Zygoma implant case
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![Page 1: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/1.jpg)
Placement of standard and zygoma implants and immediate placement of
a prefabricated bridge
David BloomGuy Mclellan
![Page 2: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/2.jpg)
• Pt attended December 2006 c/o loose denture that had been placed 1 year previously due to periodontal problems. She was not completely happy with the aesthetics and wanted a fixed replacement if possible.
• • We discussed all treatment options including bilateral sinus lifts but pt did not want the protracted
treatment times involved and was very conscious about people knowing she was having treatment as even her husband did not know she wore an upper denture .
• • It was agreed to place 4 conventional guided implants and 2 zygoma implants along with a
transitional upper bridge. (anterior 4 x 13 nobel speedy inserted with standard protocols to 45 ncm; zygoma implants 2 x 47.50 zygoma implants and 17.5 multi unit abutments)
• This transitional fixed bridge lasted 2 .5 years until it fractured and so made the patient proceed with the final prosthesis. Compliance has always been an issue and in deed to date the patient has still not elected to proceed with the lower rehabilitation that was advised
![Page 3: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/3.jpg)
Pretreatment examinations
![Page 4: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/4.jpg)
Upper denture at presentation Edentulous ridge with single remaining molar (pre-op)
![Page 5: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/5.jpg)
Pre-op OPG
![Page 6: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/6.jpg)
Surgical and immediate prosthetic rehabilitation
![Page 7: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/7.jpg)
Prefabricated acrylic bridge
![Page 8: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/8.jpg)
Placing drill guide Drilling guide in place
![Page 9: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/9.jpg)
Osteotomy site preparation for anterior guided implant
Osteotomy site prepared
![Page 10: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/10.jpg)
Placing anterior implant Anterior implants in situ and guide removed
![Page 11: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/11.jpg)
Preparation of zygoma site: lateral window visible
Placing zygoma implant
![Page 12: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/12.jpg)
2 week review of transitional bridge
![Page 13: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/13.jpg)
3 month review transitional bridge
![Page 14: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/14.jpg)
Post-op OPG
Guided Abutments
![Page 15: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/15.jpg)
Follow-up
![Page 16: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/16.jpg)
Final bridge, patient chose shade
![Page 17: Zygoma implant case](https://reader030.fdocuments.in/reader030/viewer/2022020210/568c4ce41a28ab4916a1dd1f/html5/thumbnails/17.jpg)
Final bridge