Today, most tooth replacement done in the aesthetic zone using dental implants is with a delayed surgical protocol. Unfortunately, this delay can result in loss of both soft and hard oral tissues during the healing period, necessitating guide tissue regeneration or a bone grafting procedure either prior to or at the time of implant placement.

If a delayed placement protocol is used or if grafting procedures are ineffective, the prosthetic phase of implant dentistry must restore the missing structures artistically and functionally to integrate with the existing dental structures.

This presentation reviews a technique that provides for prosthetic restoration of soft and hard tissues while enhancing the aesthetic results of the replaced dentition through a unique removable implant prosthesis design.

Case 2

Fig 1. Missing and Injured Teeth                                    Fig 2. Inadequate Replacement

         Fig 3. Diagnostic Planning Cast                               Fig 4. One Stage Bone Expansion Osteotome Surgery

Fig 5. Pre-Operative Radiograph

Fig 6 & 7. CBCT Scan Providing A Three-Dimensional View of Maxilla For Implant Planning and Placement

Fig 8. One Stage Bone Expansion                            Fig 9. Healed One Stage Bone Expansion

Osteotome Surgery                                                            Osteotome Surgery

Fig 10 & 11. On Site Laboratory Construction of Implant Connecting Bar

Fig 12-15.  On Site Laboratory Construction of Implant Connecting Bar & RPD Frame work

Fig 16-19.RPD Frame work with Ackerman Clips and Processed Teeth with Acrylic

Fig 20. Post-Op Radiograph of Implants and Connecting Bar & Restored Teeth

Fig 21-24. Restored Maxillary Lip Contour and Facial Aesthetics

Fig 25. Restored Dental Aesthetics

Fig 26. Restored Facial and Dental Aesthetics