image/svg+xml2021Timothée Giet
1

Comprehensive dental rehabilitation with Straumann implants and zirconia restorations

Comprehensive dental rehabilitation with Straumann implants and zirconia restorations
Complaints:
The patient presented with concerns about an esthetic defect caused by misaligned teeth, missing posterior teeth in the lower jaw, and missing anterior teeth in the upper jaw. The patient also reported pain and clicking in the temporomandibular joint (TMJ) area.
Diagnosis:
Secondary edentulism of teeth 1.2, 2.2, 3.6, and 3.7. Disruption of dental arch integrity, reduced masticatory efficiency, and functional disorders of the temporomandibular joints.
Treatment:
A comprehensive treatment plan was developed and carried out in several stages. The first stage included a thorough oral examination, computed tomography (CT) to assess the condition of the bone tissue, and acquisition of digital models using a 3Shape scanner for planning the future smile. Following the diagnostic stage, orthodontic treatment was performed in collaboration with a gnathologist and an orthodontist to align the teeth, normalize occlusal relationships, and eliminate functional disorders of the temporomandibular joints. The next stage involved extraction of the wisdom tooth and placement of Straumann implants in the areas of the missing teeth (1.2, 2.2, 3.6, and 3.7). To ensure maximum accuracy and a predictable outcome, a custom surgical navigation guide was used. The final stage consisted of prosthetic rehabilitation with zirconia restorations supported by the implants. As a result, full restoration of masticatory efficiency and dental arch integrity was achieved. Pain and clicking in the temporomandibular joint area were eliminated, and the patient obtained a harmonious, esthetic, and natural-looking smile.

In this case, the patient was concerned about several missing teeth, impaired smile aesthetics, and discomfort in the temporomandibular joint area.

Therefore, treatment was aimed not only at replacing the missing teeth but also at restoring the proper function of the entire stomatognathic system.

Following comprehensive diagnostics including CT imaging, 3Shape digital scanning, and treatment planning, the first stage involved orthodontic treatment.

This made it possible to align the teeth, improve occlusal relationships, and reduce functional overload of the temporomandibular joints.

After completion of the preparatory stage, Straumann implants were placed in the areas of missing teeth 1.2, 2.2, 3.6, and 3.7 using a customized surgical guide.

At the final stage, prosthetic rehabilitation was completed with zirconia restorations supported by implants, restoring both the integrity of the dental arches and chewing function.

Result:

The missing teeth were restored, chewing dysfunction was eliminated, and aesthetic concerns were resolved.

The patient was also able to eliminate pain and clicking in the temporomandibular joint area and achieve a harmonious smile.

 

In some cases, dental implantation is only one part of comprehensive treatment that may also include orthodontic and gnathological preparation.

Learn more about dental implants and comprehensive oral rehabilitation.

Treatment performed by:

The surgical stage was performed by oral and implant surgeon
Ruslan Arturovych Polozhyi

Ruslan Arturovych Polozhyi

The prosthetic stage was performed by prosthodontist
Oleksandr Serhiiovych Troskin

Oleksandr Serhiiovych Troskin

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