
Full Mouth Rehabilitation With Ceramic Prosthesis With Immediate Loading Protocol
- Dr Rohan Virani on 10/18/2021
A 72-year-old hypertensive patient had consulted us to find the solution for the dental problems that he was facing. He had several missing and decayed teeth, also there were severe periodontal issues that caused difficulty in chewing and eating food. Apart from this because of the multiple decayed teeth the patient reported an unaesthetic smile.
The patient wanted the treatment for all these problems to be done in a minimum time period causing the least possible trauma making the procedure as painless as possible. Along with this, the patient was willing for the treatment that would lead to a fixed long–term solution.
After having a discussion with the patient, the doctor and the patient made the combined decision of rehabilitating his mouth with Basal implants which are supported by fixed prosthesis, this process does not require any cuts or any requirement for bone grafting making the procedure more atraumatic.
Brief About Basal Implants:
Basal implant procedure refers to the principles of utilizing basal bone which is free of infection and resorption. The basal implant is a new broad indication and has almost no limitations.
It could be categorized to be an “ Oral Division of Orthopedic surgery as per Basal Implant Center in Mumbai at Mumbai Dental Solutions.” We were one of the first providers of the Immediate Basal Implant system in Mumbai, India.
Here are a few advantages & benefits of Basal implants:
- Flapless implants, which means the treatment will involve no cuts, and bleeding will be minimal.
- No bone grafting is required.
- Faster recovery.
- Basal implants are also called immediate loading implants because they are loaded in 72 hours.
18 Smooth and rough surface implants (AKA Basal implants) were placed immediately. The procedure was flapless and least painful.
After implant placement, the impression transfer coping is snapped on top of the implant with a clicking noise and the impression is then made and sent to the laboratory. In the laboratory, the lab analogue is connected to the impression coping. The following image shows the maxillary cast with the lab analogue.
Following similar steps, the picture depicts the mandibular cast with the lab analogue.
Verification jigs are placed on implant abutments in the patient’s mouth and the metal part protruding out is reduced. This step is done to correct the angulation of the abutment.
Once the abutment heads are trimmed the metal trial can precisely fit in the patient’s mouth exactly as on the cast. The following image depicts the intraoral placement of metal try in.
The following image represents the finished and polished upper and lowers PFM prosthesis fabricated after a number of laboratory steps to be followed after metal try in.
The image indicates the Tissue Healing before final cementation. Also, the abutments that are milled for correcting the angulation can be noticed.
Maxillary and Mandibular prostheses are placed intraorally after careful examination providing bilateral balanced occlusion.
Right lateral view of the maxillary and mandibular final prosthesis placed intraorally.
Left lateral view of the maxillary and mandibular final prosthesis placed intraorally.
Postoperative radiographic view:
Radiographs are always useful for general evaluation. This postoperative radiographic view indicates complete bone healing around smooth and rough surface implants/basal implants.
After the hassle-free treatment procedure, thanks to all the dentists and the well trained friendly staff involved at Mumbai Dental Solutions, the patient gained back his confident smile.
