Beautiful aesthetic outcome of monotlithic Zirconia

Level 3 case: double All-on-4

—

by

Dr. Vladimir Malušev
in

initial state

edentulous maxilla
Edentulous upper jaw and failing dentition in the lower jaw
Maxillary atrophy
Profile showing no support for the lip and thus FP3 type of restoration is indicated
No lip support
FP1 restoration with severe alveolar ridge atrophy would leave the upper lip unsupported
Failing dentition
Intraoral view showing the uneven ridge and occlusal plane
poor PFM bridge in lower jaw
Always taking jaw relations into account when planning rehabilitation
Panoramic scan before All on 4 treatment
Panoramic X ray scan showing abundance of bone for All on 4 restoration
CBCT imaging
Mandatory CBCT imaging to check bone dimensions Notice a wide nasopalatal canal
CBCT rendering of upper and lower jaw
Thorough CBCT analysis is a necessary part of preparation for surgery
All on 4 neodent implants panoramic scan
Postoperative Panoramic image showing Neodent GM helix implants in both jaws
Immediate loading full arch
Fixed provisional PMMA dental bridge is fitted days after surgery
Occlusal check
Interocclusal relations are double checked for even force distribution
PMMA temporary fixed bridge on implants
Already a proper lip support is provided but time is needed for muscle function rehabilitation
Perfect occlusal plane and jaw relation
Six months later final monolithic Zirconia is fitted
Beautiful smile restoration
Because of adequate provisional restoration final ceramic bridge on implants takes no time to fit
Full contour Zirconia
Teeth size shape position and colour are selected for every patient and in regard to their wishes
Monolithic Zirconia
Finally upon fitting the Zirconia dental bridge the patient can start functioning immediately
All on 4 panoramic scan of final fixed prosthesis
Pasive fit is checked on radiogram
Transparent incisal edge
Thanks to Dr Ružica Lalović prosthodontist and Nikola Malušev for beautiful laboratory work
White Clinic Belgrade
This procedure is a core protocol of the Graft Free Implantology concept and is routinely performed at White Clinic Belgrade For clinical inquiries or case referrals regarding the BDF technique contact our surgical team here
author avatar
Dr. Vladimir Malušev Oral Surgeon
Dr. Vladimir Malušev is a Specialist in Oral Surgery (University of Belgrade) and an active member of the International Team for Implantology (ITI). He is a cofounder and lead clinician at White Clinic Belgrade. With a passion for Graft Free Implantology, he is dedicated to providing patients with minimally invasive dental solutions.
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Straumann International Team of Implantology Oral Surgery Oral Implantology
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