Dr. Satori Obana Sameshima
ALL CLINICAL CASES
Patient: A.L.A.
Age: 50 years.
Labor: Home.
Medical History: good health.
Dental History: Trauma on Anterior zone (accident) and multiple restorations.
Medical reason: She wants a second treatment opinion. “I want to change my restorations”.
Image 3: Anterior Bridge PFM -13,14,23 and 24 supports.
Image 4-5: Dx Wax up on Semi Adjustable articulator.
Image 6-13: CT guide with gutta-percha for radiographic contrast, we decided to plan 4 implants in zone of 12,11,21 and 22. Patient has a bone defect on zone of 23.
Image 14-15: We removed the anterior bridge and made a mock up with Bis-acryl resin, i should change the canted plane on the wax up.
Image 16: Digital Dx.
Image 17: Mock up.
Image 18: We made some modifications on mock up.
Image 19: Implants were placed at 12,21,22 zone, using surgical guide. (from wax up)
Image 20: We used some composite guide to select our transephitelial abutments.
Image 21: Transephitelial abutments and provisional abutments were selected.
Image 22-25: Fixed Provisionals using Bis-acrylic resin.
Image 26: Tooth color analysis.
Image 27-28: Fixed Provisionals.
Image 29-33: Open tray impression for anterior zone and crowns impression were made with double cord technique.
Zirconia layered restorations, screw retained on anterior and cemented on crowns.
Image 34-37: Intraoral View final results.
Image 37: Implant access were restored with PTFE tape and Provisional resin.(clip F)
Image 39: Rx of the case.
Image 40-42: Extra oral Front view
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