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10801 West 87th Street, Overland Park, KS 66214

ADVANCING THE ART AND SCIENCE OF DENTISTRY

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 A-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 using this prosthesis prior to any X-rays or surgical intervention. 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).

Contact Reconstructive and Implant Dental Center at 913-492-2233 today to learn more about replacing dental bridges with dental implants in Overland Park, Kansas, and set up a visit with our prosthodontist, Dr. EDward M. Amet.
 

Figure 1
Figure 2

Posterior
Posterior2

 

Fig 1 & 2: Defective Bridgework and Failing Teeth

 
Pre-Operative Radiograph
 

Figure 3
Figure 4

Posterior4a
Posterior4b

 

Fig 3 & 4: Diagnostic Cast and Wax-Up for Implant Placement Planning

 

Fig 5
Fig 5: CT Scan Record Base Used for Implant Placement Planning and Surgical Template

 

Master Cast A
Master Cast B
Master Cast C

 

Fig 6, 7 & 8: Master Casts Used With Diagnostic Wax-Up to Create Socket Sites for Custom Abutment Construction

 

Figure 9
Figure 10

waxup1
waxup2

 

Fig 9 & 10: Wax-Up and Castings of Custom Abutments

 

Figure 11
Figure 12

waxup3
waxup4

 

Fig 11 & 12: Treatment Restorations Made in Laboratory for Provisional Implant Loading

 

Figure 13
Figure 14

waxup5
waxup6

 

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

 
Post-Operative Radiograph (implants)
 

Figure 15
Figure 16

waxup7
waxup8

 

Fig 15 & 16: Ideal Healthy Tissue Present at Time of Final Impression After Wearing Provisionals to Load Implants

 

Figure 17
Figure 18

waxup9
waxup10

 

Fig 17 & 18: Completed Treatment: Implants Placed With Bone Expansion Technique and Custom Abutments for IMPLANT BRIDGEWORK