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Zygoma implant and pterygoid implant for a lateral bridge. Implants placed using NobelGuide drill guide
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Situation
• Patient desires: replacement of lost dorsal teeth in the upper jaw
• Diagnosis:– Loss of teeth 16 17 and 26 27
– Narrow upper jaw, frontal open bite
– Traumatic occlusion
– In multidisciplinary consultation it was advised to perform TPD and orthodontic treatment
– This was refused by the patient• NoTPD
• Patient desires only dorsal occlusal therapy
• Patient has no problem with frontal open bite present for all her life
Chronology
• 12/06/2008: implant placement (1 zygoma,
1 pterygoid, 2 x Wide platform standard
implants
• 02/12/2008: second stage
• 21/03/2011: follow-up > 2y
Intake
07/01/2008
07/01/2008: Intake
X
07/01/2008: Intake
07/01/2008: Intake
07/01/2008: Intake
07/01/2008: Intake
07/01/2008: Intake
Treatment planning with
Nobelguide™ drill guide
Drill guide with teeth support
Treatment
12/06/2008: Implant placement
02/12/2008: second stage
Pre postmatching
Excellent accuracy of procedure with teeth supported Nobelguide™
Pre postmatching
Excellent accuracy of procedure with teeth supported Nobelguide™
Pre postmatching
Excellent accuracy of procedure with teeth supported Nobelguide™
Pre postmatching
Excellent accuracy of procedure with teeth supported Nobelguide™
Pre postmatching
Excellent accuracy of procedure with teeth supported Nobelguide™
Pre postmatching
Excellent accuracy of procedure with teeth supported Nobelguide™
Final work
24/02/2009
24/02/2009: Final Work
24/02/2009: Final Work
24/02/2009: Final Work
24/02/2009: Final Work
24/02/2009: Final Work
Follow-up > 2 year
21/03/2011
21/03/2011: >2y follow-up
21/03/2011: >2y follow-up
21/03/2011: >2y follow-up
21/03/2011: >2y follow-up