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QUARTER 1
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2014
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CERECDOCTORS.COM
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Fig. 30: Postoperative panoramic
radiograph after implant placements
Fig. 31: Abutment connection and
removal of mandibular mini-
implants by reverse torqueing
Fig. 32: Removed maxillary mini-
implants and abutment connection
Fig. 33: Removed maxillary and
mandibular mini-implants
Fig. 34: Final occlusal view of
maxillary implants
Fig. 35: Final view of mandibular
implants
Fig. 36: Maxillary and mandibular
implant-supported overdentures
Fig. 37: Final panoramic radiograph
Fig. 38: Final facial view
the patient-continued function during
the final restorative procedures.
The patient was then referred back to
his restorative dentist, who completed
the
final
restorative
procedures,
resulting in the delivery of new maxil-
lary and mandibular implant-supported
overdentures (Figs. 34-38).
CONCLUSION
Itshouldbenotedthatthecasepresented
in the first example could have also been
treated utilizing a SICAT Classic Guide
versus the Anatomage guide following
a similar protocol. The reason that the
Anatomage guide was selected in this
case was due to the faster turn-around
time for the production of the guide.
One can argue that the mini-implant
technique presented in the second case
study adds additional cost, time and
surgical procedures versus the tech-
nique presented in the first case study.
While that statement is certainly valid,
the major advantage of the second tech-
nique is the increased predictability
by dividing complex treatments into
smaller, more manageable procedures
and thereby providing the opportunity
for accurate final restorative treatment
planning unaffected by the possible
incorrect position and occlusion of the
remaining dentition. This is evidenced
by the slight discrepancy in the first case
necessitating the insertion of three new
abutments prior to the final restorative
treatment.
The author would like to thank
Dr. Sandi Hamm (Mansfield, Texas)
for the restorative treatment provided
for the patient in Case Study 1, and
Dr. Steven Thomas (Arlington, Texas)
for the restorative treatment provided
for the patient in Case Study 2.
For questions and more information,
Dr. Boltchi can be reached at
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