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All-on-4 upper jaw rehabilitation with Straumann implants and lower teeth restoration

All-on-4 upper jaw rehabilitation with Straumann implants and lower teeth restoration

Complaints:

Tooth decay in the upper and lower jaws, pain, and an unattractive smile.

Diagnosis:

Partial tooth loss, multiple cavities. Tooth decay affecting more than 50% of the tooth, complete loss of chewing function, and a significant aesthetic defect.

Treatment:

A CT scan and digital 3D planning were carried out, which allowed us to show the patient the expected outcome in advance and take their preferences into account. On the upper jaw, we removed the decayed teeth that could not be restored. Using a surgical guide, we placed four Straumann implants following the All-on-4 protocol. Bone augmentation was performed in the lateral areas, and gum reshaping in the anterior region to improve the aesthetics of the smile. Immediately after the operation, the bite height was determined and a temporary prosthesis was secured to a titanium bar supported by the implants. The treatment was carried out under sedation, so the patient experienced no pain or stress. On the lower jaw, root canal treatment was carried out on all teeth and preparations were made for prosthetics: zirconia inlays and temporary crowns were fitted to restore the shape of the teeth. Six months later, a permanent prosthesis on a titanium bar was fabricated and fitted to the upper jaw, and zirconia crowns were fitted to the lower teeth.

The treatment process was complex due to significant tooth destruction, especially in the lateral areas of the upper jaw, which led to a loss of chewing function. Traditional implantation was not possible without preliminary bone grafting and gum plastic surgery to improve aesthetics.

A CT scan and digital 3D planning were performed, allowing us to show the patient the expected result in advance. The damaged teeth were removed from the upper jaw, and 4 Straumann implants were placed using the Straumann system according to the All-on-4 protocol. Bone grafting was performed in the lateral areas and gum plastic surgery in the front area. Immediately after the surgery, a temporary prosthesis was placed, which allowed for the restoration of chewing function.

In the lower jaw, root canal treatments were performed, and zirconia inlays and crowns were installed. After 6 months, a permanent titanium bridge prosthesis was installed on the upper jaw, and zirconia crowns were placed on the lower teeth.

Result:
The patient received restoration of the lost teeth, improvement in chewing function, and a significant improvement in smile aesthetics.

Learn more about dental implantation with the All-on-4 protocol.

Doctors who performed the treatment:

The surgical stage was performed by oral surgeon and implantologist
Fedoryshyn Mykola.