Case Study 1

 
Our first case study explicate the lower immediate rehabilitation with computer-guided keyhole surgery and an All-on-4 fixed implant bridge as well as upper staged rehabilitation with bone grafting and fixed implant bridge on 6 implants.(Note: Results Vary)
 
All On 4 Australia
 
The dentures were fit loosely over the bare gums
Implants were placed using computer-guided surgery (Nobel-Guide)
The gums are closed with dissolvable sutures and comfort caps were placed whilst the teeth are fabricated
An impression of the implants was taken
Lower replacement teeth were fabricated using highly aesthetic high-impact acrylic
Then after the lower replacement teeth were screwed to the implants.
Alveolectomy and bone grafting were performed in the upper jaw and it takes 6 months to heal. During the healing process for 6 months, the patient continued to wear the upper denture.
After healing of the grafts, six dental implants were placed using Nobel computer guided keyhole surgery. Comfort caps were placed whilst the teeth were being fabricated.
Note:
There are no stitches with this keyhole surgical method.
Next day, the teeth were set in wax and tried over the implants to assess function, aesthetics, comfort and speech. After all parameters are met, it was further send for fabrication.
The upper replacement teeth were fabricated using highly aesthetic high-impact acrylic.
 

Case Study2

 
The second case study explain upper rehabilitation with an immediate All-on-4 Fixed Implant Bridge(Note: Results Vary)
The patient was suffering with gum disease and failing bridges with recurrent tooth decay. Whilst 3 teeth were sound (left), they were sacrificed in order to avoid bone grafting and achieve and optimal result with alveolectomy aesthetic gum replacement. The lower right bridge was caved down destabilizing the bite.
Treatment implicated removal of all upper teeth (except one back tooth), alveolectomy and an immediate All-on-4 restoration incorporating aesthetic gum replacement. The lower right bridge was replaced to the correct height for an optimal occlusion (bite).
The upper replacement teeth were removed 15 months after implant surgery to reveal complete healing and healthy gums.
The upper fixed replacement teeth were re-fitted over the implants for another 15-24 months before next review.
At the end, an X-ray was taken at 15 months showing angulated implants in the back, and straight implants in the front, placed using a conventional All-on-4 protocol.
 
 

Case Study 3

 
Our Case Study III, explain simultaneous upper and lower rehabilitation with an immediate All-on-4 Fixed Implant Bridges(Note: Results Vary)
The patient stepped in with numerous missing teeth and dysfunction. Rest of the teeth were decayed and had gum disease.
With the patient’s consent we removed all teeth and an immediate implant bridges were placed in both the upper and lower jaws using conventional All-on-4 technique. As seen in the picture, the gums were closed with dissolvable stitches above the top teeth.
A baseline X-ray was taken after surgery showing angulated implants in the back and straight implants in the front using a conventional All-on-4 technique.
Note: This technique allows by passing of nerve    bundle in the lower jaw and by passing of deficient bone and sinuses in the upper jaw.
 
 
 
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