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.