Segment treatments immediate loading on scheletal class II
Dr Fodor Romulus Calin
IF Clinical Master of immediate loading
Pacient: 55 years old male
Complain: masticatory and aesthetic problems
Dental history: scheletal class II,old extractions with occlusions collapse
Medical history: long time with antiinflammatory drogs Prostan after shoulder fractured
Clinical examination: occlusion colapse,44,45 mobile teeth with a cyst,frontal lower teeth with pronunced vestibular abrasion and inclind to the lingual,upper frontal teeth with palatal abrasion and 21 mobil and inclined
Treatment planning: on the upper jow extraction to 21and 18 than briges on the frontal and lateral side.
On the lower jow extractions to the 35,44,45,removal the cyst and make to lateral segments on implants in immediate loading,and a bridge to the frontal inferior teeth with porpouse to make it more vestibular.
We remove the cyst and place two BCS implants in that site.
It was a diferens density beetwin left and rigth side to the mandibule;d1 right and d3 to the left sight
Tehnician models after raising the bitte
Final bridges metalceramic cemented with Fuji+
Estetic problems and treatment possibilities
There are two possibilities first you can remove the ceramics from the first premolar and make a crown above the metal restoring the occlusal plane and the gingival place:second after 9 month change the bridge