NEO-NAVIGUIDE usage in compromised bone width of All-on-4 case with NEOBIOTECH implant

mongkol

Author
Dr. MONGKOL THAVEEPRUNGSIPORN

Private dentist & Co-founder of BFC Dental
(www.bfcdental.com)

Bangkok, Thailand



Healthy Australian female patient, 59 years old, came to BFCdental (Bangkok, Thailand) for making new full mouth teeth replacement.
She choose all remaining teeth extraction and All-on-4 concept treatment for her treatment option because of her affordable budget, and she need to complete full mouth treatment within 1 trip, 14 days.
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This case presents full mouth teeth replacement with All-on-4 concept treatment.
We use 4 dental implants and 5 dental implants to support lower & upper fixed hybrid denture.
4 tilted distal implants in all of quadrants had been placed for avoiding anatomical structures.
We had used 3D-surgical guide with NEO-NAVIGUIDE kit drilling in upper jaw which is compromised bone width in most of area. After upper implants placement, we use buccal graft with sticky bone & CGF (concentrated growth factor) for guided bone regeneration.
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2 diameter sizes in 1 Parallel pin

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2 diameter sizes in 1 Parallel pin

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17º Tilted distal implant Q4

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2 diameter sizes in 1 Parallel pin

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2 diameter sizes in 1 Parallel pin

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Multiunit Angled Abutment : Different point of engagement = Different prosthesiss screw hole axis

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Closed tray impression technic with Transfer impression coping

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GBR with Sticky bone + CGF

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After operatio

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After 1 day

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In Skeletal Class 2 patient, one of concern is…
“Upper front screw access holes on Screw-retained implant restoration”.


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Surgical guide + NEO NAVIGUIDE Kit drilling

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Surgical guide for upper jaw

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Surgical guide for upper jaw

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Main concern: Surgical Guide stability during drilling

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After 5 dental implants placement with NEO NAVI GUIDE
(Surgical guide usage for Proper position of implant placement)


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Compromised bone width can be augmented with bone graft materials after placement

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3 front dental implants:Multi unit straight abutment
2 distal dental implants:Multi units angled abutment


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GBR & Socket grafting with Sticky bone (AFG + particulate bone) & CGF

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Open tray impression technic with pick-up impression coping

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Upper jaw: After operation 1 day
Lower jaw: After operation 2 days


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After operation 1 day

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After operation 2 days

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Try-in U&L metal framework

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Fit checking of U&L metal framework by Panoramic X-ray + Bite registration

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RE-BITE for mid-line correction

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Upper: After 10 days
Lower: After 11 days


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Smile line observation

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Observe Soft tissue profile & Maxillomandibular angle

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After treatment

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This case presents full mouth teeth replacement with All-on-4 concept treatment.

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