This PA is from a new patient to our practice. They have had quite a bit of work done in their country of origin and there are many issues including poor periodontal health and many failing restorations. The implant supported bridge seen here exhibits severe gingival inflammation and it is impossible to pass a floss threader under any portion. Also there appears to be residual cement under the prosthesis. Given the unfortunate position of the implants (which appear to be well integrated), I don’t know if removing this and replacing it with a screw retained prosthesis with better gingival contours will help much given the mesial and distal cantilevers. I am also not sure what type of implants these are? Suggestions?
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