Restoration of a Partially Edentulous Patient with Implants
Presentation Category
Implant Dentistry, Restorative (Direct/Indirect)
Introduction/Context/Diagnosis
This is a clinical case presentation demonstrating the restoration of a partially edentulous patient with four endosteal implants, indirect restorations, and direct restorations. Treatment planning considerations are discussed in regards to each phase of treatment.
Methods/Treatment Plan
After the surgical placement of endosteal implants at sites #3 with sinus tap, #13 and #14 with a lateral window sinus lift, and #19 with bone graft, healing abutments were utilized while allowing ample time for osseointegration . Due to the need for multiple indirect and direct restorations on the mandible, the subject's maxilla was restored first with screw-retained implant crowns to the ideal plane of occlusion. Once this was completed, the subject's mandible was restored with a screw-retained implant at #19, a build up/post and zirconia crown at #20, and a zirconia crown at #30, which had supraerupted due to the missing #3. Composite restorations were placed on the lower anterior teeth to cover exposed dentin and improve aesthetics. A occlusal splint to wear at night was fabricated to prevent mechanical failure of the restorations.
Results/Outcome
The implants successfully osseointegrated and were restored using screw-retained crowns without changing the patients vertical dimension of occlusion. Indirect and direct restorations were completed.
Significance/Conclusions
This case is important because, although quite complicated, it illustrates how successful a dentist can be if he or she tackles a case in a systematic, organized fashion and has the luxury of a compliant patient.
Format
Event
Restoration of a Partially Edentulous Patient with Implants
This is a clinical case presentation demonstrating the restoration of a partially edentulous patient with four endosteal implants, indirect restorations, and direct restorations. Treatment planning considerations are discussed in regards to each phase of treatment.
