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Restoration of edentoulous Maxilla with Implant Supported Fixed Prosthesis: A case report

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Restoration of edentoulous Maxilla with Implant Supported Fixed Prosthesis: A case report

 

   Restoring edentulous maxilla with fixed-implant prostheses is a scientifically validated treatment     option.1 Prospective long-term studies present implant survival rates ranging from 95.5% to 97.9% when evaluating maxillary full-arch fixed dental prostheses.(FDP)2-4

  This clinical report describes the extraction of the hopeless maxillary teeth and replacement with an implant supported metal-ceramic FDP in order to optimally restore esthetics, phonetics and function. Maxillary teeth were extracted and six Straumann bone level implants were placed. Implants were immediately loaded with a temporary FDP.  Esthetics, phonetics and function were evaluated during the transitional period. After implants’ osseointegration, implant impression was taken using open-tray technique and verification jig confirmed the accuracy of the master cast. Casts mounted with the use of a jaw registration material. Six custom abutments were digitally designed and a framework was fabricated as well. Complete sitting of the framework verified and feldspathic porcelain was layered. Phonetics and esthetics were approved by the patient before the cementation. The prosthesis was cemented with temporary cement, excess cement was removed and  postoperative instructions were given. A nightguard was provided and follow up appointments were scheduled.

 

  1. Gallucci et al. (2009)
  2. Bergkvist et al. 2004;
  3. Rasmusson et al. 2005;
  4. Fischer et al. 2008.
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