Pre-operative Situation
- Preoperative clinical and x-ray view after the old bridge removal
- #34 root fracture
- Gingival hyperplasia
#46 remove soft tissue easily and clearly without incision for implantation
4.5*10mm CMI IS ll active implant was placed on #46 with about 30N.CM torque
4.0*11.5mm CMI IS ll active implant was placed on #44 with about 30N.CM torque and 4.5*10mm CMI IS ll active implant was placed on #43 with about 25N.CM torque, the IS ll active cemented abutment was tighted with 15N.CM torque
Extraction of #34,#35,#36 and 3.5*11.5mm CMI IS ll active implant was placed on #41 with about 30N.CM torque, the abutment was tighted with 15N.CM torque
4.5*10mm CMI IS ll active implant was placed on #36 with about 35N.CM torque, 4.0*11.5mm CMI IS ll active implant was placed on #34 with about 25N.CM torque, 4.5*10mm CMI IS ll active implant was placed on #33 with about 35N.CM torque, all the abutment was tighted with 15N.CM torque
Postoperative clinical view and radiographic photograph
Immediate impression
After 24 hours the clinical review of the wound the denture was weared and using the zinc oxide for fixation
After two months the clinical and x-ray view
The clinical and x-ray view after the transfer bar was inserted the Implant
Install guide abutment and mental basement
Clinical view of final restoration delivered and panoramic tomography
Conclusion