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3D individual customized implant
Guided implant
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Implants

Six I-ON implants with immediate loading

Dr. Ricardo Naves

A male patient attends the clinic seeking to recover his masticatory functionality. He reports losing his teeth more than 10 years ago due to defective root canals and untreated cavities.

 

Medical history

  • Male, 47 years old
  • ASA I (No allergies or diseases)
  • Never had an operation

 

Dental History

  • Reports having a diet rich in carbohydrates and proteins.
  • Poor dental hygiene.
  • Previous dental treatments of prosthodontics, endodontics and caries removal

 

Habits

  • Smoking, alcohol drinking, bruxism

 

Extra-oral examination

  • Masseter muscles hypertrophy

 

Intra-oral examination

  • Partial upper and lower edentulousness, facets of wear due to bruxism, poor oral hygiene.
  • Metal-ceramic crown #23 and zirconium crown #27, multiple composite restorations
  • Crossbite at the level of lower premolars #44 and 34
  • Cervico-radicular carious lesion at the level of #34

 

Diagnosis

  • Upper and lower partial edentulous patient, with missing bone in height at the level of #26.
  • Mandibular bone is in good condition both in height and in width.
  • Soft tissue in good condition.
  • Attached gingiva is sufficient and of good thickness.

 

Prognosis

  • The patient is able to finance his treatment.
  • Patient motivated, mentally and physically compatible with the treatment to be performed.
  • Adequate motor skills to maintain good hygiene.

 

Treatment plan

  • Three I-ON implants will be installed in the right mandibular sector of # 47, 46, 45 and two I-ON implants in the left sector # 35 and 37.
  • Maxillary sinus lift will be performed transcrestally with osseodensification,at the same time as the implant of #26 will be installed.
  • Immediate loading of the lower implants will be performed.

 

Products & materials used

  • I-ON Implants
  • Osseodensification Versah drill
  • Biofill- H
  • 5 Multi-Unit P16C-4
  • 1 P3SC-4
  • 6 Healing Cap P0C-4

 

A. CBCT pre-op
B. CBCT pre-op B
C. Smile pre-op
D. Clinical front image pre-op
E. Right side pre-op
F. Left side pre-op
G. Maxilla pre-op
H. Mandible pre-op
I. Right mandible pre-op
J. Left mandible pre-op
K. Right mandible - removed gingiva
L. Right mandible - implant holes drilled
M. Right mandible - implants inserted
N. Right mandible - implants in place
O. Right mandible - P16C abutments on the implants
P. Left mandible -removed gingiva
Q. Left mandible - implants inserted
R. Left mandible - implants in place
S. Left mandible - P16C abutments on implants
T. Left maxilla #25 - flapped gingiva
U. Left maxilla #25 - drilling
V.
W. Left maxilla #25 - implant in place
X. Panoramic image post-op
Y. Mandible - clinical image post-op
Z. Right side - post-op
AA. Left side - post-op
AB. Panoramic mage 6 months post-op
AC. 1 yr. follow-up periapical x-ray - right mandible
AD. 1 yr. follow-up periapical x-ray - left mandible
AE. 1 yr. follow-up periapical x-ray - left maxilla

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