Initial

Situation

Patient: 58 years, female
Clinical situation: Several teeth missing in posterior areas of Maxilla and Mandible
Surgical solution: 1/2 All-on-4 in both posterior sextants of the Maxilla – single implant placement in the Mandible
Restorative solution: Provisional: Immediate acrylic bridges screwed retained
Final: Metal-ceramic Bridges
Surgery date: September 2009
Prosthodontist: Ana Teresa Oliveira

Treatment

Planning

1st phase:

1/2 All-on-4 in the posterior sextants of the Maxilla + immediate acrylic bridge
single implants in the mandible with immediate acrylic crowns

2nd phase:

Metalceramic bridges and single crowns over implants

Surgical

Procedure

Identification of the anterior wall of the sinus is crucial to plan the placement of the posterior tilted implant and the anterior straight one.

Drilling both implants at the same time allows you to take the best advantage of the available bone. Use MU Abutments to compensate the implant position.