Full arch implant placement on the mandible using Simplant software

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Author
Dr. Paweł Strzępek

Paweł Strzępek graduated from the Dentistry Division of the Medical University of Warsaw in 1990. He is a member of OSIS, ICOI and CEIA. Since 1990 he has been running a private practice for endodontics and implant dentistry.



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The patient was a 69 years old female. The patient had residual mandibular dentition with teeth of grade 2 mobility and deep gingival pockets around all the teeth.

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The patient did not have the lower arch prosthesis. For accurate implant positioning a CBCT was performed and Simplant software was used to design implant location.

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Before the procedure a wax up and mock up were made as well as a navigation splint and a splint for temporary restoration. Under infiltration anesthesia the teeth were extracted and implants were immersed with the force of 35 to 45 Ncm. Restoration based on 6 implants was planned but finally the number of implants was limited to 5. The implants were immersed with the force of 35 to 50 Ncm and immediately loaded with a functional bridge on temporary titanium connectors.

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Implant 46 obtained primary stability at 20 Ncm and was left with no load. A temporary bridge was made at full occlusion on temporary connectors screwed to the implants with the force of 20 Ncm.

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After stability was obtained (4 months) impressions were collected.

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The metal framework supported by standard connectors was tried in.

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The restoration was then produced and finally cemented.

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For accurate implant positioning a CBCT was performed and Simplant software was used to design implant location on mandibular dentition.

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