Australasian Dentist Implant Dentistry Today No 15

Implant Dentistry Today 10 Patient’s medi a history. Patient is female, aged 58, and has a history with milgraines and antidepressants. es ri tion of the ro edure 1. Full upper arch clearance 2. Placement of tilted implants to avoid sinus augmentation. 3. Placement of multiunit mini conical abutments 4. Placement of impression copings (open tray) 5. Floss and pattern resin to secure a rigid matrix 6. Multifunctional appliance impression. 7. Placement of sutures. 8. Placement of healing caps. Prostheti es ri tion: Acrylic on a metal strengthener – Temporary prosthesis Acrylic on PEEK – Final Prosthesis. esu t des ri tion and/or on usion In conclusion, the patient was extremely conscious of her upper teeth and smile; she wanted a “Hollywood” appearance smile. The patient therefore chose a bleached tooth option for her final restoration and she wanted her new smile to be dramatically different from her original teeth. This patient was highly motivated and was delighted with the end result, which has given her a lot more self confidence. ull arch immediate fixed reconstruction By Prof. Joe Bhat BDS FDS RCSMClinDent MRD RCSEd drjoebhat@gmail.com Fig 6. Wax mock up. Fig 1. Initial view of the patient. Fig 9. Placement of implants during surgery. Fig 7. Wax mock up clinical try in. Fig 4. Initial treatment involved periodontal therapy of the lower jaw. Fig 10. Abutments placed intra orally. Fig 2. Initial view of the patient’s smile. Fig 8. Multifunctional appliance ready to be placed in the patient’s mouth Fig 5. Initial treatment involved periodontal therapy of the upper jaw. Fig 11. Sutures placed immediate post surgery with open transfers and short screws. Fig 3. Initial intra oral clinical appearance. Prof. Joe Bhat