

  • Replacement of the upper and lower anterior crowns using emax crowns.
  • Replacement of missing teeth by FPD or an RPD.

Treatment Plan:

  • Root canal treatment wrt 26, 46
  • Surgical Implant placement wrt 16,43.
  • Extraction wrt 17,18,27,28.
  • Full mouth rehabilitation using full veneer crowns and implant restoration.

Treatment Procedure:

  • Preoperative models and photographs were taken.
  • Facebow transfer was made, centric, protrusive and lateral occlusal records were obtained.
  • The casts were mounted onto a semiadjustable articulator, and programmed. Broadricks analysis was made to establish the occlusal plane.
  • A mock up was performed.
  • Clinically, surgical implant placement was done wrt 16 and  43.
  • Sutures were removed in a week.
  • The existing PFM crowns were sectioned and removed.
  • They were temporized and anterior guidance was established.
  • The lower posteriors were prepared and temporized and the occlusal plane was established.
  • Following which, the upper posteriors were prepared and temporized.
  • A mutually protected occlusion was achieved.
  • They were kept under observation for 6 weeks before making the final impressions and the interocclusal records.
  • Bisque trial of the all ceramic crowns were done and satisfactory.
  • The final cementation was carried out on the natural teeth using resin cement.
  • The implant restorations were planned for a progressive loading by cement retained crowns at the end of 2 months.

Post Operative:

opg-after-implant-placement-dental-implants-case-10

postoperative-labial-profile-dental-implants-case-10

postoperative-right-lateral-view-dental-implants-case-10

postoperative-left-lateral-view-dental-implants-case-10

postoperative-maxillary-occlusal-view-dental-implants-case-10

postoperative-mandibular-occlusal-view-dental-implants-case-10

postoperative-frontal-profile-dental-implants-case-10

Follow Up:

  • Advised for a regular 6 months follow up.

Treatment Done By :

dr-sujay-gopal

     Dr.Sujay Gopal (Implantologist) FICOI

dr-vinutha-varadaraj    

Dr.Vinutha Kumari V (Prosthodontist) MDS

 dr-rohith-ganiga

Dr.Rohith Ganiga (Prosthodontist) MDS

 

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