Neodent CM Alvim NeoPoros

Fixed bridge linking first and second pre molar

This Neodent clinical case by Dr. Pereira features posterior multiple tooth implant treatment with immediate loading protocol.

Initial situation

A.

Female, 43 years old

Albufeira, Portugal 

Initial situation

Initial situation

Clinical situation

  • Fixed bridge linking first and second pre molar with second pre molar in cantilever. Fracture of the first pre-molar root

Pre-operative X-ray

Tooth extraction

Extraction site

Implants in place with 2mm sub-crestal

Abutment in place

Immediate provisional restoration and gingival plastic surgery

Post provisional restoration X-ray

Restorative solution

  • Extraction, followed by immediate implant placement, immediate loading with provisional crown on universal abutments with “one-abutment-one-time” concept, and finalized with porcelain-fused-to-metal (PFM) crowns

Great emergence profile 4 months after surgery

Stable soft tissue contours

Alloy coping seating test and occlusal registration

Final restoration - 6 months after surgery

7 month follow-up X-ray

9-year follow-up X-ray

9-years follow-up intraoral buccal view