Upper jaw – direct installation

Here is a direct installation case. We have been doing similar cases for a long time with good results, but now we are trying to raise the statistics and level here as well. As you know, the availability of palatal bone and the possibility of preparing in the palatal part of the maxilla is crucial for successful results and that the first drilling in the sloping part of the bone is correct immediately, difficult to
readjust if you get too high or low.

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Preop photo
Loosened crown and carinated root to be replaced with implants.

Virtual implant planning and guide design, tooth-borne guide.

Gentle extraction without damaging the buccal bone, we see that the drill goes perfectly into the palatal bone at the right level. This moment is crucial for the best results.

First 2.0 mm drill bit

Complete drilling protocol with the guide

Fixture installation by guide to achieve the same positioning of the fixture as in the virtual surgery, 1.5 mm subcrestal in this case.

Screw-retained provisional crown directly after surgery without contacts to neighboring teeth, not included in occlusion and articulation.

Nice stability of the fixture and very nice for the patient not to have to wear a temporary prosthesis for a long time even though the temporary crown does not have the same aesthetics as a permanent ceramic crown.