IMPLANTS AND IMMEDIATE LOADING

INITIAL SITUATION

The patient experienced trauma to the front teeth at a young age. As a result, two front teeth are now lost due to resorption (an inflammatory process affecting the root).

The patient first requires orthodontic treatment to correct the crossbite and midline deviation.

This treatment is complex and requires a multidisciplinary approach involving various specialties.

ORTHODONTICS AND TWO IMPLANTS

The position of the teeth was nicely corrected with an orthodontic treatment.

The two teeth that were lost were replaced by implants on which a temporary crown was immediately placed. Thanks to this temporary crown, the patient is not left with a gap. This concept is called immediate loading.

The missing teeth in the lower jaw were also replaced with implants.

Now we can continue to the final restorative phase, in which the six front teeth are aesthetically restored with a combination of porcelain veneers and two screw-retained zirconia implant crowns.

FINAL RESULT 

with porcelain veneers and crowns 

This beautiful result was achieved thanks to a well-thought-out and technically well executed treatment plan.

This treatment demonstrates that good collaboration between different disciplines — orthodontics, implantology, periodontology, and restorative dentistry — can ensure that the patient regains an attractive, aesthetic smile, allowing her to smile again with full confidence.

INITIAL SITUATION

All teeth are lost due to periodontal disease (Bone loss) and are mobile. 

Patient wants to retain the original tooth shape as much as possible during the transition to a full implant bridge. This is possible using 3D technology. Based on clinical photographs, a facial scan (Rayface) and an intraoral scan, an optimal aesthetic shape is designed. By loading all digital images and the CBCT into a 3D program, the implants can be planned in the ideal position.

A surgical guide is digitally designed and 3D printed. This ​‘guide’ is used during the procedure to perfectly transfer the planned implant position to the mouth.

TEMPORARY FASE

Within 24 hours of treatment, we place a temporary fixed bridge on the implants. This means you do not have to wear a removable denture and are never left without teeth. You can eat comfortably right from day one. Furthermore, this bridge is essential for proper healing: It helps the implants integrate into the bone (osseointegration) and immediately shapes the gums.

FINAL BRIDGE 

After 6 months, the permanent zirconium bridges are manufactured. If necessary, adjustments to shape and color can be made. In short, you have maximum input so that you feel completely comfortable with your new teeth.

This young patient suffers from agenesis (missing) of the lateral incisors. Orthodontic pretreatment is used to move the definitive canine teeth in the right position. This causes a space that will be filled with placement of two dental implants.

3D planning software is used to create a set up and implant guide to place the implants in the correct position.

During the same appointment the restorative specialist fabricates two temporary crowns. These crowns are shorter than the final crowns because strong loading has to be avoided during initial healing.

The temporary crowns are guiding the correct healing of the gums. During integration of the implants, the remaining frontal teeth were reconstructed with composite restorations to achieve the correct shape.

Final result after placement of the definitive porcelain implant restorations.

INITIAL SITUATION

Patient wanted to replace the partial removable prosthesis in the upper and lower jaw due to discomfort. 

TREATMENT 

Based on clinical photographs, 3D scans, CBCT, and 3D software the implants are planned in the ideal position. With the 3D surgical guide the implants can be placed in perfect alignment with the initial planning and the remaining teeth are extracted.

The provisional bridge is prepared and screwed into place after a few hours. The patient can immediately function comfortably. As we can see, the fixed bridge replaces both the teeth and a portion of the jaw and gums.

FINAL RESULT

After healing of six months, the finak fixed zirconium bridges for the upper and lower jaw are made by the dental technician. These are fully customized to the patient’s wishes regarding shape and color. The ceramic material feels smooth and pleasant and is also easy to clean. As a result, she has a beautiful, white smile once again, allowing her to eat and speak with total confidence and comfort.