Inmediata loading 24 hours after surgery definite prosthesis 20 months follow up

before After, fixed implant prostheses, patient refused for all on four or hybrid prosthesis 2 years follow up

Fractured 2.1 Implant preparation Palatal approach Gap filling with xenograft and healing abutment 10 weeks healing Screw provisional 3 years 6 months follow up, Smile Design

Individual trays Love the height of Neobiotech transfers for multi unit Light material Place the floss Splinted after the putty with resin pattern same on the upper Great emergence and implant distribution, small cantilevers Oclusión Smileeee!!! Before and after 5 years post CBCT

Initial Situation Temporal Abutment Posthesis teeth presented as a shield Capture of the teeth Teeth capture, time to make the profile Creating a profile Polishing is a must time to go to the mouth Emergence profile ready for final crown 4 years follow up

5 years Follow up

Patient arrive after 3 years of Ortho in another office, he refer to take more than 8 coffee cups per day Tooth 1.1 must be removed, We see gum recession on canines class V composites, we plan a root coverage also CBCT shows vertical bone defect and advanced bone resorption Extraction of tooth 1.1 Implant site preparation Implant placement, IS II 3.5 X13 mm Oclusal View, before bone grafting Implant CBCT control Costume healing abutment Srew provisional after 3 month of implant healing Tooth preparations Crowns, venners and implant crowns. Note the canines and premolars were prepared without touching the recession for a future root coverage Coronal advanced flap for canines and premolars 13 month healing

Lower over denture, with Kerator system and ISII Neobiotech implant Parallel Pins Implant placement, ISII Neobiotech Healing Abutments 9 weeks healing, Kerator system denture Preparing the denture for housings Preparing for the capture Housing in position, I love they are not circular, this give retention Adhesive for the denture Reline material for the capture Mouth capture capture ready changing the nylons Overdenture ready 30 months control

Lateral 2.2 Missing Inital CBCT 2nd phase, provisional creation Temporary abutment Teeth Shield, capture Adding composite Highly polishing Palatal incision and ROLL TECHNIQUE Sling suture, Nylon 4.0 10 days healing 2 months healing 3 month, final restoration time Personalized Abutment Screw cemented restoration 2 years follow up 2 years follow up CBCT control 2 years