In the anterior maxilla, implant-supported fixed partial denture. > DENTAL FORUMS

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Implantology Dental Restoration Cosmetic Dentistry Dental Labrotary
In the anterior maxilla, implant-supported fixed partial denture.

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HAPPYTOGETHER
Views : 720/ Jan, 19, 2023
<GCpbc>  A 58-year-old male is a patient undergoing implant installation in various parts. The old Br of the anterior maxilla has fallen off and it is no longer possible to maintain it even temporarily, so a treatment plan for the anterior teeth was made.  
anterior view▲anterior viewpanoramic radiograph.▲panoramic radiograph.The old fixed partial denture was exfoliated.▲The old fixed partial denture was exfoliated.exfoliated prosthesis.▲exfoliated prosthesis.It was checked that the relationship between upper and lower anterior teeth when occluded. For normal shape and occlusion, treatment of not only the maxillary anterior teeth but also the mandibular anterior teeth seems to be necessary.▲It was checked that the relationship between upper and lower anterior teeth when occluded. For normal shape and occlusion, treatment of not only the maxillary anterior teeth but also the mandibular anterior teeth seems to be necessary.After teeth extraction, implants were placed. Depending on the state of the implant, the condition of the surrounding alveolar bone, and the degree of initial fixation, HA was connected to the canine and lateral incisor, and the cover-screw was connected to the implant in the central incisor.▲After teeth extraction, implants were placed. Depending on the state of the implant, the condition of the surrounding alveolar bone, and the degree of initial fixation, HA was connected to the canine and lateral incisor, and the cover-screw was connected to the implant in the central incisor.right canine area - Arum Dentistry 4.5*11.5, right central incisor - Arum Dentistry 3.8*10, lleft ateral incisor - DIO 3.3*11.5.▲right canine area - Arum Dentistry 4.5*11.5, right central incisor - Arum Dentistry 3.8*10, lleft ateral incisor - DIO 3.3*11.5.suture.▲suture.Panoramic radiograph after implant placement.▲Panoramic radiograph after implant placement.CBCT - canine zone▲CBCT - canine zoneCentral incisor zone▲Central incisor zoneLateral incisor zone.▲Lateral incisor zone.1 week after implant surgery▲1 week after implant surgeryOn the day of stitch removal (2weeks after implant surgery), intraoral scanning was performed to fabricate a temporary restoration▲On the day of stitch removal (2weeks after implant surgery), intraoral scanning was performed to fabricate a temporary restorationInstead of a flipper, suck-down shell with resin pontic.▲Instead of a flipper, suck-down shell with resin pontic.lower temfrary resin bridge.▲lower temfrary resin bridge.3 weeks after implant surgery. The provisional restoration was delivered.▲3 weeks after implant surgery. The provisional restoration was delivered.4 months after implant placement.▲4 months after implant placement.5 months after implant surgery on the day of 2nd surgery.▲5 months after implant surgery on the day of 2nd surgery.2nd surgery was performed.▲2nd surgery was performed.Intraoral photo in the day of impression taking , 6 months after implant placement.▲Intraoral photo in the day of impression taking , 6 months after implant placement.The ISQ values were checked on the second surgery day.▲The ISQ values were checked on the second surgery day.Custom abutment and zirconia Br, and single crown.▲Custom abutment and zirconia Br, and single crown.Lower anterior prosthesis.▲Lower anterior prosthesis.Intraoral photo before prosthesis delivery.▲Intraoral photo before prosthesis delivery.Custom abutments were connected. Seating jig. If necessary, the abutment can be conveniently connected by using a seating jig.▲Custom abutments were connected. Seating jig. If necessary, the abutment can be conveniently connected by using a seating jig.Screw hole filling▲Screw hole fillingImplant-supported fixed partial denture and single zirconia crown (lsft canine)▲Implant-supported fixed partial denture and single zirconia crown (lsft canine)Photos after upper and lower prosthesis installation▲Photos after upper and lower prosthesis installationPanoramic radiograph after upper and lower prostnesis icementation.▲Panoramic radiograph after upper and lower prostnesis icementation.CBCT▲CBCT
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