Teeth-in-a-Day procedure with 6 dental implants. The case for "All-on-6" vs "All-on-4".

1. “ALL-ON-6” IMPLANT OPTION
LIZANO IMPLANT DENTISTRY

2. This 64 year old male patient presented on referral from his
general dentist with a poor restorative prognosis for a severely worn
remaining dentition.
This case illustrates an example of a “Teeth-in-a-Day” restoration. In
this case a treatment plan with 6 parallel implants was chosen over
an “All-on-4” approach, which would have required tilted posterior implants.
The distribution of implants allowed for a favorable A:P spread without
the need for tilted posterior fixtures. Better prosthetic support could be
accomplished with 6 implants.
Prior to implant placement, vertical dimension of occlusion was restored
via immediate dentures.
Implants were not placed in a large osseous defect just to the left of the
mandibular midline which would have required bone grafting to correct.
LIZANO IMPLANT DENTISTRY

3. Severely worn dentition with poor restorative prognosis
LIZANO IMPLANT DENTISTRY

4. Implant planning for the mandibular arch:
“All-on-6”
LIZANO IMPLANT DENTISTRY

5. Implant planning
LIZANO IMPLANT DENTISTRY

6. Implant planning
LIZANO IMPLANT DENTISTRY

7. “All-on-4” treatment
option is under
consideration for the
maxillary arch
LIZANO IMPLANT DENTISTRY

8. LIZANO IMPLANT DENTISTRY

9. LIZANO IMPLANT DENTISTRY

10. Surgical placement of implants via computer guided approach
LIZANO IMPLANT DENTISTRY

11. Surgical stage impression technique
LIZANO IMPLANT DENTISTRY

12. Adaptation of denture to temporary abutments with 3M Secure material
LIZANO IMPLANT DENTISTRY

13. Try in of “Teeth-in-a-Day” prosthesis
LIZANO IMPLANT DENTISTRY

14. Occlusal equilibration was indicated for this case
LIZANO IMPLANT DENTISTRY

15. Radiograph with mandibular “Teeth-in-a-Day “ prosthesis on 6 implants
LIZANO IMPLANT DENTISTRY