The patient came to our clinic to improve the quality of his life. State before treatment is presented in the picture No. 1. In another dental clinic movable upper denture acrylic with clamp placed on the crown based on the implant was made. Unfortunately, the patient due to his speech disorders could not accept this kind of movable restoration. In addition, very complex, acrylic removable denture plate resulted in retch and changes in food flavors. A single porcelain crown on the implant, which served as a support for visible braces dentures was too long. Because of periodontitis the treatment plan was established to remove the teeth with poor prognosis and to replace them with implants in the lower arch. After a thorough analysis of computed tomography treatment plan is drawn up. The main goal was to, in accordance with the wishes of the patient, performing cosmetic permanent porcelain in the mouth.
So how full mouth reconstruction is done?
The computed tomography of jaw bone was very helpful in planning the deployment of titanium implants. This enabled us to avoid a more traumatic procedures associated with the raising of the maxillary sinus. Implantologists managed to find enough bone volume for an additional seven implants in the upper arch.
The first step was the treatment of periodontal inflammation- a few series of appropriate hygienic procedures performed in our clinic by a hygienist. Off-balance front teeth in the mandible were removed. All seven implants were introduced during only one visit, while surgery in the upper arch. The course of the procedure has been improved through the use of pre-made template. This has helped significantly to correct the positioning of implants, according to the previously developed concept, based on computed tomography of the jaw. The procedure took about 1.5 hours.
After 6 weeks from the extraction of the lower, off-balance teeth, implantation of five implants in the lower arch was carried out. In this case, the use of computed tomography, allows physicians to choose the optimal diameter and length of the implant, which always makes the procedure more predictable. After about 3 months, the patient reappeared in the clinic. Upper work prosthetic means that porcelain bridge is screwed.
This gives a relatively high comfort for both the physician and patient. This allows. from time to time, to unscrew a porcelain bridge and thorough cleaning of implants during visits hygienic. Another advantage of this type of work is the ability to repair any porcelain chips. In this case, the bridge also can be unscrewed and sent to the lab in case when any repair is needed.