Restoration of a severely resorbed edentulous anterior maxillary area with a screw-retained prosthesis

March, 2018

Surgeon/Restorative dentist: 
Dr. Roberto Meli – Florence, Italy

This case shows the treatment of an edentulous maxillary anterior space with severe resorption of the residual ridge. The patient, suffering from diabetes and an autoimmune disorder (Guillain-Barré), asked for a fixed prosthesis without undergoing time consuming surgical procedures. Due to this particular patient situation, a complex bone grafting procedure to regenerate the missing bone volumes was not contemplated. Two 3.75 x 12 mm XCN implants were placed in position #12 and #22 with a two-stage surgical procedure with simultaneous bone graft and a temporary mobile prosthesis was applied. After six months of healing, the implants were uncovered and a screw-retained prosthesis with pink composite resin to mask the severe gingival defect was fabricated. Thanks to this approach not only the teeth but also gingival aesthetics and anatomy were reproduced.

Link to the original article published in 2017

Laboratory:  
Accioli & Puccini – Florence, Italy

March, 2018 -