All-on-6 with Zygomatics Implants and Immediate Loading

The patient presented with compromised teeth and a situation unfavorable for a conventional All-on-4 full arch restoration.

Professor Alexander Salvoni
Oral Surgeon, Brazil

Clinical Case Pre-Op Situation | Compromised teeth and situation unfavorable for conventional All-on-4 full arch restoration. Initial Intra Oral Aspect | Healing aspect after multiple extraction and 40 days of provisional denture usage. Full Thickness Flap | Riminescent alveolar ridge Full Thickness Flap Bone Leveling | Ranger for bone reduction Anterior Implant Placement | Drilling Sequence Implant Insertion Implant Insertion Zygomatic Implant Drilling | Lance drill 1.8mm Noris Barrel Diamond Bur | Slot bur for implant positioning. Drilling Sequence | Step drill 01 Drilling Sequence | Step drill 02 Zygo Implant in Place | Torque insertion - more than 45N Bond ApatiteŽ in Place | Filling all gaps with Bond ApatiteŽ biomaterial. Before Compaction Left Implants in Place Bond ApatiteŽ in Place | Filling all the gaps and coverage of the zygomatic implant Bond ApatiteŽ biomaterial, before compacting. Bond ApatiteŽ in Place | Filling all the gaps and coverage of the zygomatic implant Bond ApatiteŽ biomaterial, after compacting. Bond ApatiteŽ - 2nd Layer | An additional layer of Bond ApatiteŽ for better contour. Soft Tissue Closure | Transfer copings in place Panoramic X-ray - Post-Op Rubber Dam Protection | Avoiding contamination Splitted Tranfers Copings | Pattern Resin Impression Take Aspect Final Aspect 8 Months Post-Op | Prosthetic restoration removal for control. 8 Months Post-Op | Great healing, no soft tissue resection. After Cleaning & Polishing 8 Months Post-Op | Occlusal aspect Final Restoration in Place