Patient Presented with periodontally involved madibular teeth and would like to have them replaced with dental implant bridges Treatment plan: remove 7 mandibular teeth with mobility 3, placement of 6 dental implant fixtures for fixed lower bridge. Bridge fabricated with Neobiotech Cameleon CS 5 axis milling machine

Patient presented with failing dentition due to caries and periodontally involved teeth. Treatment Plan: To restore esthetics and masticatory function by sequentially restoring mandibular dentition with implant supported lower fixed bridge from 44 to 32 and partial denture for posterior teeth. Full clearance of upper teeth for placement of 4 neo biotech fixtures for full arch bridge. Maxilla implant placement in 15/16, 25,26 region. tooth #17 kept to maintain Vertical dimension for jaw records bone reduction performed to provide space for prosthetic fabrication. jaw records with bite block coping is embeded inside bite block to ensure accurate transfer of bite records try in with 3d printed design of teeth. 15, 16 fitted with angled multi unit abutments to allow passive seat of bridge Occlusion well maintained Good soft tissue adaption of bridge to soft tissues due to try in records

Patient presented with lesion on #11, #12 Planned extractions #12,#11, debride and placement of 2 neobiotech IS II active fixtures. From CBCT radiograph Fenestration expected at apical portion of fixtures and bone graft procedure performed Implants placed 3-4mm below adjacent CEJ Healing abutments placed and bone graft packed at defect site Collagen Membrane placement. membrane shaped to avoid ANS to ensure membrane rest well on grafted bone Healing 1 week post op

Patient: presented with lower edentulous and upper missing posterior teeth Patient expectation: Does not want to wear denture DIAGNOSIS: UPPER MAXILLARY BONE DEFICIENCY IN posterior maxilla poor lip support , facial profile and masticatory function lips in repose Full smile TREATMENT PLAN: Installation of All on 4 implants (Neobiotech IS II Active) on maxilla Tooth supported Surgical guide (Varioguide) to facilitate insertion of 15, 25 to avoid sinus cavity Subsequent extraction of #13, #12,#11,#12 for installation of fixtures on #12, #22, Bone reduction to make space for fabrication of zirconia screw retained bridges. Fitting of 4 x angled 30degrees multi unit abutments for screw retained restorations Zirconia bridges fabricated with Neobiotech Cameleon CS chairside 5 axis milling machine Patients regains confident smile Full Smile line. improved facial profile.

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:

Diagnosis: Patient with wide smile line presented with periodontally involved teeth 5 to 5 UL, #15 teeth mobility 3. Heavy calculus Patient Expectation: I love to smile but my smile is not exactly pleasing. Please fix my mobile teeth and help me eat and smile better Treatment goal: Remove teeth with mobility 3, debride and clean sockets. Graft to maintain bone volume and height Restore functionality with 5 to 5 UL Zirconia screw retained implant supported bridges Screw retained prosthesis to allow removal and maintenance of underlying soft tissues periodically in consideration of patients oral hygiene. Zirconia bridge with pink gums to recreate aesthetic smile in view of patients high smile line. Improvement of patient facial profile. No complaints of tmj issues, to maintain current jaw relation. Patient presented with deep calculus Very poor OH. Non ideal smile due to movement of periodontally involved teeth Diastema between 21 and 22 Full smile- notice high smile line Full smile- notice Gummy smile, diaestima Side view of full smile- 11 protruded outwards Surgical considerations: High chance of implant failure and peri- implantitis - managed by prophylaxis prior to and after procedure -through debridement -Reduction of bone height provides sufficient soft tissues to allow grafting of sockets and creating sufficient bone volume around implants. 8 neobiotech IS II Active fixtures installed, maxillary fixtures are fitted with Multi unit angled abutments to redirect screw channels to occlusal surface and allow passive seat of prosthesis with uniform path of insertion. Sockets grafted. Lips in ripose Full smile- zirconia bridge fabricated by Neobiotech Cameleon 5-axis milling machine (6 years still in service) Smile line redifined with pink porcelain on zirconia bridge.

Patient Presented with mobile teeth and would like to have fixed restorations for better function. Missing 16, 15, 14, 12, 11, 24,25,26 #13,21,22, exhibit grade 3 mobility Planned extractions for 13, 21,22,23, remaining teeth #17, 27 maintains stable VD for bite records 5 Neobiotech IS II Dental implants are planned for a fixed Zirconia bridge from #15 to #25 socket grafted and bone is trimmed to provide for uniform soft tissue profile to facilitate hygienic pontic design for bridge. All 5 Neobiotech Fixtures exhibited good CMI fixation with more than 50ncm insertion torque and installation of prosthesis is planned within 1 week post insertion Prosthesis fitted and abutment screws torqued to 30 ncm, stable torque achieved indicating good fit of abutment connection Abutment screws torqued 2nd time to 30ncm to generate proper preload on all 5 abutment screws Patient achieved desired lip support and smile profile Our Happy patient :)