Early loading in the posterior mandible

This case presents 3 external implants (CMI EB) were placed with 40Ncm of insertion torque values on the edentulous mandibular right quadrant and a definitive 4 unit SCRP prosthesis delivered 8 weeks after implants placement.

SITUATION

Pre-op panorama

Intra-oral photograph

Incision

Flap reflection

3 external implants (CMI EB) were placed with 40Ncm of insertion torques in that area.

Healing abutments were connected to the fixtures. Autogenous bone chips harvested from the adjacent ridge area was grafted in the defect.

Non-submerged approach was done and the wound margins were closed with sutures.

Postoperative panoramic radiograph showing 3 implants placed in the mandibular right posterior area.

An impression was made with pickup impression coping 6 weeks after the surgery.

A definitive 4 unit SCRP prosthesis was delivered 8 weeks after implants placement.

Lateral view of right mandible after treatment.

Radiograph taken on the day of final restoration.

Panoramic view after delivery of the prosthesis.

A month of follow-up after delivery of final prosthesis. 

8 months of follow-up panoramic view.

One and a half years of follow-up panoramic view.

4 year follow-up on the final prosthesis

4 year follow-up on the final prosthesis

4 year follow-up on the final prosthesis

8 year follow-up on the final prosthesis

8 years postoperative panoramic radiograph showing well maintained implants without any noticeable bone loss.