Patients with no Teeth in upper Jaw |
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- Patients w/ no Teeth in Upper Jaw
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Case 1 - Fixed Detechable Bridge
This patient present with desires of having a fixed bridge to fixed the missing teeth and spacing between the remaining natural teeth.
Because of gum problems and lack of bone the teeth had to come out. Implants were placed immediately to prevent additional bone loss and to receive an immediate temporary prosthesis.
Temporary posts were used to secure this temporary fixed prosthesis to the implants. This prosthesis is made of acrylic teeth with pink acrylic simulating the natural looks of gum tissues.
The temporary prosthesis is screw over the implants, which are allowed to heal for at least 4 to 5 month. Strict diet and post operatory instruction most be follow to assure the success of this technique.
Once the implants have integrated to the bone a final mold is taken and the position of the implants is transfer to a working model. This model will be use by the laboratory to fabricate the custom-made posts and final prosthesis.
The final prosthesis is delivered with cement and gives the patient all the functions and benefits of natural teeth.
Case 2 - Reconstruction of a patient missing all upper teeth – Good bone height in the front of the jaw, lack of bone in the back of the upper jaw
This patient has no upper teeth and desires a set of teeth without a palate with sufficient stability to eat ribs.
This patient is treated by placing regular implants in the front of her jaw, and long implants in the back of the upper jaw.
After the implants healed, a precision bar was made and screwed into the implants.
The new set of teeth had a metal framework with attachments to secure the teeth to the precision bar.
The new teeth did not have the palate included.
Now the patient has a functioning set of teeth that she can chew any textured food.
Case 3 - A fixed/removable set of teeth in the upper jaw in a patient with excellent bone in the front and back of the upper jaw.
This patient has a large tori in the middle of her upper jaw which made it difficult for her to wear an upper denture.
A model was used to determine the ideal location of the implants.
The implants were placed into the bone in ideal locations, determined by preoperative planning.
After the implants healed to the bone, a precision bar was fabricated and screwed into the implants.
The inside of the prosthesis had a metal substructure which mated to the precision bar.
The final prosthesis fit perfectly over the bar and was secured to the bar by small swing lock attachments
Case 4 - Use of conventional crown and bridge teeth on multiple implants to replace a full set of upper teeth.
This patient is missing all but two upper teeth, but has sufficient bone for implants and conventional crowns.
The first step in this man’s reconstruction was to create an esthetic set of new teeth. The planned new teeth were tried in the mouth and were found to be an excellent solution for the patient. From this plan, a custom drill guide was made to guide the surgeon on implant placement location anticipating the final result.
The implants were placed and after four months for healing special temporary caps placed to provide access to the implants which were under the gingiva.
The dentist took impressions of the implants and made custom abutments which allowed for a temporary set of fixed teeth to be placed. The temporary set of teeth allowed the gingiva (gums) to be shaped and contoured so the final teeth would emerge from the gums and appear natural.
The final teeth were cemented to the abutments and created an esthetic, functional reconstruction for the patient.
Case 5 - Conversion of hopeless teeth to an implant borne fixed removable set of teeth
Initial presentation of patient with hopeless teeth.
After the teeth were extracted a temporary denture was placed and then used to create a surgical guide to show the surgeon the best location of the implants.
Eight implants were placed into the maxilla to support the bar.
A precision bar was fabricated to provide excellent retention and support of a fixed removable prosthesis.
The prosthesis with the teeth was secured to the precision bar using small swing lock attachments.
Case 6
This patient has no teeth in her upper jaw. She requests a fixed set of upper teeth. She desires to minimize her pain and time waiting for a new set of teeth.
This xray shows very little remaining her upper jaw. She will need grafting to increase the height of bone in the back part of her upper jaw.
In order to graft the bone in the back of her upper jaw, a window was made and the sinus membrane was elevated to make room for the graft.
The graft is bone morphogenetic protein (BMP) which is a bioengineered product. It is dissolved in water and then applied to a collagen sponge. The colleen sponge is a carrier for the protein. This is the collagen.
Bone forms in the sinus over a sx month period. This xray shows the new bone growth.
After the bone formed, a ct scan was obtained and a computer program was used to perform virtual surgery. From the virtual implant surgery, a computer generated surgical guide stent was made. Using the computerized guide, the final set of teeth were also made.
A the time of surgery the implants are placed using the computer generated drill guide. Here are the implants placed with no incisions.
The implants are seen here. Because no incisions were made, the patient wil have minimal pain and minimal swelling.
Before the surgery occurred, the final set of teeth were made in the laboratory and were ready when the implants were placed.
The final set of teeth are secured to the implants with small screws.
The patient leaves the clinic with a new set of teeth. The time for surgery and placement of the teeth was less than one hour.
The final x-ray showing the implants in the bone.