PMC4247972_01
Initial clinical view of the patient with Sjogren's syndrome (August 2008).
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The second right upper premolar had a ceramic crown with a metal core (Figure 1).
Initial panoramic radiography (August 2008).
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An initial panoramic radiograph was taken (Figure 2).
Full-thickness flap, showing the bone (a) and seating tip in position (b) (November 2008).
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A full-thickness mucoperiosteal flap was elevated bilaterally, in order to access the bone (Figure 3(a)) and seat the tip in position (Figure 3(b)).
Periapical radiograph four months after surgery (a) and connection of the abutments (b) (March 2009).
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Periapical radiographs were taken (Figure 4(a)). One week later, an impression for a prosthesis was carried out and a new periapical radiography was taken to check the abutment connection (Figure 4(b)).
Six-year follow-up: clinical view of the implant-supported fixed prosthesis (a) and periapical radiograph of implants showing no bone loss (b) (May 2014).
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The patient was followed up every 3 months with a clinical exam, and after a 6-year follow-up, periodontal status and implants were accessed during clinical examination (Figure 5(a)) with periapical (Figure 5(b)) and panoramic radiographs (Figure 6).
Final panoramic radiography (May 2014).
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The patient was followed up every 3 months with a clinical exam, and after a 6-year follow-up, periodontal status and implants were accessed during clinical examination (Figure 5(a)) with periapical (Figure 5(b)) and panoramic radiographs (Figure 6).