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A case in 12 pictures

by: Stefan Holst

NobelProcera bars on four NobelReplace implants in the mandible and six NobelReplace implants in the maxilla.

Radiograph prior to initiation of treatment Radiograph following implant insertion. Intraoral occlusal view of implant sites Intraoral occlusal view of implant sites Articulated master casts in correct VDO Custom CAD/CAM manufactured titanium bar was fabricated with the NobelProcera System. Occlusal images of maxillary and mandibular bar. Occlusal images of maxillary and mandibular bar. Anterior view of new fixed-removable restorations. Radiograph following insertion of bars. Extraoral image displaying the smile and esthetic appearance of the new restorations. Happy patient.

Case history

A 73-year-old patient presented with a failing mandibular restoration necessitating removal of the remaining teeth and atrophied alveolar ridges in the edentulous maxilla. Due to extensive atrophy of the alveolar ridges and the amount of hard and soft tissue missing, fixed implant retained restorations were not an option.

Treatment performed

Four implants were placed in the interforaminal area of the mandible and six implants in the maxilla for bar retained fixed-removable restorations.

Case notes

The long-term success of an implant-retained restoration depends to a great extent on the accurate and precise fit of a superstructure, biocompatibility of materials selected and easy hygiene maintenance for the patient. If a patient’s manual skills are impaired or significant amounts of hard and soft tissue need to be replaced by prosthetic means, a fixed-removable overdenture is both a well-accepted and excellent treatment option, allowing for simple and easy handling.

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