Patient Presentation: Patient bit on something hard and 12 tooth was loose. Patient also complained that front teeth are misaligned.
Diagnosis:
Periodontally involved teeth 13 to 23
Midline deviated by 3mm to the left
Receding gumline exposes unsightly roots.
Treatment plan:
Remove mobile teeth, debride and placement of 4 Neobiotech IS II active fixtures to support 6 unit implant supported bridge.
Bone graft to provide sufficient bone volume around implant to support fixtures.
Screw retained design to facilitate regular maintenance.
Straight Lips in repose
Full Smile
Pre- OP radiograph
Post Op Radio graft - note healing abutment obstructed by interdental bone due to sub crestal placement of implants
Bridge inserted and opg taken to check fit of the implant connections. Emergence profile improved to facilitate seat of the abutment interface to the implant.
Treatment outcome: