FULL UPPER ARCH RECONSTRUCTION
Case 1. Implant supported full upper occlusal arch reconstruction

This 60 year old gentleman had a deteriorating upper dentition which had reached terminal dental stage... Meaning they all had to be removed.

He was reasonably unwell also, and management was coordinated with general medical care.

 

Remaining upper dentition, that showed multiple decayed and abscessed teeth. The client had background heart disease and diabetes, and was taking warfarin.

The client had been attempting to keep his teeth for as long as possible, as he considered the prospect of a full upper denture would severely curtail his fond appreciation of all things culinary. His request of the dentist specifically was to construct a full upper denture, without palatal coverage.

The dentist said this was impossible, unless he considered... Implants.

After having a full dental clearance, his oral & maxillofacial surgeon placed four implants to the maxilla, with combined bone grafting to increase the height of his posterior alveolar bone (also called a sinus lift operation).

Following 6 months of "settling" and "osseointegration", where a temporary full upper denture was worn, the patient returned to his dentist for initiation of a full upper fixed, implant-supported-dental prosthesis.

X-ray image of four implants fixed to maxilla, with presence of a full zirconia supra structure, bolted internally to the integrated titanium bone implants.

 

Photo showing final zirconia/porcelain supra structure in the mouth. The structure is firmly secured to four integrated implants. A small gap above the appliance allows for water pick cleaning of the implant abutments.

Final smile achieved. Surgery provided by Dr Paul Coceancig, and implant dentistry by Dr Andrew Nixon.

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