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CLINICAL CASE
Full Mouth Rehabilitation with
Immediate Implants
Dr. José Camelo Ferreira
Oral Surgery, Portugal
EN
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Case Description
The patient is an 82-year-old woman, who presented with a general
complaint about the overall condition of her mouth.
The oral exam shows a bad oral situation with several missing teeth. The
mandible had few remaining roots and some old restorations. The
remaining teeth were worn, with top-to-top occlusion and decreased
vertical dimension.
The complementary exams confirmed that there was enough bone for a
total mouth fixed rehabilitation, like the patient wanted.
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Orthopantomography
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Intra Oral Aspect
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DSD
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Planning
The treatment plan includes:
•    Extraction of all remaining maxillary and mandibular teeth and roots.
•    Placement of an immediate maxillary All-on-4 with immediate load.
•    Placement of 2 immediate mandibular implants with 2 locator abutments for use in a
       future All-on-4.
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Maxillary Surgery - Extractions
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Flap Opening
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Placing the 4 Implants
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Multi-unit Abutments
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Temporary Abutments
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Augma Bond Apatite®
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Sutures
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Mandibular Surgery
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Extractions & Implant Placement
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Augma Bond Apatite®
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Sutures
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Temporary Prothesis
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Post-Op Orthopantomography
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2 Weeks Post-Op
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5 Months Post-Op
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Mandibular Locators to All-on-4
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Posterior Implant Placement
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After Surgery
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Post-Op Orthopantomography
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4 Months after Inferior All-on-4
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Final Rehabilitation
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Final Orthopantomography
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Before & After