Minimally invasive treatment a partially dentate elderly patient with dynamic navigation to place a tilted implant
An 80-year-old female patient presented with a fractured root on a distal fixed partial prosthesis element. Her case was solved with an immediate flapless implant placement using dynamic navigated surgery and immediately provisionalized implants mesially tilted.
Her relevant medical history reveals she is using anticoagulants and antihypertensive drugs. Over and above that, her dental history includes generalized gingivitis, localized periodontitis on tooth #1.5 FDI (#4 US) and recently, pain in the area of tooth #1.4 FDI (#5 US) due to a vertical root fracture.
In the clinical examination, she presents with tooth wearing in the lower jaw, a fixed partial prosthesis in the upper jaw, missing teeth #1.8, #1.7, #1.6, #1.4 FDI (#1, #2, #3, #5 US), and a fixed partial prosthesis over tooth #1.5 to #1.3 FDI (#4 to #6 US) with a distal cantilever of tooth #1.6 FDI (#3 US) restored almost 20 years ago. The patient has a bone quality type III and limited bone quantity due to the sinus position in the area of teeth #1.6 and #1.7 FDI (#3 and #4 US). Due to the vertical root fracture, buccal bone resorption on tooth #1.5 FDI (#4 US) is observed.
Evaluation & Diagnosis
Progress & Completion
Follow-Up & Outcome
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