Dentistry

Case Study
Lower immediate rehabilitation with Computer-Guided Keyhole Surgery and an All-on-4 Fixed Implant Bridge and upper staged rehabilitation with Bone Grafting and Fixed Implant Bridge on 6 implants

BEFORE	AFTER

	1. The dentures fit loosely over the bare gums
	2. Implants were placed using computer-guided surgery (Nobel-Guide)
	3. The gums were closed with dissolvable sutures and comfort caps were placed whilst the teeth are fabricated.
	4. An impression of the implants was taken.
	5. Lower replacement teeth are fabricated using highly aesthetic high-impact acrylic
	6. The lower replacement teeth are screwed to the implants.
	7. Alveolectomy and bone grafting were performed in the upper jaw and left for 6 months to heal. The patient continued to wear her upper denture during the healing process.
	8. After healing of the grafts, six dental implants were placed using Nobel-Guide computer guided keyhole surgery. Comfort caps were placed whilst the teeth were being fabricated. Note that there are no stitches with this keyhole surgical method.
	9. In the next day, teeth were set in wax in and tried in over the implants to assess function, aesthetics, comfort and speech. Once all parameters are met, the case is sent for fabrication.
	10. The upper replacement teeth are fabricated using highly aesthetic high-impact acrylic.