“Immediate full arch rehabilitation” : with Neobiotech implant system

dr. paul jang

Author
Dr. Paul Jang, DMD, FRCD (C)

Board certified periodontist, Canada & USA Diplomate, American board of periodontology Clinical assistant professor, Dept. Periodontics, Univ. of British Columbia Private practice limited to periodontics and implant therapy Founder and director, Northwest Dental Institute, Vancouver, BC. Canada



This case presents insertion of immediate same day implant supported fixed prosthesis which involves full mouth extraction, placement of 4 maxillary and 4 mandibular implants without any grafting and loading of these implants with provisional fixed hybrid prosthesis which is converted from immediate complete dentures. All these is done in a single appointment.
78 y.o. male with no medical significant medical history presents with ill-fitting upper and lower partial denture. He does also have active chronic periodontal disease. His chief complaint is that “ I want to have fixed teeth so that I can eat and feel great.”
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CT scan shows sinus enlargement and limited bone volume

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VDO measurement

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Extraction and immediate placement of Neobiotech 4.3 x 13 mm IS-II active implant

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Minimum torque of 35 n/cm required

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4 implants placed in each arch with over 50 n/cm (excellent stability)

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Placement of multi-unit angled abutments

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Healing caps placed for tissue healing

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Open tray impression copings in place

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Open tray impression technique

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Stone model

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‘picking up’ the implants with immediate dentures

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Loot temporary copings on rest of implants using model

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Polished fixed temporary prosthesis ready for insertion

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Insertion of upper and lower fixed temporary prosthesis

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Panoramic xray

This case presents insertion of immediate same day implant supported fixed prosthesis which involves full mouth extraction, placement of 4 maxillary and 4 mandibular implants without any grafting and loading of these implants with provisional fixed hybrid prosthesis which is converted from immediate complete dentures. All these is done in a single appointment. 

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