Replacing defective bridgework and failing 

teeth with IMPlant bridgework

The treatment of the partially edentulous patient for dental implant therapy is based on evaluation of the soft and hard tissues, (Fig 1 & 2).  Appropriate x-rays are needed, as are accurate pre-treatment mounted diagnostic casts, (Fig 3 & 4).  Likewise during the diagnostic phase of implant treatment planning conventional prosthodontic protocol is followed.  This facilitates the construction of treatment teeth for the proposed surgical sites. Patient acceptance of these teeth or prosthesis will aid in determining if a fixed bridge or overdenture prosthesis is indicated or if grafting is required to change the type of prosthesis.  The aesthetic and functional position of the teeth should be determined and accepted by the patient prior to any x-rays or surgical intervention, using this prosthesis. Once evaluated and approved by the patient, a duplicate is constructed for x-ray implant determination using a CT scan record base, (Fig 5).  The following is a series of pictures of the patient's need for implant therapy in the upper left posterior area, with extractions and immediate implant placement completed.  The final prostheses is shown along with the provisional restorations (Fig 13 & 14),  worn for aesthetic and functional loading.  The final prostheses color and shape have been coordinated for appearance and harmony with the previous dental treatment, (Fig 17 & 18).

   

Fig 1 & 2:  Defective bridgework and Failing teeth

 

 

 

 

 

   

Fig 3 & 4:  Diagnostic cast and wax-up for implant placement planning          

 

 

Fig 5:  CT scan record base used for implant placement planning and surgical template 

Fig 6 & 7 & 8:  Master casts used with diagnostic wax-up to created socket sites for custom abutment construction

Fig 11 & 12:  Treatment restorations made in laboratory for provisional implant loading 

                            DAY OF INSERTION                            AFTER EIGHT WEEKS OF PROVISIONAL LOADING

Fig 13 & 14:  Treatment restorations seated to allow for provisional loading and ideal soft tissue health

Fig 15 & 16:  Ideal healthy tissue present at time of final impression after wearing provisionals to load implants

 

Fig 17 & 18:  Completed treatment:  Implants placed with bone expansion technique and custom abutments for

IMPlant bridgework

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