Combined tooth and implant-supported overdenture?

Last Updated July 11, 2019

My patient has a prominent premaxilla with proclined anteriors. It’s a case of bimax profile. CBCT reveals a better bone volume in lower jaw. But upper seems to have very deficient bone. Patient not willing for bone augmentation and waiting period. My plan is to go for complete extraction in lower with alveoloplasty in the anterior region and All-on-4 implants. In upper planning to extract the three anterior teeth with alveoloplasty to reduce the convexity and go for 1 or 2 dental implants in 24 and 25 region respectively. So that we get a quadrangular abutments. Using 17, 15, 14 , 27(natural teeth) and 24 ,25 (implants) as a telescopic abutment and planning for a removable fixed prosthesis. What will be the prognosis?This will be my first case of combining teeth and implants. Thoughts? If it is not a good option, then what else can be done in upper jaw?

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