CAD/CAM - international magazine of digital dentistry

I case report _ guided surgery _The Vario SR prosthetic components for fixation of implant-supported occlusally screw- retained restorations were used in this case to treat neuropathic pressure-indicated facial pain. The 66-year-old patient came to our practice for thefirsttimeinMay2010complainingofpersistent painintherightmandible.Thepainintensifiedwhen the complete mandibular denture was inserted. However, pronounced pain continued even after several days of not wearing the prosthesis. The intensityofthepainvariedbetween6and10onthe visual analogue scale. The following diagnosis was made: _severe mandibular atrophy; _crestal position of the bilateral mental foramina; _chronic neuralgiform facial pain in regions 43 to 45—the trigger point indicated the mental fora- men region. _Treatment planning The patient had been treated with two one- piece diameter-reduced implants in regions 31 Fig. 1_Initial radiograph. Fig. 2_Initial clinical situation. Fig. 3_Scanning template made from plastic containing barium sulphate. Fig. 4_Holes drilled through the radiopaque teeth according to the prosthetic tooth axis. Figs. 5a & b_Diagnostics and implant planning (a) in accordance with anatomical and prosthetic requirements (b). 24 I CAD/CAM 3_2013 Fig. 1 Fig. 2 Fig. 3 Fig. 4 Immediate restoration in the edentulous mandible According to the Maló procedure using the CAMLOG Guide System and Vario SR abutments Author_Dr Ferenc Steidl & Sebastian Schuldes, Germany Fig. 8 Fig. 9 Fig. 10 Fig. 11 Fig. 5a Fig. 5b Fig. 6 Fig. 7