Healthy gingival tissues around implant bridges has always been crucial for survivability of dental implant fixtures long term.
( some clinical photos are not available at the moment and will be added in next few days)
Patient presented with failing bridge and would like to replace with fixed restorations.
Abutment teeth cannot provide sufficient support for fixed bridge due to severe caries and mobility on tooth #13
Treatment plan: Removal of tooth #13, 23, 24, 25
Installation of 7 fixtures, internal sinus lift on 24, 25 with neobiotech sinus all kit
Fitting of Multi unit abutments on 24, 25, 26. Surprisingly 24, 25, 26 had good initial stability(more than 50ncm) due to engagement to cortical plate on sinus floor and precise matching of reamer drill diameter to fixture wall
Final xray of upper zirconia bridge
Good co adaption of soft tissues to zirconia bridge during issue.