Initial
Situation
Patient: 53 years, female
Clinical situation: Several teeth missing in mandible, pain in chewing and not conformable with the removable denture.
Surgical solution: All-on-4 Mandible
Restorative solution: Provisional: All-Acrylic Bridge
Dra. Mariana Capelas
Surgery date: February 2015


Treatment Planning
1st phase:
- All-on-4 Mandible
- Maloclinic All-Acrylic Bridge
2nd phase
- Maloclinic Acrylic Bridge

Surgical Procedure
Incision and full-thickness flap raising with the identification of the mental foramina

Incision and full-thickness flap raising with the identification of the mental foramina



After the All-on-4 Guide placement, we start the drilling of the posterior implants.
Underpreparation Protocol allow a good implant stability according to bone density.


Placement of anterior implants
Outcome

