PMC4054875_01
Panoramic X-ray with periodontal teeth.
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The orthopantomography showed periodontal teeth which subsequently were extracted (Figure 1).
Denture with radiopaque markers used as template.
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Two radiopaque markers were inserted in the denture (Figure 2) used as template.
Computer-guided implants technique.
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Then the patient was undermitted to another panoramic X-ray, wearing the dentures with markers, and on this basis, a computer guided implantology surgery was programmed with the appropriate software (Figure 3).
Implants positioned in the mandible.
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After the surgical procedure (Figure 4), five abutments with but joint connection were screwed to the implants (Figure 5).
Abutments screwed to implants.
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After the surgical procedure (Figure 4), five abutments with but joint connection were screwed to the implants (Figure 5).
Titanium bar constructed by the dental technician.
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Then, a bar previously constructed by the dental technician (Figure 6) was welded intraorally (welding produced by Implamed srl.
Titanium bar welded on abutments.
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Cremona, Italy) (Figure 7) in order to fix the position.
Titanium bar removed from mouth.
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The bar was removed from the mouth with the abutments (Figure 8) and covered with pink opaque film (Figure 9).
Titanium bar covered with pink opaque.
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The bar was removed from the mouth with the abutments (Figure 8) and covered with pink opaque film (Figure 9).
Titanium bar fixed to the denture with acrylic resin.
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The prosthesis was then connected to the bar with acrylic resin (Figure 10) and tightening screws to abutments (Figure 11).
Final prosthesis with drilling for screw tightening.
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The prosthesis was then connected to the bar with acrylic resin (Figure 10) and tightening screws to abutments (Figure 11).
Final restoration.
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The patient was checked after two days and fifteen days and during this period no problems were noted (Figures 12 and 13).
Final restoration.
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The patient was checked after two days and fifteen days and during this period no problems were noted (Figures 12 and 13).
Panoramic X-ray after one-year follow-up.
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