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.
The patient was a 71 years old male with residual maxillary dentition using a partial denture of the upper arch.
His teeth showed grade 2 mobility.
To position the implants correctly a CBCT was performed and Simplant software was used to design the implant location.
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 residual teeth were extracted.
Implants were immersed with the force of 35 to 45 Ncm.
A closed lift was performed for the Schneiderian membrane of the right maxillary sinus. Implant 16 was stabilized at 10 Ncm and was not loaded immediately. A temporary bridge was made at full occlusion on temporary connectors screwed to the implants with the force of 20 Ncm.
After stability was obtained (4.5 months) impressions were collected.
The metal framework supported by standard connectors was tried in.
The restoration was then produced and finally cemented.
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<br/>Author<br/> Dr. Paweł Strzępek<br/><br/>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.<br/><br/><br/><br/>
<a href="#acc-3-4-d" data-parent="#accordion-3" data-toggle="collapse" class="accordion-toggle">Situation
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<img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드110.png" class=" vc_box_border_grey attachment-full" alt="슬라이드1" />
The patient was a 71 years old male with residual maxillary dentition using a partial denture of the upper arch.<br/><br/>
<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드23.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드23.png" class=" vc_box_border_grey attachment-full" alt="슬라이드2" /></a>
His teeth showed grade 2 mobility.<br/><br/>
<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드32.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드32.png" class=" vc_box_border_grey attachment-full" alt="슬라이드3" /></a>
To position the implants correctly a CBCT was performed and Simplant software was used to design the implant location.<br/><br/>
<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드42.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드42.png" class=" vc_box_border_grey attachment-full" alt="슬라이드4" /></a>
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<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드51.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드51.png" class=" vc_box_border_grey attachment-full" alt="슬라이드5" /></a>
<br/><br/>
<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드62.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드62.png" class=" vc_box_border_grey attachment-full" alt="슬라이드6" /></a>
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 residual teeth were extracted.<br/><br/>
<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드72.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드72.png" class=" vc_box_border_grey attachment-full" alt="슬라이드7" /></a>
Implants were immersed with the force of 35 to 45 Ncm.<br/><br/>
<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드82.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드82.png" class=" vc_box_border_grey attachment-full" alt="슬라이드8" /></a>
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<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드92.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드92.png" class=" vc_box_border_grey attachment-full" alt="슬라이드9" /></a>
A closed lift was performed for the Schneiderian membrane of the right maxillary sinus. Implant 16 was stabilized at 10 Ncm and was not loaded immediately. A temporary bridge was made at full occlusion on temporary connectors screwed to the implants with the force of 20 Ncm.<br/><br/>
<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드102.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드102.png" class=" vc_box_border_grey attachment-full" alt="슬라이드10" /></a>
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<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드112.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드112.png" class=" vc_box_border_grey attachment-full" alt="슬라이드11" /></a>
<br/><br/>
<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드122.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드122.png" class=" vc_box_border_grey attachment-full" alt="슬라이드12" /></a>
<br/><br/>
<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드132.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드132.png" class=" vc_box_border_grey attachment-full" alt="슬라이드13" /></a>
After stability was obtained (4.5 months) impressions were collected.<br/><br/>
<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드142.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드142.png" class=" vc_box_border_grey attachment-full" alt="슬라이드14" /></a>
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<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드152.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드152.png" class=" vc_box_border_grey attachment-full" alt="슬라이드15" /></a>
The metal framework supported by standard connectors was tried in.<br/><br/>
<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드162.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드162.png" class=" vc_box_border_grey attachment-full" alt="슬라이드16" /></a>
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<a href="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드172.png"><img width="960" height="720" src="http://gaoforum.com/wp-content/uploads/2017/03/슬라이드172.png" class=" vc_box_border_grey attachment-full" alt="슬라이드17" /></a>
The restoration was then produced and finally cemented.<br/><br/>
To position the implants correctly a CBCT was performed and Simplant software was used to design the implant location on residual maxillary dentition. http://gaoforum.com/full-arch-implant-placement-on-the-maxilla-using-simplant-software/){kind=link}