P5D

Complete maxillary rehabilitation with the All-on-X concept

A 69-year-old woman with a failing upper dentition had her remaining teeth removed and received P5D implants with straight and 30° multi-unit abutments placed at surgery. A tuberosity connective-tissue graft was placed around all implants. A reinforced screw-retained PMMA provisional went in on the fourth day after surgery, and a screw-retained metal-ceramic full-arch bridge was delivered at the 6-month prosthetic stage.

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Timeline

Step by step

  1. Clinical and radiographic (CBCT) assessment
  2. Painless extraction of remaining upper teeth; mucoperiosteal flap
  3. Placement of P5D implants and S16DS / S17DS 30° multi-unit abutments in prosthetically driven positions
  4. Connective tissue graft from the maxillary tuberosity placed around all implants; suturing
  5. Impression for the provisional
  6. Day 4: screw-retained reinforced PMMA provisional delivered
  7. 2 weekssoft tissue check after suture removal
  8. 6 monthsopen-tray impression and follow-up CT
  9. Screw-retained metal-ceramic definitive prosthesis; follow-up X-ray; before/after
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