Immediate maxillary implantation with alveolar crest 3D-restoration

Patient complaints: lack of several teeth and mobility of the old fixed denture on the upper jaw. Initial situation

Intraoral view

Panoramic radiograph of the pronounced atrophy of the alveolar ridge of the upper jaw due to the inflammatory process caused by a previously installed plate implant

Probing and diagnostics revealed that implant fixation can only be possible with utilization of the cortical layer of the anterior wall in the maxillary sinus

Implants installed according to the “All-on-4” protocol. The implant on site #25 installed at an angle with minimal torque (5 N/cm2). More than 4/5 of the implant is not covered with bone

The defect filled with mp3® to restore the parameters of the alveolar ridge of the upper jaw

The grafted site covered with Evolution and pinned

Sutures and temporary prosthetics of the upper jaw supported by implants

Panoramic radiograph on the day of surgery. Temporary reinforced plastic prosthesis installed

Soft tissues 6 months post-op look stable

Computed tomography reveals the absence of vestibular bone with slight preservation of a fragment of the palatine bone

Computed tomography 6 months after surgery. Newly formed bone tissue around the installed distal right implant

View of a fixed permanent titanium-ceramic prosthesis on maxillary implants 8 months after surgery

Patient’s smile with permanent construction on the upper jaw

Final panoramic radiograph with a permanent prosthesis installed