1- & 2-Piece Implants for Mandibular Anteriors

As expected, the bone density in the mandibular anterior region is found to be high during initial osteotomy (Fig.1-3).  Five implants are placed at the sites between #22 and 28 (Fig.4,5): 3x14(2) mm 1-piece (bone-level) implants in the incisor region; 4.5x17 mm 2-piece (tissue-level) ones in the canine/premolar area.  All of the implants are placed as lingual as possible.  Bone graft is placed (*).  Red dashed line: the superior border of the Inferior Alveolar Canal.  Immediate splinted provisional bridge is fabricated.  One week postop, periodontal dressing remains attached to the provisional and the gingiva.

The patient returns for restoration 4.5 months postop (Fig.7-9).  There appears bone growth around the implants.  Impression is taken together with the implants at #4 and 6.

When the final crowns are seated, the shade is off.  It appears that C3 is appropriate (Fig.10,11).  Please make the crowns more transparents.

Return to Lower Arch Immediate Implant, #4,6, 19 Immediate Implants, Technicians

Xin Wei, DDS, PhD, MS 1st edition 09/27/2015, last revision 03/09/2016