“Immediate full arch rehabilitation” : with Neobiotech implant system

Introduction

This case presents insertion of immediate same day implant supported fixed prosthesis which involves full mouth extraction, placement of 4 maxillary and 4 mandibular implants without any grafting and loading of these implants with provisional fixed hybrid prosthesis which is converted from immediate complete dentures. All these is done in a single appointment.

Pre-operative Observation

78 y.o. male with no medical significant medical history presents with ill-fitting upper and lower partial denture. He does also have active chronic periodontal disease. His chief complaint is that “ I want to have fixed teeth so that I can eat and feel great.”

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CT scan shows sinus enlargement and limited bone volume

VDO measurement

Extraction and immediate placement of Neobiotech 4.3 x 13 mm IS-II active implan

Minimum torque of 35 n/cm required

4 implants placed in each arch with over 50 n/cm (excellent stability)

Placement of multi-unit angled abutments

Healing caps placed for tissue healing

Open tray impression copings in place

Open tray impression technique

Stone model

‘picking up’ the implants with immediate dentures

Loot temporary copings on rest of implants using model

Polished fixed temporary prosthesis ready for insertion

Insertion of upper and lower fixed temporary prosthesis

Panoramic x-ray

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Conclusion

This case presents insertion of immediate same day implant supported fixed prosthesis which involves full mouth extraction, placement of 4 maxillary and 4 mandibular implants without any grafting and loading of these implants with provisional fixed hybrid prosthesis which is converted from immediate complete dentures. All these is done in a single appointment.