MAXILLARY & MANDIBULAR IMPLANTS
-- UTILIZING SIMPLANT
n
Statement of the problem: Loss of teeth in the either jaw will usually result in loss of function and aesthetics for the patient as well as loss of soft and hard supporting tissues. This bone loss is not limited to alveolar bone; portions of the basal bone may also resorb. This continuing loss of bone is associated with treatment complications, and in the case of the mandible, instability of the complete denture. Endosteal implants are routinely used to stabilize and support a prosthesis for a missing tooth or teeth and are placed into the remaining native bone if adequate. However with less than adequate bone support, grafting is considered essential for implant placement. The determination of what is adequate for implant support involves the need for pre-surgical PROSTHODONTIC EVALUATION and DIAGNOSIS.
This
determination also includes bone
location, volume, density, implant
position, trajectory and the final
prosthesis.
It
is essential to have 3-dimensional radiographic visualization of the implant site, with a surgical template or “SurgiGuide” available, besides the traditional diagnostically mounted casts and radiographs, in order to diagnosis and place implants with predictable results. The bone donor site can also be evaluated if autogenous bone grafting is needed. n
Therefore
using advanced dental imaging including
cone beam computerized tomography, (CBCT)
and “Simplant” an interactive software
for implant planning and placement, can
result in
“improved patient treatment.
|
CONSIDERATIONS: Patient 4 n- Patient’s General health, age, and anxiety level? n- Access to Osteotomy Site treatment? (ENOUGH ROOM) n- Type of prosthetics to be considered? n- Nasal sinus position? n- Implant length & width? n- Trajectory of Implant? n- Bone density and implant Stability, immediate load? n- Characteristics of Implant to use? n- Final Implant Prosthetics? |
Figure 1.Original Appearance of Patient
Fig 2. Pre-Operative Radiograph Prior to Maxillary Grafting or Mandibular Implant Placement
Fig 3. Pre-Operative Radiograph After Maxillary Grafting, Prior to Mandibular Implant Placement
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Fig 4. Pre-Operative Simplant Planning Prior to Maxillary Grafting or Mandibular Implant Placement
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Fig 5. Pre-Operative Simplant 3-D Model Planning Prior to Mandibular Implant Placement
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Fig 6. Post-Operative Radiograph with Maxillary Grafting and Mandibular Implant Placement
Fig 7. Pre-Operative Simplant Planning Prior to Maxillary Grafting or Mandibular Implant Placement
Fig 8. Pre-Operative Simplant 3-D Model Planning Prior to Maxillary Grafting or Implant Placement
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Fig 9. Post-Operative Radiograph with Maxillary Grafting & Implants and Mandibular Implants
Figure 10.Original Appearance of Patient and Prostheses
Figure 11.Completed Appearance of New Prostheses
Figure 12.Completed Appearance of Nedw Prostheses
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Figure 13. Restored Facial Aesthetics with New Prostheses
Figure 14. Restored Facial Aesthetics with New Prostheses