PMC3988632_01
Zygomatic implant (Branemark)
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F2
AB) [Figure 2] were placed using standard protocol after the assessment of length with a depth indicator. Implant emergence was at the junction of second premolar and first molar. An insertion torque more than 45 Ncm was achieved during the placement.
Surgical placement of conventional and zygomatic implants
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F3
Subsequently, four 4.3 x 13 implants (Nobel replace Tapered RP; Nobel Biocare AB) were placed in the right and left maxillary canine region following the standard osteotomy protocol [Figure 3].
Post-operative orthopantomogram case 1
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F4
They were tightened according to the recommended torque values by the manufacturer [Figures 4 and 5].
Post-operative orthopantomogram case 2
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F5
They were tightened according to the recommended torque values by the manufacturer [Figures 4 and 5].
Definitive prosthesis delivered 6 months after surgery
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F6
After 48 hours of surgery, completed provisional prosthesis was connected with 15 Ncm torque. 6 months after placement, provisional prosthesis was replaced by definitive prosthesis [Figure 6].
Radiographic evaluation after 2 years of function case 1
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F7
Both patients were instructed to maintain the soft diet for 2-3 months period and they were reviewed periodically up to 2 years [Figures 7 and 8].
Radiographic evaluation after 2 years of function case 2
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F8
Both patients were instructed to maintain the soft diet for 2-3 months period and they were reviewed periodically up to 2 years [Figures 7 and 8].