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ePaper created 2017-09-20, 09:19:59 | version 1.38.0
implants_report Fig. 5 Fig. 6 Fig. 7 Fig. 9a Fig. 9b Fig. 8 Fig. 10a Fig. 10b Figs. 5 & 6: Insertion of five definite implants on the left and four definite implants on the right side. Figs. 7 & 8: Healing period. Figs. 9a & b: Control DVT and comparison to planning software. Figs. 10a & b: Implant uncovery and fixing of the interim prosthesis. interim implants was planned. On Fig. 5, one can see that the implant axes and the exit points would dif- fer significantly from the later position of the orig- inal teeth. Implantation in the axis of the existing teeth was not possible since otherwise, this would result in a lingual perforation. Nevertheless, a solu- tion had to be found to give the patient a corre- sponding tongue space later. A prosthetic resto- ration with telescopic crowns, in this case, was not an option, since it would result in an arch being at least 5 mm smaller on each side. During implant surgery, five definite implants on the left side and four definitive implants in the right side, as well as two auxiliary implants for immediate restoration and loading with a temporary immediate prosthesis, were inserted (Figs. 5 & 6). Subsequently, the healing was unproblematic and the patient was bridged with the interim prosthesis for the transition period fixed on the two auxiliary implants (Figs. 7 & 8). To verify that there has been no nerve injury as the patient was under general anaesthesia during surgery, a control CBCT was made post-op, showing the respective distance to the nerve canal (Figs. 9a & b). Longer implants could not be introduced due to the aforementioned angu- lation problems, which would have resulted in an 38 3_2017 38 implants