This patient came to the clinic complaining of tooth mobility, difficulty in chewing and unattractive appearance. After the X-ray and clinical examination a severe form of periodontal disease, which caused significant bone loss, was found. In addition, it has led to a deepening of the chin and nasolabial folds (due to the loss of the vertical height of occlusion, as the posterior group of teeth was missing for a long time) and deformation of the lips when smiling.
The specialists at our clinic conducted a diagnostic modeling of his dentitions. The treatment plan which was then proposed to the patient included the removal of all teeth that had a poor prognosis, and installation of dental implants in a single surgical stage. Moreover, the production of temporary bridges was anticipated on the day of the operation. Computer simulation of a smile, jaw bone tissue imaging and “wax-up” construction of dentition – on the basis of these results temporary bridges for our customer have been made. Fortunately, we were able to rehabilitate the function of the patient’s masticatory system by one hundred percent thanks to planning the perfect prosthetic position of implants and accurate count of the amount of bone tissue. Great aesthetic effect and the patient’s gratefulness were the result of the work.
At the time of the visit the patient suffered from a significant atrophy of the bone tissue, which is one of the most serious problems during implantation. In addition, due to improper filling of root canals in the front upper area there was a chronic inflammatory process that caused a significant defect in the bone ridge.
The patient expressed a desire to receive a metal-ceramic denture immediately after the operation so as to be able to go back to his business, trips and negotiations. While planning the treatment we have taken this into account, so that our customer spent only three days in Israel, which did not affect his plans at all.
Removal and replanting of bone blocks in areas of atrophy of bone tissue, implantation, filling the canals, correction of the state of gingival margin and recovery of the abutment teeth stumps – all these procedures were performed under general anesthesia. After the operation temporary bridges (prepared in advance) were set and molds for making metal-ceramic constructions were made, those that would be used by the patient as temporary ones for six months according to the method of treatment. Then permanent constructions were made for our client.