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This case presents severe periodontal disease. The only logical treatment plan is full extractions and new denture.

CEFERINO_01

The bone ridge is very damaged and there too many irregularities as to approach immediate implants after extractions. I prefer having the teeth extracted and wait until the bone ridge is in better, safer shape.

In addition, an impacted upper right cuspid will leave a big hole in the bone in an area that I will need to use for implantation.

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So,  I proceed to extract the cuspid and fill the bone defect with Bio-Oss graft, covering it with a resorbable Bio-Guide membrane.

Then, all the teeth are extracted by his general dentist, who places a removable denture while waiting for the bone to heal.

CEFERINO_02 Four months later, the bone ridge is more regular

Then, I place six implants on each jaw.

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Note the unexpected, deep bone defect that laid after previous extractions of the upper right molars, which was filled up with soft tissue.

I use Bio-Oss bone graft and Bio-Guide resorbable membrane to cover the cavity and place the last implant on the front side of the defect.

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This is the final result after 6 months, ready for his general dentist to initiate the fixed prosthesis.