Implant-supported prosthetic restoration
Fig. 1: The initial clinical situation of the old telescopic restoration.
Fig. 2: Radiograph of the initial situation.
Fig. 3: 3-D representation of the maxillae and mandible.
Fig. 4: The horizontal bone loss in the premolar region.
Fig. 5: Bone block harvesting with the FRIOS MicroSaw.
Fig. 6: Thinning of the harvested bone block.
Fig. 7: The thinned bone block placed at a distance. The area is prepared for filling with particulate autogenous bone chips.
Fig. 8: Sinus floor lift. The surgical site is filled with FRIOS Algipore.
Fig. 9: The XiVE implant with TempBase inserted into the surgical site.
Fig. 10: Covering the sinus window with a FRIOS BoneShield membrane.
Fig. 11: Radiographic control after grafting and implant insertion.
Fig. 12: Insertion of the additional implants in the grafted region.
Fig. 13: Insertion of the additional implant in region 14.
Fig. 14: Insertion of the additional implant in region 16.
Fig. 15: Good regeneration of the augmented region.
Fig. 16: Gingiva formers inserted and the surgical site sutured closed.
Fig. 17: Gingiva formers in situ after healing.
Fig. 18: Radiographic control after exposure of all of the implants.
Fig. 19: Impression with a stock tray.
Fig. 20: Preparation of the second impression. The impression posts splinted with PATTERN RESIN.
Fig. 21: The master cast with a gingival mask and the tooth set-up in wax.
Fig. 22: Bar try-in with teeth 11 and 23 extracted.
Fig. 23: Tension-free fit of the bar before positioning of the final restoration.
Fig. 24: Buccal view of the bar with “bolt eye” clearly identifiable.
Fig. 25: Radiographic control after bar placement. Proper fit is easily recognised.
Fig. 26: The integrated bar-latch restoration. (Photos by Dr Frank Zastrow, Germany)
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