Rescue management of compromised dental treatment 10 k b

MANAGEMENT OF COMPROMISED IMPLANT TREATMENT with

ALVEOLAR NERVE REPOSITIONING & RESCUE IMPLANTS: A Clinical Report PREVIOUSLY ATTEMPTED “ALL ON FOUR”

MANAGEMENT OF COMPROMISED IMPLANT TREATMENT • The goal of modern implant dentistry is to return patients to oral health in a rapid and predictable fashion, following a diagnostically driven treatment plan. The partially or completely edentulous patient may be unable to recover normal comfort, function, facial aesthetics, or speech with a traditional removable dental prosthesis.

• The previous implant treatment of “All on Four” for the following patient resulted in a “compromise”, with an inadequate support system for the mandibular prosthesis and a maxillary complete denture with poor aesthetics.

• Correction of the “compromised” treatment consisted of bilateral inferior alveolar nerve (IAN) repositioning, to gain room for rescue implants for a totally implant supported and stabilized prosthesis.

EDward M. Amet DDS BS MSD FACP

PRE-OPERATIVE: Previously Attempted “All On Four”

PRE-OPERATIVE: Previously Attempted “All On Four”

PRE-OPERATIVE: Previously Attempted “All On Four” Inadequate Design and Retention for Mandibular Overdenture

PRE-OPERATIVE: Previously Attempted “All On Four” Prostheses

PRE-OPERATIVE: Previously Attempted “All On Four” Prostheses

PRE-OPERATIVE: Previously Attempted “All On Four” CBCT scan

PRE-SURGICAL: Photographs of an Earlier Age

PRE-SURGICAL: Construction of New Prostheses at Wax Try-in Stage

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SURGERY: Minimum Surgical Opening and Inferior Alveolar Nerve Repositioning

SURGERY: Minimum Surgical Opening and Inferior Alveolar Nerve Repositioning

SURGERY: Inferior Alveolar Nerve Repositioning and Placement of Rescue Implants

SURGERY: Impression for Transitional Fixed Detachable Over/Denture Prior to Suturing

SURGERY: Impression for Transitional Fixed Detachable Over/Denture

SURGERY: Transitional Fixed Detachable Over/Denture – Laboratory Conversion

POST- SURGERY: Transitional Fixed Detachable Over/Denture – Chairside Addition

POST-SURGERY: Inferior Alveolar Nerve Repositioning and Placement of Rescue Implants, Suturing Completed, & Placement of Prostheses

POST- SURGERY: Placement Transitional Fixed Detachable Over/Denture

POST-SURGERY: Inferior Alveolar Nerve Repositioning and Placement of Rescue Implants

10 DAYS POST- SURGERY: Final Impression Fixed Detachable Over/Denture

14 DAYS POST- SURGERY: Insertion Fixed Detachable Bar Over/Denture

14 DAYS POST- SURGERY: Insertion Fixed Detachable Bar Over/Denture

14 DAYS POST- SURGERY: Insertion Fixed Detachable Bar Over/Denture

SURGERY: Maxillary Bilateral Sinus Grafting

SURGERY: Maxillary Bilateral Sinus Grafting

SURGERY: Maxillary Bilateral Sinus Grafting

SURGERY-DAY OF: Maxillary Bilateral Sinus Grafting

SURGERY-DAY AFTER : Maxillary Bilateral Sinus Grafting

POST-SURGERY: Maxillary Bilateral Sinus Grafting 1 Month

POST-SURGERY: Maxillary Bilateral Sinus Grafting 12 Months

PRE-OPERATIVE: Simplant Study with Surgical Guide

PRE-OPERATIVE: Simplant Study without Surgical Guide

POST-SURGERY: Maxillary and Mandibular Implant Prostheses 36 Months

POST-OPERATIVELY: Construction of New Prostheses with Rescue Implants and Sinus Grafting

ADVANCING

THE ART… & SCIENCE OF DENTISTRY