A step by step placement in the left mandibular area: from surgical to prosthetic completion

Dr. Henry Kwek.jpg

Author
Dr. Henry Kwek, B.D.S., M.Sc.

Diplomate; International Congress of Oral Implantologists
Singapore



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Patient: 50 year old male Chinese
Medical history: hypertension (under medication)
Dental history: - OH average
         - upper & lower anterior crowding
         - signs of bruxism / occlusal wear facets present
         - loss of #36, #37 & #47 to periodontal disease
         - complains of difficulty in chewing tough food
- IS ll active implants 4.5Ø 10mm x 2 in #36 & #37
- IS ll active implants 4.5Ø 10mm in #47 (at a later date)
- CAD/CAM screw-retained Zirconia crowns (splinted)
- Night mouth guard
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Papillary-saving flap design

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3 months post op

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CAD/CAM screw retained zirconia crowns (splinted)

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 A 50 year old male patient came to the clinic presenting loss of #36, #37 & #47 and complains of difficulty in chewing tough food. This case shows the procedures from surgical to prosthetic completion on site #36 and #37.

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2 Comments
  1. Profile photo of YoungKu Heo
    YoungKu Heo 3 years ago

    Very well documented case, Dr. Kwek. Your photos are fantastic. Well done case from the beginning to the end.
    It looks like screw retained prosthesis. Do you always prefer screw retained pros?

  2. Profile photo of Henry Author
    Henry 3 years ago

    Hi Dr Heo,

    Thank you for your comments.
    I prefer screw-retained prostho for posterior teeth for the sake of easier retrieval (when necessary).
    For anterior teeth, it depends on esthetics and implant angulation.

    By the way, I really like the new Pick-up impression copings!So easy to use!
    Will upload a case showing that when I can.

    Regards,
    Henry Kwek

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