Clinical cases

21
This patient is a 56y old healthy female with a severe generalized chronic periodontitis. Her major complaints are the long teeth caused by gingival recessions, the gummy smile, the unaesthetic black holes and the teeth mobility. Since this patient has a gummy smile, it is very important to locate the lip line smile before placing the implants. By doing so, we will be able to evaluate the amount of bone to reduce, so the joint between the gingiva and the pink ceramic of the final prosthesis doesn’t appear while smiling. The treatment plan performed was an immediate implantation of six JDEvolution® implants with an immediate loading combined with a precise osteotomy of the alveolar process. By Jeff Khoury, DDS, Beirut (Lebanon)
20
A 50 year-old male, healthy and non smoker presented with a complain of: ‘I want to replace my teeth on upper right quadrant’. Following CT examination, it was realized a very limited residual bone height of 6mm. Two treatment options were considered: bone graft and subsequent placement of long implants versus placement of short implants and tilted implants to avoid the maxillary sinus. Supported by the recent literature, it was decided to use JDEvolution® 6mm short implants.
19
A 62 year-old female with a noncontributory medical history presented with a complain of: “Lower left bridge debonding frequently”. Proposed treatment: 3 unit bridge supported by 2 implants to fill her edentulous space. Various treatment options were discussed with the patient and she elected to have an implant rehabilitation with a horizontal bone augmentation. After mucoperiosteal flap reflection and identification of the mental foramina, two JDEvolution® implants were placed in positions 3.5 and 3.7. Horizontal ridge augmentation was simultaneously performed utilizing a combination of allograft and heterologous bone.
18
An 50 years old female patient came to the dental office asking for the rehabilitation of the left upper jaw. The patient had an excellent amount of vertical and horizontal bone but lack of vertical dimension available for the prosthesis. In order to solve the vertical space problem, the surgeon decided to make a flapless insertion of two JDIcon® implants which are characterized by a conical internal connection (this allows to place the implant slightly below the bone crest) and a screw-retained prosthetic restoration.
17
An 71-year-old male non-smoker with a noncontributory medical history presented with a chief complaint of ‘I want to rehabilitate my mouth because of tooth mobility in the upper arch and missing teeth in the lower arch’. The treatment plan was to extract the remaining teeth and provide a fixed rehabilitation supported by axial and tilted implants.
21
This patient is a 56y old healthy female with a severe generalized chronic periodontitis. Her major complaints are the long teeth caused by gingival recessions, the gummy smile, the unaesthetic black holes and the teeth mobility. Since this patient has a gummy smile, it is very important to locate the lip line smile before placing the implants. By doing so, we will be able to evaluate the amount of bone to reduce, so the joint between the gingiva and the pink ceramic of the final prosthesis doesn’t appear while smiling. The treatment plan performed was an immediate implantation of six JDEvolution® implants with an immediate loading combined with a precise osteotomy of the alveolar process. By Jeff Khoury, DDS, Beirut (Lebanon)
20
A 50 year-old male, healthy and non smoker presented with a complain of: ‘I want to replace my teeth on upper right quadrant’. Following CT examination, it was realized a very limited residual bone height of 6mm. Two treatment options were considered: bone graft and subsequent placement of long implants versus placement of short implants and tilted implants to avoid the maxillary sinus. Supported by the recent literature, it was decided to use JDEvolution® 6mm short implants.
19
A 62 year-old female with a noncontributory medical history presented with a complain of: “Lower left bridge debonding frequently”. Proposed treatment: 3 unit bridge supported by 2 implants to fill her edentulous space. Various treatment options were discussed with the patient and she elected to have an implant rehabilitation with a horizontal bone augmentation. After mucoperiosteal flap reflection and identification of the mental foramina, two JDEvolution® implants were placed in positions 3.5 and 3.7. Horizontal ridge augmentation was simultaneously performed utilizing a combination of allograft and heterologous bone.
18
An 50 years old female patient came to the dental office asking for the rehabilitation of the left upper jaw. The patient had an excellent amount of vertical and horizontal bone but lack of vertical dimension available for the prosthesis. In order to solve the vertical space problem, the surgeon decided to make a flapless insertion of two JDIcon® implants which are characterized by a conical internal connection (this allows to place the implant slightly below the bone crest) and a screw-retained prosthetic restoration.
17
An 71-year-old male non-smoker with a noncontributory medical history presented with a chief complaint of ‘I want to rehabilitate my mouth because of tooth mobility in the upper arch and missing teeth in the lower arch’. The treatment plan was to extract the remaining teeth and provide a fixed rehabilitation supported by axial and tilted implants.
21
This patient is a 56y old healthy female with a severe generalized chronic periodontitis. Her major complaints are the long teeth caused by gingival recessions, the gummy smile, the unaesthetic black holes and the teeth mobility. Since this patient has a gummy smile, it is very important to locate the lip line smile before placing the implants. By doing so, we will be able to evaluate the amount of bone to reduce, so the joint between the gingiva and the pink ceramic of the final prosthesis doesn’t appear while smiling. The treatment plan performed was an immediate implantation of six JDEvolution® implants with an immediate loading combined with a precise osteotomy of the alveolar process. By Jeff Khoury, DDS, Beirut (Lebanon)
20
A 50 year-old male, healthy and non smoker presented with a complain of: ‘I want to replace my teeth on upper right quadrant’. Following CT examination, it was realized a very limited residual bone height of 6mm. Two treatment options were considered: bone graft and subsequent placement of long implants versus placement of short implants and tilted implants to avoid the maxillary sinus. Supported by the recent literature, it was decided to use JDEvolution® 6mm short implants.
19
A 62 year-old female with a noncontributory medical history presented with a complain of: “Lower left bridge debonding frequently”. Proposed treatment: 3 unit bridge supported by 2 implants to fill her edentulous space. Various treatment options were discussed with the patient and she elected to have an implant rehabilitation with a horizontal bone augmentation. After mucoperiosteal flap reflection and identification of the mental foramina, two JDEvolution® implants were placed in positions 3.5 and 3.7. Horizontal ridge augmentation was simultaneously performed utilizing a combination of allograft and heterologous bone.
18
An 50 years old female patient came to the dental office asking for the rehabilitation of the left upper jaw. The patient had an excellent amount of vertical and horizontal bone but lack of vertical dimension available for the prosthesis. In order to solve the vertical space problem, the surgeon decided to make a flapless insertion of two JDIcon® implants which are characterized by a conical internal connection (this allows to place the implant slightly below the bone crest) and a screw-retained prosthetic restoration.
17
An 71-year-old male non-smoker with a noncontributory medical history presented with a chief complaint of ‘I want to rehabilitate my mouth because of tooth mobility in the upper arch and missing teeth in the lower arch’. The treatment plan was to extract the remaining teeth and provide a fixed rehabilitation supported by axial and tilted implants.
21
This patient is a 56y old healthy female with a severe generalized chronic periodontitis. Her major complaints are the long teeth caused by gingival recessions, the gummy smile, the unaesthetic black holes and the teeth mobility. Since this patient has a gummy smile, it is very important to locate the lip line smile before placing the implants. By doing so, we will be able to evaluate the amount of bone to reduce, so the joint between the gingiva and the pink ceramic of the final prosthesis doesn’t appear while smiling. The treatment plan performed was an immediate implantation of six JDEvolution® implants with an immediate loading combined with a precise osteotomy of the alveolar process. By Jeff Khoury, DDS, Beirut (Lebanon)
20
A 50 year-old male, healthy and non smoker presented with a complain of: ‘I want to replace my teeth on upper right quadrant’. Following CT examination, it was realized a very limited residual bone height of 6mm. Two treatment options were considered: bone graft and subsequent placement of long implants versus placement of short implants and tilted implants to avoid the maxillary sinus. Supported by the recent literature, it was decided to use JDEvolution® 6mm short implants.
19
A 62 year-old female with a noncontributory medical history presented with a complain of: “Lower left bridge debonding frequently”. Proposed treatment: 3 unit bridge supported by 2 implants to fill her edentulous space. Various treatment options were discussed with the patient and she elected to have an implant rehabilitation with a horizontal bone augmentation. After mucoperiosteal flap reflection and identification of the mental foramina, two JDEvolution® implants were placed in positions 3.5 and 3.7. Horizontal ridge augmentation was simultaneously performed utilizing a combination of allograft and heterologous bone.
18
An 50 years old female patient came to the dental office asking for the rehabilitation of the left upper jaw. The patient had an excellent amount of vertical and horizontal bone but lack of vertical dimension available for the prosthesis. In order to solve the vertical space problem, the surgeon decided to make a flapless insertion of two JDIcon® implants which are characterized by a conical internal connection (this allows to place the implant slightly below the bone crest) and a screw-retained prosthetic restoration.
17
An 71-year-old male non-smoker with a noncontributory medical history presented with a chief complaint of ‘I want to rehabilitate my mouth because of tooth mobility in the upper arch and missing teeth in the lower arch’. The treatment plan was to extract the remaining teeth and provide a fixed rehabilitation supported by axial and tilted implants.
21
This patient is a 56y old healthy female with a severe generalized chronic periodontitis. Her major complaints are the long teeth caused by gingival recessions, the gummy smile, the unaesthetic black holes and the teeth mobility. Since this patient has a gummy smile, it is very important to locate the lip line smile before placing the implants. By doing so, we will be able to evaluate the amount of bone to reduce, so the joint between the gingiva and the pink ceramic of the final prosthesis doesn’t appear while smiling. The treatment plan performed was an immediate implantation of six JDEvolution® implants with an immediate loading combined with a precise osteotomy of the alveolar process. By Jeff Khoury, DDS, Beirut (Lebanon)
20
A 50 year-old male, healthy and non smoker presented with a complain of: ‘I want to replace my teeth on upper right quadrant’. Following CT examination, it was realized a very limited residual bone height of 6mm. Two treatment options were considered: bone graft and subsequent placement of long implants versus placement of short implants and tilted implants to avoid the maxillary sinus. Supported by the recent literature, it was decided to use JDEvolution® 6mm short implants.
19
A 62 year-old female with a noncontributory medical history presented with a complain of: “Lower left bridge debonding frequently”. Proposed treatment: 3 unit bridge supported by 2 implants to fill her edentulous space. Various treatment options were discussed with the patient and she elected to have an implant rehabilitation with a horizontal bone augmentation. After mucoperiosteal flap reflection and identification of the mental foramina, two JDEvolution® implants were placed in positions 3.5 and 3.7. Horizontal ridge augmentation was simultaneously performed utilizing a combination of allograft and heterologous bone.
18
An 50 years old female patient came to the dental office asking for the rehabilitation of the left upper jaw. The patient had an excellent amount of vertical and horizontal bone but lack of vertical dimension available for the prosthesis. In order to solve the vertical space problem, the surgeon decided to make a flapless insertion of two JDIcon® implants which are characterized by a conical internal connection (this allows to place the implant slightly below the bone crest) and a screw-retained prosthetic restoration.
17
An 71-year-old male non-smoker with a noncontributory medical history presented with a chief complaint of ‘I want to rehabilitate my mouth because of tooth mobility in the upper arch and missing teeth in the lower arch’. The treatment plan was to extract the remaining teeth and provide a fixed rehabilitation supported by axial and tilted implants.

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