Golden-acrylic crown in a maxilla central incisor in a resting position
Golden-acrylic crown in a maxilla central incisor in a smile position
Temporary crown
All-ceramic crown with clearly improved aesthetic results
The implants with the abutments in the correct positions
The two rear bridges in place
Restoration complete (screwed)
Buccal view of mandible incisors lack
The implants in their correct prosthetic positions
Restoration with dental implants
Restoration of central incisors in the maxilla with prefabricated pins
Temporary restorations
All-ceramic crowns
Discoloration of maxilla incisors due to previous endodontic treatment and old resin restorations
Temporary restorations
All-ceramic crowns
Multiple tooth deficiencies – old amalgam and resin restorations in the mandible
Caries – Multiple tooth defects – Old amalgam and resin restorations in the maxilla
Complete upper and lower jaw restoration with metalloceramic crowns-bridges
The same rehabilitation 16 years later (immediately after scaling)
There is a good image of the oral condition despite the gums being undergone
Caries – Multiple tooth defects – complete mouth disruption
View 1
Caries – Multiple tooth defects – complete mouth disruption
View 2
Restoration of the maxilla with metalloceramic crowns-bridges
Restoration of the mandible with metalloceramic crowns-bridges and a partial denture
Full mouth
Transversal maxilla central incisor fracture (chewing view)
Transversal maxilla central incisor fracture (buccal view)
Color restoration and tooth shape with composite resin
Discoloration-failed restorations-caries of anterior maxillary teeth
Temporary restorations
Final restorations with all-ceramic crowns
Discoloration-caries-open bite-failure of maxilla and mandible restorations
Temporary restorations
Oral restoration with all-ceramic crowns-open bite correction
Restoration of complete lack of teeth in the lower jaw with two-piece denture (Ball attachment)
The denture placed in the mouth
Denture retention is increased
Periodontal teeth with poor prognosis
After the extraction of the natural teeth implants were placed for immobile full arch rehabilitation
Provisional denture supported by the two remaining wisdom teeth
The prosthesis placed in mouth (screwed) after the extraction of the last two teeth
Root caries after 10 years of full mouth crown restoration
Temporary restorations
Final restorations with crown elongation
Total screwed restoration in the mandible on five implants’ prosthesis with four cantilevers (two on both sides)
Immediate temporary restoration on the osseointegration phase
Final restoration with facial screw access due to the lack of bone quantity which obliged to facial implant placement
Final restoration after composite resin hole covering
Facial view in resting place
Aligner type splint treated patient. Initial situation – facial view
Aligner type splint treated patient. Initial situation – right lateral view
Aligner type splint treated patient. Initial situation – left lateral view
Aligner type splint treated patient. Initial situation – right lateral view in bite position
Aligner type splint treated patient. Initial situation – left lateral view in bite position
At the end of the treatment. Facial view
At the end of the treatment. Right lateral view
At the end of the treatment. Left lateral view
Case with large periodontal destruction in both centrals and left lateral incisors. Initial situation
Gum recession is obvious in left cental and lateral incisor accompanied by high level mobility
Following teeth extraction having poor prognosis and three implants placement
Alveolar bone conservation obtained by cancellous bone graft combined by resorbable collagene membrane and restoration finished with three zirconium crowns construction
Patient’s smile
Case with minimum remaining teeth accompanied by increased mobility and large amounts of calculus deposition leading to poor prognosis
The remaining alveolar bone is enough for restoration with four and two implants in maxilla and mandible respectively for hybrid dentures
Placement and healing of six implants
Case programmed to completion with six ball attachments
The increased retention allows the avoidance of palatal expansion and extended fins in both upper and lower dentures
Both chewing and vocal abilities are ensured due to the stability of the restoration
Right lateral view of complete restoration
Left lateral view of complete restoration
Aligner type splint treated patient. Open bite in anterior teeth combined by palatal inclination of maxillar posterior teeth
Right lateral view with obviously palatal inclination of maxillar posterior teeth
Left lateral view with obviously palatal inclination of maxillar posterior teeth
Case completed with open bite corrected and maxillar posterior teeth shifted buccally
Right lateral view with axial inclination of posterior teeth corrected – open bite correction
Left lateral view with axial inclination of posterior teeth corrected – open bite correction
Achieving relocation of maxillar posterior teeth to fit with opposite mandibular
Case with extensive dental substance destruction – lack of posterior and anterior teeth leading to vertical dimension loss and total disruption of the mouth. In the stage of temporary crowns and dental implants placement in the mandibular posterior places
Right lateral view of the case showing the lack of teeth, temporary crown construction and dental implant placement
Left lateral view of the case showing the lack of teeth, temporary crown construction and dental implant placement
Case completed and full mouth restoration with zirconium crowns – bridges plus virtical dimension correction. Right lateral view
Case completed and full mouth restoration with zirconium crowns – bridges plus virtical dimension correction. Left lateral view
Restoration completed in central ocllusion position with zirconium crowns offering an even aesthetic result
Patient’s smile
Initial patient’s situation with extensive composite resin restorations’ discoloration together with secondary caries
After teeth preparation and temporary crown construction
Final restoration with zirconium crowns in central occlusion
Final restoration with zirconium crowns in resting place
Case with minimum remaining teeth, vertical dimension loss, old and ruined immobile and mobile restorations.
There is functional such as esthetic degradation.
The patient asked for a full mouth rearrangement with immobile rehabilitation, rejecting any other alternatives
i.e. full dentures. Medical history was free
Maxilla with adequate bone quantity can accept osteointegrated implants in purpose of immobile restoration
Mandible can also be fully restored after extraction of the remaining natural teeth. The
surgical procedure organized to be done in one stage for both jaws
Initial panoramic x-ray in combination with CT scan (CBCT) showed us the quantity of the alveolar ridge
and indicated the right position for the best implant spreading
Panoramic x-ray post-surgery showing the correct implementation so the prosthesis
will be supported on implants with competent settlement.
On upper right quadrant an extra implant was placed in position 14 because the one in position 17 did not have
satisfying primary stability which could jeopardize its success. Although all 13 had fully integrated.
Implants in positions 17 and 27 although in panoramic x-ray all looking like entering in the sinuses, in fact
this doesn’t happen as shown in the CT scan
7 maxilla implants post-uncovering and placing healing caps for emergence profile shaping
6 mandible implants post-uncovering like the maxilla ones which had been fully gum-covered after sub-bone
placement and covering screws use
Final restoration in resting place after impression and stages of metal framework and porcelain testing
Rehabilitation from right side. Any possible attempt was made so that all the mid-teeth spaces were covered
and food accumulation is avoided, along with trouble free oral health execution
Same case from left side. Both implants-supports and intermediates have the smallest gum-teeth space so that
both tooth- and interdental- brush can be used, something very important for long lasting reconstruction
Mouth in central occlusion place. Functionality such as vertical dimension totally fulfilled
Patient’s smile
Aligner type splint treated patient. Old and discolored crown on upper right central incisor
programmed to be replaced after orthodontic treatment in purpose of color uniform recovery.
Overcrowding in mandible incisors is obvious such as color stain presence through all the teeth
Mandible showing lack of space for right teeth settlement. An effort was made to avoid incisor
extraction for space saving and moving teeth to their right positions. In this case the outcome was
achieved by interproximal reduction (IPR) in the lower central and lateral incisors and canines
Final outcome after 7 months of treatment and zirconium crowns fabricated on upper central incisors
(in central occlusion)
The case in resting place
Right view
Left view. The patient did not wish the elimination of teeth discoloration which remained and just
reduced by fine grained diamond bur