Implant Dentistry 'Upside Down'

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Stephen E B Jones, Specialist in restorative dentistry and Ben Page, dental technician describe a case study where implants are placed directly to fit existing fixed restorations.

The importance of planning the precise shape and restoration of individual teeth before placing dental implants has been documented many times over
the last two decades. However there is no mention in the dental literature of succeeding in doing just the opposite – trying to place implants directly to fit existing fixed restorations.

This case study presents a situation where two mandibular three-unit bridges, both originally retained bilaterally by
two implants, had to be removed after an implant under each had been lost due to an iatrogenic periimplantitis. Two new implants were precisely placed and new custom abutments were fabricated between the implants and the original bilateral bridgework. Both bridges were then recemented
eight months after their original 'failure'.

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