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Mobile Bridge: Replacement with Fixed Prosthetic and Dental Implants

Last Updated: Jul 23, 2020

A patient came to the office complaining of the mobility of the old bridges located in the anterior maxillary segment. The treatment plan was a fixed prosthetic supported by three implants.

Radiographic appearance 4 months after the removal of impacted #13 and augmentation with Bond Apatite. In this stage, we notice a deterioration of sites #21,# 23 #24, which are now infected. We decided to extract the teeth and augment with Augma Bond Apatite considering simultaneous implant placement, if possible.

Note the large 3D bone deficiency after extraction and complete debridement of the infected sites.

Despite the large defects, there was a possibility to place implants with good primary stability. However, in #21, we decided only to augment and not to place an implant.

Panoramic radiographic appearance 4 months post op. Representing a complete regeneration of the deficient sites

xray failing bridge













4 Comments on Mobile Bridge: Replacement with Fixed Prosthetic and Dental Implants

why not a conventional immediate Maxillary denture and a Removable Mandibular partial denture....

Kaleb S

07/29/2020

When using Bond Apatite it's better not to place a temporary removable which might create pressure on the graft. Therefore, we decided to place temporary on the existing implants.

Sam

07/24/2020

Nice case. It looks like u fixed some temporary with a wire on the posterior implants. Do you have a photo of the temporary or can u pllet us know how u did it. Thank you

Kaleb S

07/29/2020

Thank you! Good question. We used the existing implants on both sides and used a acrylic temporary bridge reinforced by metal. Hope this clarifies it. ![1.JPG](https://cdn.hyvor.com/s1/uploads/talk/user-uploads/5f26a296693308.866217501596367510vgM7nJ6qpV0sRN9NwH43.jpeg)

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