implants the journal of oral implantology United Kingdom Edition

36 I I case study _ Atrophic maxilla implants2_2012 ments placed. In this case I opted for transmucosal healing as we achieved high levels of primary stability on all the implants. In this case the distal implant on the right side entered the sinus space and we performed a sum- mers lift. The patient was allowed to heal for a period of five months with the temporary relined denture. _Prosthetic protocol After the healing period all implants were checked using a periotest to mea- sure osseointegration. The readings were as follows: • UR3 Implant = -7.0 • UR2 Implant = -6.9 • UR1 Implant = -5.0 • UL1 Implant = -8.0 • UL2 Implant =-5.0 • UL3 Implant =-6.0 All implants had osseointegrated well and showed no pain, mobility, in- fection, loss of bone or exposed tita- nium intra orally. We then carried out the following sequence for restoration: 1. Fixture head impressions linked in a special tray. Using floss and GC pattern resin to link impression screws Fig. 14 Fig. 15 Fig. 16 Fig. 17 Fig. 18