Clinical case 3977

The patient, at the age of 48, came to our clinic because of both functional and aesthetic reasons. The case was a real challenge because the patient had extensions on each lateral area of the lower arch, prosthesis that dislodged towards the back along with the teeth and the extensions had caused bone lesions on both sides. This generated a large space between the front teeth on both arches making the prosthesis unaesthetic and useless from masticatory point of view. A detailed examination revealed that the teeth could not be saved and the injuries caused by the extensions required vertical bone augmentation, a surgery difficult to perform considering that all four bone walls were missing. There have been placed 16 dental implants and 16 E-max all-ceramic crowns. For the areas where the dental implants have been placed bone augmentation was also required considering that the extractions, done a long time ago, caused severe bone losses. Both dental implants placement and the vertical bone regeneration had very good results, the bone reverting to its original level.