Total maxillofacial rehabilitation with bilateral open sinus lift
A 56-year-old woman was rehabilitated in both jaws. In the upper jaw, bilateral open sinus lifts were done with simultaneous P7D placement in the lateral segments and failed anterior teeth were replaced with one-stage implants; healing caps were later swapped for multi-unit abutments and a provisional shaped the gingiva. In the lower jaw two P7D implants were placed in the fourth segment alongside crown and tooth treatment. Final restorations combined pressed ceramic (e.max) and metal-ceramic; the case is shown at 1.5-year follow-up.
Step by step
- Rehabilitation plan for upper and lower jaw
- Upper: bilateral open sinus lift with P7D placement; removal of failed anterior teeth with one-stage implantation
- Lower: two P7D Ø4.2 × 8 mm implants in the 4th segment
- Healing caps replaced with S16DS / S17DS 30° multi-unit abutments
- Impression and provisional for gingival shaping around implants and ovate pontics
- Lower teeth prepared; combined pressed-ceramic (e.max) and metal-ceramic restorations
- Final structures fixed; 2-week and 1.5-year follow-up
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