The patient came to the clinic after the teeth extraction on the maxilla. In the ImplaStation software it was planned to install six implants for the patient’s subsequent rehabilitation with a bridge prosthesis on multiunits. When planning implant positions, the specification of the multiunits was determined in advance (for angulation and margin height).
In position 15, 25 the angulation is 30°. In the positions 11, 13, 21, 23 – 15°.
The axes of the multiunits cylinders were designed in parallel and taking into account teeth position in the future bridgework. For this purpose, a scan of the patient’s removable prosthesis, obtained with the help of a computer tomograph, was included into the software.
For the accuracy of implant installation by using a surgical guide, not only the direction of drilling, but also implant rotation index and the depth of their immersion were controlled during the surgery.
With the help of a modified implant driver and original ProDigiDent sleeves, the operation was performed transgingival. Given that the patient spends a lot of time on trips it was suggested to use a removable denture as a temporary construction.
Surgery
The control CT
