A 43-year-old male patient with no medical history came to the consultation with a failed bridge in the anterior mandibular area with teeth 43 and 42 that could not be maintained and significant horizontal bone atrophy in the entire pontic area.
Initial diagnostic X-ray
Front view of the anterior mandibular area
Front view of the mandibular area with significant bone atrophy
Galimplant dental extraction and implant placement with surgical splint
After extraction dental, curettage and cleaning of all post-extraction alveoli is performed. The incision is made with shocks distal at the level of the premolars. The milling process starts and implant placementusing a guided surgery splint.
Once the drilling process is finished and the surgical guide is removed,the Galimplant IPX implants are placed.ø 3.5mm x Long. 14mm and ø 3.5mm x Long. 18 mm in pre-planned post-extraction positions of 32 and 43. Given the severe horizontal bone atrophy andl implant in position 32 is fenestrated. A horizontal bone regeneration is performed with xenograft and collagen membrane.
Tooth extraction, incision and tissue discharge.
Surgical Guide Placement
Galimplant implant placement
Placement of the aesthetic straight multiposition abutments and their immediate loading abutments
We place straight aesthetic abutments perforating the membrane to be able to place an immediate load prosthesis, allowing us to avoid the patient having to use some type of removable provisional prosthesis that could compromise the success of bone regeneration or that would have to be prolonged for a long time without any type of provisional, thus improving the patient satisfaction with the treatment and their quality of life during it.
Horizontal bone regeneration with xenograft and collagen membrane. Placement of aesthetic rectus multiposition abutments
Placement of immediate load abutments on multi-position abutments.
Fixed Provisional Rehabilitation Placement
We present the evolution of the case at 3 months, which is when the referring prosthodontist is referred to be able to directly perform the definitive prosthesis.
Provisional rehabilitation after 3 months
Comparative initial and final tac
Comparative initial and final RX
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