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A Fixed Whole-Mouth Rehabilitation Utilizing Natural Abutments and Implants: Treatment Concepts and Clinical Realization A Fixed Whole-Mouth Rehabilitation Utilizing Natural Abutments and Implants: Treatment Concepts and Clinical Realization

Author(s):

Nitzan Bichacho, DMD;Rafi Lahav, MDT, Cobi J. Landsberg, DMD

Date Added:

1/1/2001


Summary:

A 45-year-old female patient presented to the clinic with a request to treat her deteriorating dentition that had been reconstructed 15 years ago with fixed restorations. Clinical examination revealed fixed partial dentures cemented to natural abutments in the maxilla, whereas telescopic restorations were cemented to natural abutments bilaterally in the mandible. The treatment plan included a whole-mouth rehabilitation utilizing natural teeth and implants. As the patient declined any surgical augmentation procedure, the hopeless teeth (maxillary right first premolar and mandibular bilateral third molars) were removed and following the alveolar ridge maturation, a surgical guide for implant placement was fabricated. However, due to anatomic jaw limitations and the patient's rejection of advanced bone augmentation procedures, ideal prosthetically driven implant placement could not be implemented. Three implants (Steri-Oss, Yorba Linda, CA, USA) were placed in the right maxilla, four implants in the right mandible, and three in the left mandible.

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