image/svg+xml2021Timothée Giet
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All-on-6 upper jaw rehabilitation with Neodent implants for periodontitis

All-on-6 upper jaw rehabilitation with Neodent implants for periodontitis
Complaints:
Lack of teeth in the upper jaw, mobility of teeth, difficulty chewing food.
Diagnosis:
Generalized periodontitis of the II–III degree on the upper and lower jaws.
Treatment:
During the diagnostic stage, the patient underwent computed tomography (CT), a gnathological analysis to determine the centric jaw relationship, intraoral digital scanning with a 3Shape scanner, and 3D planning of the future rehabilitation. Based on the collected data, a surgical navigation guide was fabricated. The surgical stage was performed under general anesthesia. Following the atraumatic extraction of all periodontally compromised teeth in the upper jaw, six Neodent implants were placed immediately according to the All-on-6 concept using the navigation guide. To improve esthetics and soft tissue stability, soft tissue grafting was performed using a connective tissue graft (CTG). Immediately after surgery, a temporary fixed prosthesis supported by a titanium bar was delivered, allowing the patient to regain esthetics and basic chewing function on the same day. Six months later, after successful osseointegration and soft tissue maturation, the temporary restoration was replaced with a permanent zirconia prosthesis reinforced with a custom titanium bar and fixed on six implants. As a result, full masticatory function was restored, temporomandibular joint function was harmonized, and a stable esthetic outcome was achieved.

In this case, the patient sought treatment due to tooth mobility, difficulty chewing, and severe destruction of the periodontal tissues.

Because of advanced periodontitis, preserving the upper jaw teeth and restoring function with localized treatment was no longer possible.

Following CT diagnostics, gnathological analysis, 3Shape digital scanning, and 3D treatment planning, a full upper jaw rehabilitation using the All-on-6 concept was selected.

Under general anesthesia, teeth affected by periodontitis were extracted and six Neodent implants were placed immediately using a custom surgical guide.

To improve soft tissue conditions, additional gum augmentation with a connective tissue graft was performed.

A temporary fixed prosthesis on a titanium bar was delivered on the day of surgery, and after 6 months it was replaced with a permanent zirconia restoration on a custom titanium bar with screw retention.

Result:

The patient received stable fixed teeth in the upper jaw, restored chewing function, and improved smile aesthetics.

Proper occlusal relationships were re-established, creating favorable conditions for comfortable function of the entire stomatognathic system.

 

Even in severe cases of periodontitis, modern implant treatment protocols can restore teeth after extraction of hopeless teeth.

Learn more about treatment with the All-on-6 protocol and implant rehabilitation for periodontitis.

Treatment team:

Surgical treatment was performed by oral and implant surgeon
Klymentii Serdiichuk

Klymentii Serdiichuk

Prosthetic treatment was performed by prosthodontist
Oleksandr Troskin

Oleksandr Troskin

Gnathological supervision was provided by gnathologist
Mykhailo Falinskyi

Mykhailo Falinskyi

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