Saqib Rashid, Zeerak Samuel, Amin ur Rahman.
Prosthetic management of a partially dentate patient with fixed implant restoration: A case report.
J Pak Dent Assoc Jan ;12(1):49-52.

The range of implant indications has been significantly widened and partially dentate patients often seek treatment with dental implants. The aim of this case report is to highlight the current prosthetic management of the partially dentate patient by means of fixed implant restorations in the scope of a Dental Implant System.

Case Report: A 36-year-old man presented with grossly carious unrestorable right maxillary second and third molars. Maxillary first molar was missing due to previous extraction. Furthermore there was a history of a previous failed fixed bridge and right maxillary second premolar was reduced as an abutment for the bridge. Clinical examination revealed a firm ridge that appeared adequately thick for routine implant placement. A panoramic radiograph indicated 8 - 10 mm bone between the ridge crest and the sinus floor. There was no medical risk factor present in the history of the patient. After reflection of the soft tissue two standard 4.1, 10mm SLA (Sandblasted large grit acid etched) coated ITI (Straumen, Switzerland) implants were inserted in the right posterior maxilla. Summers oteotomes were pushed and tapped to insert one maxillary implant. There was a reduced healing period of 3 months due to SLA surface of ITI implants. In the perspective of a cemented fixed prosthesis, the appropriate (5.5) solid abutments were selected and tightened. The insertion torque was set at 35 Ncm, utilizing a calibrated torque wrench. In order to transfer the in-mouth situation to the dental laboratory self centering, injection moulded plastic transfer copings were attached to the implant shoulders. The procedure was completed by the insertion of a central positioning cylinder for the pick up of the orientation of the antirotational feature of the abutment. Then the rubber based impression was taken with a stock tray. Continued …

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