Situation
Patient Information
A 75-year-old male patient presented with hypertension and diabetes mellitus. The patient also presented with retained roots on #14, 13, 22, 23 which had been used as abutments for RPD. Remained 3 unit FPD on #12-X-21 was mobile, and all of the remained upper teeth were non-restorable.
Pre-operative View
Initial photos show that extraction of retained roots on #14, 13, 22, 23 was done.
Treatment Planning
- Distal Extension Removable Partial Denture for upper posterior teeth
- Implant placement on #14, 13, 11, 23, 24
- Implant-supported surveyed FPD on #14-13-X-11-X-X-23-24
Implant placement & GBR on #13, 14, 23, 24 was planned.
All of implants are Neobiotech IS-II 4.0*10mm.
Allograft (ICB cortical) and collagen membranes were used for GBR. The autogenous bone was harvested using ACM drill.
Implant placement & GBR procedure on #23,24
Panoramic view after implant placement on #13, 14, 23, 24.
Uncovery of implants was done after 4 month.
Extraction of remained FPD on #12-X-21 & delivery of provisional restoration on #14-13-X-X-X-X-23-24 was done afterward.
Finally, implant placement on #11 was done. Since there was severe bone resorption on the labial side, implant was placed intentionally on the palatal bone
PA view of IS-II implant on # 11
Metal frame was cut and joined to get passive fitting.
Design of implant-supported surveyed FPD
Design of RPD
