Case 3

Fig. 1: In the lower jaw, one implant had remained. The vertical bone loss along this implant had reached about 1/3 of the endossous length. There was pus discharge from the periimplant pockets. Considering this and the bad prognosis of this 2-stage implant, it was removed when the lower jaw was restored with a combination of compression screws and the Strategic Implant^®. A fixed metal-to-ceramic bridge was cemented postoperatively on day 3, see Fig. 2.

Fig. 2a: The vertical bone loss along the implants and the teeth in the upper jaw has progressed in the 1.5 years between this picture and Fig. 1. Because of the advanced periodontitis around teeth and periimplantitis around 2-stage implants, all the upper restoration became very mobile. The patient sought treatment of the upper jaw when this situation had become unacceptable.

Fig 2b: Clinical picture of the mobile restoration in the upper jaw, supported by teeth and two implants

Fig. 3: In one single intervention, all teeth and implants were removed and 12 Strategic Implant^® inserted, providing multicortical anchorage. Also, the upper jaw was restored with a metal-to-ceramic bridge within 3 days.

Fig. 4: Overview on the upper and lower jaw restoration 2 years after restoring the lower jaw and 6 months after restoring the upper jaw. There is no vertical (or crater-like) bone loss at all, and all implants are integrated uneventfully.

Fig. 5a: Clinical situation 6 months after the treatment of the upper jaw. No sign of inflammation present

Fig 5b: Clinical situation of the lower jaw after two years of treatment. No signs of inflammation present