Implant Case conference III㊣ 50 y/o male Implants for crowns Bilateral lower post. teeth missing reporter Dr. 黃佐維

First implant surgery

Patient profile intraoral photos L’t R’t Patient profile intraoral photos

Chief complain asking for faulty bridge #35 X #37 and RR #47 remove L

Medical history Hypertension: controlled < drug taking: Q.D. > Hepatitis B

Medical history

Dental problems L ○ R.R. #47 Faulty prothesis ~bridge#35X37 ┼Adult periodontieis ○ L

Treatment planning L ○ ┼Perio. treatment Removal of faulty prothesies~ Lower L’t side Extraction #47 ○ L

Prophylactic antibiotics clindamycin 150mg Tid*Ⅲ

Checking CBCT

R’t alveolar ridge form R’t mental foramen R’t alveolar ridge form R’t inf. alveolar nerve

R’t inf. alveolar nerve

R’t alveolar ridge form R’t mental foramen R’t inf. alveolar nerve

Thickness: 5mm Height: 13mm

Thickness: 8mm Height: 11mm

Drill holes on stent for surgical guide Implants for crowns Occlusion check Drill holes on stent for surgical guide

Check channel direction with paralle device gauge 10mm

Check channel direction &deepth with expansion screw 11mm

Check implant body insertion 5.0*11mm& 4.5*11mm

Removal of healing srews and abuntments try in Buccal I 47 I 46 Lingual Removal of healing srews and abuntments try in 20

Removal of healing srews and abuntments try in Buccal I 47 I 46 Lingual Removal of healing srews and abuntments try in 21

Bite registraction and impression~ transfer insertion Bite registration with PVS Bite registraction and impression~ transfer insertion

半年後完成左側植牙以及三年 後追蹤之環口Ｘ光片～