Simultaneous CAD-CAM MODEL-LESS POSTERIOR Rehabilitation with Dental Implants in all four quadrants. Part 1.

133 Rating(s).


Posted on By Anton Andrews In Occlusion

55 y.o. healthy male presented with loss of posterior teeth in all 4 quadrants, collapsed bite with moderate TMJ arthrosis etc.

SINGLE surgery - 7 implants placed along with few extractions, bi-lateral crestal sinus lifts, GBRs.Russian AAA style. No surgical guides had been used.

Restored 100% digitally without any models with Andrews RRR ,CAD-CAM all screw-retained full contour zirconia.
#19 IMPLANT RESTORED WITH DOUBLE M-D CANTILEVER.

VDO had been opened with Gneuromuscular technique.
Occlusion was tuned 2 weeks after delivery with TENS.
Comments, discussion??


BEFORE
RESTORED

Upper before
upper arch completed


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5 Comments

3Shape Dental System CAD software allows to restore cases with quite severe axial implant divergence without use of angled multi-unit abutments .


Reply

Hi Anton. Looks great! Have you tried using the new hybrid nanoceramics instead of zirconia? They approximate the strength of natural enamel and you can mill them 1:1.


Reply

Peter, thanks for your comment.
I am happy with zirconia, and precision is there as you can see.
Besides finishing for the material you suggested is technologically different.
My milling center doesn't like to deal with PMMA since its harder to mill than zirconia. I think they will not like nanoceramics :)


Reply

Anton; Just nice all over. Good planning, surgical work and restorative with the digital concepts embedded. Thanks for the follow up in Part 2. really tells the COMPLETE story. regards and keep posting. Dr. Salama


Reply

Thank you Maurice.
Any time.

1-year follow up


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