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This is the case of a 50 year old male, smoker, with severe periodontal disease and ongoing periapical pathology in some of his teeth.

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I extract all the teeth, place a temporary removable prosthesis, and wait three months until the sockets are healed and the bacterial flora has hopefully changed.

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I place, then, the 8 + 8 implants, but the two last ones in the upper right sector fail, and I have to wait a little longer to replace them. The rest work osseointegrate themselves fine.

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after six months from the re-placement of the last two implants, I start with the prosthetical procedures.

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This is the trial model, to test size, shape, color, and smile line

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This are the final prosthesis on the cast, the upper one divided in four sections 7-4, 3-1, 1-3, 4-7 and the lower one in three 7-5, 4-4, 5-7

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The two upper front sections are cemented over gold abutments and the rest are screwed.

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Oclusal view with the chimneys filled up

0019632K 0019632L 00196313 …and final smile