1. Case Presentation Multiple Immediate Implant Placement With Fixed Porcelain Restoration

2. Patient Details 63 year old female Medically fit and healthy Concerned about mobility of 5 unit bridge

6. Treatment Options 1.Preserve Dentition as much as possible Block Graft Temporary Bridge Implant tooth no.15, 14 and 12 Redo Post Crown upper left canine 2.Extraction of dentition Partial Denture Healing phase Fixed Upper Restoration Incorporating existing implants and placing a minimum of 4 more implants Implant supported bridge 3. Extraction and immediate placement, 7 implants Preformed angled and straight abutments Temporary bridge Final Prosthesis

7. Consent I.V Sedation Immediate placement Possible graft Long term shrinkage of tissues

10. Mary Corr 001 Three weeks after

15. Post treatment assessment 1.Prosthetic outcome 2.Gingival recession 3.Surgery a) stent b) drill guides