November 25, 2024
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Upper Jaw reconstruction: implant-based bridge at distal UL and missing premolar at UR

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CASE STORY

Upper Jaw reconstruction: the implant-based bridge at distal UL and missing premolar at UR. Screw-retained technique with DSI multi-units. Planning, drilling, and spacing using the Implant Positioner Kit

INITIAL STATE

The initial condition for a middle-aged male healthy patient with terminal teeth on the UL and missing UR premolar. Oral Hygiene conditions are NOT optimal. The the patient wants restoration on implants.

Surgery planning with CBCT
Initial: Left
Initial: Right

SURGERY

The premolar implant was placed without incident. UL area received implants strategically spaced out to accommodate an implant bourne bridge.

The implant positioning Kit was used. This kit saved us hundreds and thousands of dollars in surgical guide fees.
Initial site
Surgery planing
Surgery positioning
First implant
Two implants
Surgery site grafting
Surgery flap closure
Single Implant Opposite Site

Post-op CBCT with implants in place

HEALING STAGE

After 4 months, tissue volume is very good and healthy.

DELIVERY:

Final Delivery is done: screw-retained bridge on straight MUA

All stages of the treatment, including planning, surgery and crown design, are done by the residents of Dr. Carmy's Year-long Implant Hands-on course at the Dental Implant Institute of the West Coast, California, USA

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SUBMITTED BY

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Dr Carmy Michael

DDS

A graduate of University of Western Ontario Schulich School of Medicine & Dentistry with a degree of Doctor of Dental Surgery 2004 with a 6 months residency.
Also a graduate of Cairo University, School of Dentistry 1993 with a 1 year residency.
Extensive training in the field of Dental Implantology and Digital Work Flow in Dentistry, A journey that started over 10 years ago and is still ongoing.
Certified in Oral Sedation through DOCS and IV Conscious Sedation.
Active member of the Academy of Osseointegration (AO)A Fellow of the Global Dental Implant Academy-CA (GDIA)
A member of the International Congress of Implantologists (ICOI)
Extensive training in Full Arch Restoration (Nobel and GDIA)
A Certified Provider for Institute for Advanced Laser Dentistry (LANAP & LAPIP)
Specialized training on 3 Shape & ExocadFellowship from Dental Implant Association (DIA)
Member with good standing in the CDA, MDA, ADA & OCDS
Digital Work flow for Implant Restoration.

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