PMC6735220_01
Clinical aspect of the removable complete dentures: note the absence of occlusal contact and marginal adaptation to the jaws.
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The patient had been using the same dentures for 30 years (Figures 1 and 2).
Preoperative intraoral clinical view.
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The patient had been using the same dentures for 30 years (Figures 1 and 2).
Preoperative panoramic radiograph.
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After imaging analysis (Figure 3), a fixed full-arch rehabilitation on 3 straight immediately loaded implants was planned because the interforaminal distance limited the placement of four implants, according to the surgeon's experience.
Intraoperative intraoral view of the surgical guide showing parallelism pins.
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The implant positions were tested with the parallel pins and the surgical guide before completing the osteotomies (Figure 4).
Intraoperative intraoral view of the 3 implants inserted in the jaw.
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Three Titamax GT 3.75 x 11 mm implants (Neodent, Curitiba, Brazil) were inserted in the interforaminal region (Figures 5 and 6), with an insertion torque ranging between 60 and 80 N/cm.
Intraoperative intraoral view of the surgical guide showing good positioning of the 3 implants.
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Three Titamax GT 3.75 x 11 mm implants (Neodent, Curitiba, Brazil) were inserted in the interforaminal region (Figures 5 and 6), with an insertion torque ranging between 60 and 80 N/cm.
Intraoral view of the bar proof with occlusion vertical dimension wax block registration.
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The day after surgery, the nickel-chromium metal bar, which had been made according to the position in the wax-up of the future teeth, was tried and sent for mounting the teeth, after being approved by the patient (Figure 7).
Intraoral view of the wax mounted teeth try-in.
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On the next day, the esthetic appearance, which provided adequate lip support, smile line, positioning of the teeth, and occlusal guidelines (Figure 8), was approved.
Clinical aspects of the new maxillary denture and mandibular fixed prosthetic restoration on 3 implants on the delivery day.
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Finally, on the third day after surgery, the screw-retained full-arch rehabilitation on the three implants was installed (Figures 9 and 10).
Extraoral view of the patient with the new oral rehabilitation.
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Finally, on the third day after surgery, the screw-retained full-arch rehabilitation on the three implants was installed (Figures 9 and 10).
One-year postoperative follow-up panoramic radiograph.
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The patient returned after one year for a clinical and radiographic evaluation (Figure 11).
Eight-year follow-up panoramic radiograph: note that there is no bone loss around the implants.
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In the evaluation by panoramic radiograph, there were no aspects of bone loss or bone remodeling around the implants (Figure 12).