PMC3600263_01
Preoperative intraoral view.
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His clinical examination revealed a severe defect in the right posterior maxilla, starting from the canine region (Figure 1).
3D view of defect.
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To be able to make an implant-supported fixed prosthesis, a zygoma implant was planned for the posterior maxilla, due to the huge bone defect in that area, and one dental implant was planned (Figures 2 and 3).
Preoperative simulation of implant planning.
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To be able to make an implant-supported fixed prosthesis, a zygoma implant was planned for the posterior maxilla, due to the huge bone defect in that area, and one dental implant was planned (Figures 2 and 3).
Intraoperative view of zygoma after flap elevation.
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A crestal incision was made and a mucoperiosteal flap was elevated up to the zygomatic buttress (Figure 4).
Implant placement of zygomatic implant.
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The zygoma implant was drilled and placed to the posterior; one dental implant was placed in the premolar region (Figure 5).
Intraoral view during osteointegration period.
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Permanent prosthetic rehabilitation was initiated 5 months after implant placement (Figure 6).
Intraoral view after implant abutments.
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Metal-supported porcelain restorations were constructed using conventional methods (Figures 7 and 8).
Fabricated Metal base of bridge.
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Metal-supported porcelain restorations were constructed using conventional methods (Figures 7 and 8).
Metal supported porcelain bridge.
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The last clinical and radiographic assessments were uneventful, and the patient's satisfaction with the esthetic result was excellent (Figures 9 and 10).
Radiographic view after 1 year follow-up.
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The last clinical and radiographic assessments were uneventful, and the patient's satisfaction with the esthetic result was excellent (Figures 9 and 10).