Author
Dr. Shengyun Huang, M.D., Ph.D.

Department of Oral and Maxillofacial Surgery,
Shandong Provincial Hospital Affiliated to Shandong University

#46 remove soft tissue easily and clearly without incision for implantation

4.5*10mm CMI IS ll active implant was placed on #46 with about 30N.CM torque

extraction of #43, #44, #45

4.0*11.5mm CMI IS ll active implant was placed on #44 with about 30N.CM torque and 4.5*10mm CMI IS ll active implant was placed on #43 with about 25N.CM torque, the IS ll active cemented abutment was tighted with 15N.CM torque

extraction of #34,#35,#36 and 3.5*11.5mm CMI IS ll active implant was placed on #41 with about 30N.CM torque, the abutment was tighted with 15N.CM torque

4.5*10mm CMI IS ll active implant was placed on #36 with about 35N.CM torque, 4.0*11.5mm CMI IS ll active implant was placed on #34 with about 25N.CM torque, 4.5*10mm CMI IS ll active implant was placed on #33 with about 35N.CM torque, all the abutment was tighted with 15N.CM torque

postoperative clinical view and radiographic photograph

immediate impression

after 24 hours the clinical review of the wound the denture was weared and using the zinc oxide for fixation

after two months the clinical and x-ray view

the clinical and x-ray view after the transfer bar was inserted the implant

install guide abutment and mental basement

clinical view of final restoration delivered and panoramic tomography