[Diagnostic / Planning]  Max Ant TX plan


I posted the question about anterior placement (place in LI or CI position) on the Facebook group a few weeks back but here are some of the images from my planning.

The pt had a trauma falling off a ladder. The teeth were fx through the roots and the B plate was damaged. I extracted the teeth and did some socket and B grafting and placed him in a socketed max temp RPD. I took a new CBCT and are planning case with OneGuide. My original plan was implants in #12 and 22 with bridge 12-x-x-22 but it looks like I have better bone for implants #11 and 21 with cantilever pontics, x-11-21-x.

1) Do you think this is a good plan?

2) Would you splint crowns 11-21 together for 4 unit or make separate implant-cantilevers?

3) Would you place immediate temp crowns or keep using flipper for best result?

any and all advice appreciated.

4) what do you thInk of longer implants?


mike b

by Mike Budrewicz at Mon, Apr 2, 2018 5:31 PM

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Mark Kwon Replied at Tue, Apr 17, 2018 9:58 PM

1. x-11-21-x can also be a good option

2. I would splint them together

3. depends on the bone quality and occlusion

4. For maximum stability , i always try to maximize the available bone by using longer implants

hope this helps,

- mark kwon