Adhesivelly cemented full ceramic restorations

To save or to extract?

An other case...

27 years yound female.


Medical history nil relevant.

Preoperative x-ray

12 weeks after extraction

X – ray post surgery showing two BioHorizons 3,5mm x 12mm internal taper

Inserted in area 46 and 47

Picture showing the master model at delivery session – abutments attached to mounting guide.

Intraoral clinical picture showing the healthy and mature gum profile before prosthetic loading.

Intraoral clinical picture showing the fitted restoration.

Intraoral clinical picture showing the bite situation and the optimal hygiene access areas

X-ray to check the correct fit.

Implant supported prosthodontics

69 years old male.


Medical history nil relevant.

Tooth 36 lost about 18 years ago. Tooth 35 lost about 10 weeks prior to fixture installation.

Fixtures installation in local anesthesia, crestal incison, ful flap raised, use of conventional surgical guide, drill protocol according manufacturer, fixtures inserted by hand, excellent primary stability, bone B-w, vestibular graft (BioOss) covered by membrane (BioGide), wound lips tightly closed by suture.

Suture removal after 14 days.

II nd stage surgery after 3 months. Local anesthesia, full flap raised, healing caps, wound lips sutured around.

Suture removal after 14 days.

Temporary abutments and temporary crowns to modelate mergence profile.

6 weeks later impression and FGP registration.

2 weeks later prosthetic loading.

X-ray performed after fixture installation.

Proof of healthy gum surroundings and prosthetic loading.

Clinical picture showing butments in situ.

Restoration delivered from the lab, splinted crowns PFM – high precious metal – occlusal screw access open – abutment mounting guide.

Clinical picture to demonstrate perfect aesthetic and functional integration into remaing dentition and excellent hygiene accessabilty.