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implants_international magazine of oral implantology No. 2, 2016

| case report 22 implants 2 2016 Bimaxillary Rehabilitation Implant-supported zircon-ceramic bridges Author: OA Dr Björn Dziedo, CA Prof. Dr Dr Stefan Schermer & Dr Elena Mihalcioiu, Germany Introduction In September 2014, a dentist-anxious 63-year-old patient from abroad presented with a relatively ­limitedtimewindowandthedesireforafixed,metal-­ free biological dental restoration in our clinic. The case was discussed in the interdisciplinary team of surgery, prosthodontics, dental technician and an- aesthesiologyandplannedwiththepatientinourin- ternational office as a stationary patient for one- stage full-ceramic treatment case. TheInternationalOfficepersonneltookcareofthe administrativeprocedures,visaandtravelissuesand tried to make the stay optimal here for everyone in- volved.Foreignpatientsandanxiouspatients,aswell as patients with a strong involvement into their workplace need an extremely fast therapy with visi- ble milestones. Experienced surgeons and prostho- dontists work hand-in-hand from planning the ­surgery up until aftercare. The lead prosthodontist requires an extremely experienced and skilled dental technician at his side. History—clinical examination— consultation Besidesawell-adjusteddiabetesmellitusandcor- onalpredispositionaftersuccessfulcardiacsurgery, the patient was well, his medical history without pathological findings. Dental inspection revealed massive horizontal ridge atrophy in the lower jaw and an extensive horizontal and vertical atrophy of the upper jaw. The removable clasp denture would Fig. 1a: OPG initial findings. Fig. 1b: OPG with reference spheres. Fig. 1c: OPG postoperative. Fig. 1d: Control-OPG for evaluation of the fitting of the abutments, the mock-up is seated maxillary, including the radiopaque pin for joint-registration. Fig. 1b Fig. 1d Fig. 1a Fig. 1c 22016

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