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ePaper created 2018-01-31, 10:01:59 | version 1.38.0
| industry report Immediate full-arch restoration in the maxilla Drs Massimo Frosecchi, Eugenio Longo & Alessandro Certini, Italy Initial situation The patient was a 53-year-old male non-smoker at the time of treatment, although had a history of heavy smok- ing for many years before treatment (Figs. 1–3). General health conditions were good, but the patient suffered from severe chronic periodontitis, probably with a juve- nile onset (Figs. 4a–c). A periodontal chart and X-ray pe- riodical status were checked to assess the severity of the periodontitis and the therapeutic prognosis (Figs. 5a–n). Only nine teeth were remaining in the maxilla after pre- vious extractions. Mobility, migration of teeth, and lack of vertical dimension of occlusion were observed. Most of the maxillary teeth were splinted to improve function (Fig. 6). The mandible was in a better condition, with the preservation of all natural teeth, no restorations, and with minor mobility and migration (Fig. 7). Before any im- plant-borne reconstruction was considered, periodontal treatment was provided in order to obtain the necessary biologic condition and patient compliance for long-term implant survival. The treatment was finalised in 2016 (Figs. 8 & 9). Fig. 1 Fig. 4a Fig. 2 Fig. 4b Fig. 3 Fig. 4c 32 CAD/CAM 1 2018