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Implants
Posted on 09.14.2012 08:13 PM
By Amr Asker
In Implants
45 male pt. complaining of this badly teeth and and want to make implants.how many implants recommended in this upper arch and can i make immediate placement in this case ? thanks
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9 Comments
Sormani Queiroz says on 09.15.2012 05:11 AM
Any CBTC?
Amr Asker says on 09.15.2012 07:39 AM
no :(
Maurice Salama says on 09.15.2012 11:21 AM
Amr; I woul think yes you can place implants and immediately load them with appropriate A-P spread and cross arch splinting.
Good luck
Dr. Salama
Simha Kukunooru says on 09.15.2012 10:00 PM
Dr. Salama,
First of all, I want to thank you for sharing your cases and ideas.
As for the above case, the panoramic radiograph does show adequate vertical height of alveolar bone except at #3 area. A CBCT will reveal the alveolar ridge widths in the edentulous areas. Can you please help comment on a couple of things:
1. How many implants would you place for a fixed-detachable prosthesis in the maxillary arch? Implant positions?
2. What's your take on All-On-4 concept?
Thank you
Simha K
Amr Asker says on 09.19.2012 09:08 PM
thx Dr.salama ,but what about implant positions??
Sormani Queiroz says on 09.15.2012 12:09 PM
Amr,
I agree with Dr.Salama, its possible to place the implants, there's a lot of bone in posterior area. My concerns are about the apical lesions present in some anterior teeth, one of them seems to be very large. So be sure that you will remove all the pathologic tissue prior to implantation. A CBTC could help you to proper planning.
Best regards.
Dr. Sormani.
Sam Busich says on 09.16.2012 11:11 AM
I agree with Dr. Salama. This seems to be an excellent case for immediate placement and loading with cross arch stabilization and splinting.
Sam
Amr Asker says on 09.19.2012 09:09 PM
thx all for ur concern but i need to know the best implant position for 6 implants?
george farag says on 10.16.2012 04:38 AM
A minimum of 8 implants,more if primary loading is intended.distributed evenly around the arch