zygoma implant and pterygoid implant for a lateral bridge

Use of zygoma and pterygoid

implant for a Lateral Bridge

Luc@Vrielinck.be

Situation

• Patient desires: replacement of lost dorsal teeth in the upper jaw

• Diagnosis:– Loss of teeth 16 17 and 26 27

– Narrow upper jaw, frontal open bite

– Traumatic occlusion

– In multidisciplinary consultation it was advised to perform TPD and orthodontic treatment

– This was refused by the patient• NoTPD

• Patient desires only dorsal occlusal therapy

• Patient has no problem with frontal open bite present for all her life

Chronology

• 12/06/2008: implant placement (1 zygoma,

1 pterygoid, 2 x Wide platform standard

implants

• 02/12/2008: second stage

• 21/03/2011: follow-up > 2y

Intake

07/01/2008

07/01/2008: Intake

X

07/01/2008: Intake

07/01/2008: Intake

07/01/2008: Intake

07/01/2008: Intake

07/01/2008: Intake

Treatment planning with

Nobelguide™ drill guide

Drill guide with teeth support

Treatment

12/06/2008: Implant placement

02/12/2008: second stage

Pre postmatching

Excellent accuracy of procedure with teeth supported Nobelguide™

Pre postmatching

Excellent accuracy of procedure with teeth supported Nobelguide™

Pre postmatching

Excellent accuracy of procedure with teeth supported Nobelguide™

Pre postmatching

Excellent accuracy of procedure with teeth supported Nobelguide™

Pre postmatching

Excellent accuracy of procedure with teeth supported Nobelguide™

Pre postmatching

Excellent accuracy of procedure with teeth supported Nobelguide™

Final work

24/02/2009

24/02/2009: Final Work

24/02/2009: Final Work

24/02/2009: Final Work

24/02/2009: Final Work

24/02/2009: Final Work

Follow-up > 2 year

21/03/2011

21/03/2011: >2y follow-up

21/03/2011: >2y follow-up

21/03/2011: >2y follow-up

21/03/2011: >2y follow-up