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Removal of 5 teeth and installation of 4 implants. Clinical case
Extraction of 5 teeth and installation of 4 plateau system implants. A 35-year-old patient with complaints of lower front teeth mobility after orthodontic treatment. Treatment period — 5 months.
Mobility of lower front teeth after orthodontic treatment at another clinic, clicking and pain in both joint areas, root exposure, absence of the lower 7th tooth on the left side
The decision was made to extract all mobile teeth (extraction of 5 teeth) and replace them with plateau system implants followed by rational prosthetics
The treatment period was 5 months
A 35-year-old woman came to us with complaints of mobility of the lower front teeth after orthodontic treatment at another clinic.
She was also bothered by clicking and pain in both joint areas, root exposure, and absence of the lower 7th tooth on the left side.
The patient wanted to restore proper chewing function and dental aesthetics.
On the CT scan, we saw that the bone around the lower front incisors was destroyed, along with significant changes in the heads of both temporomandibular joints.
During the examination, we also determined that the mobility of the lower front teeth corresponded to the fourth degree and was critical at the time of the visit.
The patient came to our clinic with complaints of mobility of the lower front teeth after orthodontic treatment at another clinic. She was also bothered by clicking and pain in both joint areas, root exposure, and absence of the lower 7th tooth on the left side.
The patient wanted to restore proper chewing function and dental aesthetics.
After the examinations, the decision was made to extract all mobile teeth (extraction of 5 teeth) and replace them with plateau system implants followed by rational prosthetics.
A total of 4 implants were placed.
During the implant healing phase (over 2 months), the patient worked with an orthodontist.
A special splint was made to correct the position of the jaws relative to each other for proper functioning of the temporomandibular joint. It also helped the facial muscles adapt to the new position.
Then, based on the splint, a project of the patient’s future teeth and bite was created in the dental laboratory.
We then prepared the teeth for prosthetics and placed temporary crowns made in the clinic so that the patient could immediately chew properly without aesthetic discomfort.
After 3 days, we replaced the crowns with ones made in the laboratory based on the model we planned with the orthodontist.
Over the next 3 weeks, we monitored the patient’s condition with the new bite and performed grinding where necessary.
After achieving the desired result, we made permanent crowns from zirconium dioxide.
One week later, these crowns were finally fixed on the teeth and the treatment was completed.
Igor Osadchiy
Surgeon
MD, physician with the highest skill accreditation level, member of EACMS (European Association of Cranio-Maxillofacial Surgeons), member of the Association of Implantologists of Ukraine. Alma mater: O.O. Bogomolets National Medical University. Year of graduation: 1984. Experience: Work experience: 38 years. For 13 years (1985-1998), taught dental surgery and maxillofacial surgery…
Igor Osadchiy
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