Johannesburg, South Africa
Menu
Johannesburg, South Africa
This is a challenging case.
The patient has lost many upper teeth. She presented for treatment wearing a plastic removable partial denture. She was seeking an implant solution.
This removable plastic partial denture was constructed to replace the missing teeth (6951).
The partial denture was unsightly and very difficult to wear.
A look inside the mouth shows a how the loss of teeth had resulted in shrinkage of the bone and drifting together of the remaining two front teeth.
Would it be feasible to offer the patient an implant solution?
The answer is yes!
We presented her with a treatment plan and explained in detail the challenges that needed to be addressed.
She excited to go ahead.
What result did we achieve?
Amazing!
Let’s walk you through the case and understand how we did it.
We were able to achieve the placement of four strategically positioned implants having created adequate bone to accommodate these implants.
We extracted the remaining two front teeth and fitted a temporary partial denture which enable us to proceed with the final restorative solution. This partial denture was worn whilst implants integrated to the bone. Once integration of the implants had taken place, the final restorative treatment began
Special attachments were fabricated in Spain and sent back to South Africa.
These attachments compensated for the slightly misplaced implants and provide the connection for the final restorative implant borne partial denture.
This partial denture is delicate in design. It has a firm connection with the special attachments and is removable to facilitate effective oral hygiene.
It was decided not to prescribe a fixed hybrid denture.
The correct placement of the implants is critical and very difficult to achieve.
A hybrid fixed denture does not allow for effective oral hygiene and the long-term health of implants is compromised.
Achieving effective effective phonetics and aesthetics
From start to finish, the treatment extended over 11 months.
During all this time the patient was kept comfortable by wearing a provisional denture.
This allowed her to continue to look good while implants were healing and then made it easy the various treatment stages to be done.
Whilst in treatment , nobody knew from her outward appearance that major dentistry was in progress.
We have provided the patient with a successful long-term solution.