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implants - international magazine of oral implantology International Edition

case report I maxillaassuringshortspanbridges.Sincethepatient wasunabletobeartheadditionalcostsofafixedre- construction in both jaws, a removable reconstruc- tionwasplannedinthemaxilla.Inthelowerleftjaw, an abutment tooth needed to be extracted (Fig. 5). Implant-supported fixed partial dentures were planned to restore the extended edentulous spaces in the lower jaw. b)Surgicalphase In both sides of the mandible two implants were placed (Fig. 6). Peri-implant bone dehiscences were simultaneously augmented with a bone substitute materialandacollagenmembrane.Duringabutment connection, the soft-tissue quality was improved withafreegingivalgraftfromthepalate.Thesoft-tis- suevolumegainedcouldbeconditionedwithtempo- rarydenturestooptimallyshapetheponticarea. c)Prosthetictreatment After a short time, the mandibular implants were restored with provisional screw-retained bridges. In theupperjaw,endodonticrevisionswereperformed on two teeth and all teeth were shortened. Subse- quently, the definitive set-up could be established (Fig.7).Inthemaxilla,fourabutmentteethwerepre- pared for root caps. The mandibular framework try- in took place simultaneously with the maxillary framework try-in, onto which the definitive set-up wastransferred(Fig.8).Thisenabledaverificationof the correct bite before the final veneering of the bridgeworkswasperformed.Subsequently,theden- taltechniciancompletedbothdenturesintheupper and lower jaws. At the end the lower front teeth neededtobeelongatedduetotheriseofthebite.The teeth were prepared traditionally to receive veneers (Fig. 9). The final outcome revealed a highly appeal- ing full restoration, both functionally and aestheti- cally. The patient was extremely satisfied (Fig. 10). _Join in the discussion The presented case is a typical example of Dental Campus' case studies and is available as a free demo case (www.dental-campus.com/DTEcase1). Com- prehensive background information and the de- tailed presentation of the treatment steps enable youtocloselyfollowtheplanningandthetreatment. Thismaximizesthepracticalbenefitforyourownpa- tients. Do you agree with the case assessment and the selected treatment as presented here? Register as a userandcreateyourowntreatmentplan.Then,com- pare and discuss this plan with those provided by your fellow dental colleagues._ Dentist:Dr.SvenMühlemann Dentaltechnician:AndreasGraf Fig. 9_Preparation of veneers for raising the bite. Fig. 10_Final examination. I 33implants4_2013 Dental Campus Englischviertelstr.32,8032 Zürich,Switzerland Tel.:+41 44 5156010 Fax:+41 44 5156011 info@dental-campus.com www.dental-campus.com _contact implants Fig. 10a Fig. 10bFig. 9 Fig. 10d Fig. 10e Fig. 10f Fig. 10c