Unfavorable prognosis of a maxillary implant case
Failure,or poor prognosis, a scary word, which means complications, trouble also, means that result is not what we expected. In my humble opinion, failure means you have done your best you have used all the criteria possible for success, and you did it as the book says, but unexpectedly the result, was not, what you expected
This gentleman aged 75 years old , heavy smoker , average oral hygiene and health , presented to our clinic 8 years ago , for fixed prostheses on maxillary implants .
He had a pronounced maxillary ridge which allowed us to insert all on six using punch technique, case was restored successfully
. The patient was not regular in check ups.
He came 2018 with mobility of the fixed bridge, CBCT indicated bone loss and some failure implant.
Treatment was done by removing failed implants, granulation tissue, grafting with a membrane and crystal sinus lift, removal for 3 implants and insertion of four ones, treatment for late loading, patient left with temporary prostheses, resting on 3 implants, loading of the new implants will be done after 6 months .
Thoughts and comments from all colleagues are greatly appreciated.