The Patient presented with a number of dental issues, as you can see from the images. After not seeing a dentist for “a few decades” the teeth were broken down to the point of having to be removed in many cases. We were fortunate enough to be able to retain the upper centrals and laterals and seven of the lower anteriors. All posteriors were removed and replaced with Astra Tech implants. From there it was the slow process of replacing the upper anteriors with Lava Zirconia crowns and the lower anteriors with bonded e.max crowns, then both the upper and lower posteriors were replaced with implant supported crowns.
 Pre-treatment situation, showing the heavily broken down and missing dentition |
 Pre-treatment situation, showing the heavily broken down and missing dentition |
 Pre-treatment situation, showing an occlusal view of the upper, you can see from the image the teeth are heavily broken down, the four anteriors were prepared for Lava Zirconia crowns the, rest were extracted. |
 Pre-treatment situation, showing an occlusal view of the lower and you can see from the image the teeth are heavily broken down, five of the anteriors were prepared for e.max the rest were extracted. |
 Upper anterior Lava Crowns and lower anterior e.max crown and bridge work |
 Lower Stent for the implant planning and placement |
 Upper and lower stent |
 Upper Occlusal view showing the closed tray impression copings in place for primary impression for the custom impression trays |
 Lower Occlusal view showing the closed tray impression copings in place for primary impression for the custom impression trays |
 Lateral view showing the closed tray impression copings in place for primary impression for the custom impression trays |
 Lateral view showing the closed tray impression copings in place for primary impression for the custom impression trays |
 Upper stent, showing the position of the implants in the primary modle |
 Close up of Upper right hand side of the stent |
 Upper primary model |
 Upper primary model with custom implant impression tray. The open tray impression copings are resined together and then sectioned, they can be seen through the screw holes in the tray. |
 Lower primary model. |
 Lower implant custom tray,The open tray impression copings are resined together and then sectioned, they can be seen through the screw holes in the tray |
 Final colour confirmation, in preparation for the production of the posterior implant work |
 Upper left Lava Crown and Bridge work over the Atlantis Abutments |
 Upper right Lava Crown and Bridge work over the Atlantis Abutments |
 Occlusal view of Lava Crown and Bridge work over the Atlantis Abutments |
 Atlantis Abutments in place on the lower model |
 Atlantis Abutments in place on the lower right |
 Atlantis Abutments in place on the lower left. |
 Lower right Lava Bridges over the Atlantis Abutments |
 Lower Left Lava Crowns over the Atlantis Abutments |
 Occlusal view of the placement of the Atlantis Abutments on the upper |
 Occlusal view of the placement of the Atlantis Abutments on the upper right |
 Placement of the Atlantis Abutments on the lower right |
 Occlusal view of the finished upper Crown, Bridge and Implant work on insertion |
 Occlusal view of the finished lower Crown, Bridge and Implant work on insertion |
 Retracted facial view of the finished Crown, Bridge and Implant work on insertion |
 Vacial view of the finished Crown, Bridge and Implant work on insertion |
 A transformed patient! |