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Implants placed on the right side of the lower jaw holding abutments are screwed in place to house the proposed implant supported bridgework. This simple procedure requires approximately two hours on a dental chair with normal local dental anaesthetic used for tooth removal or dental filling.

Laboratory Procedures
Models produced to construct the porcelain implant supported bridgework
| Completed Porcelain bridgework on the model |
Completed Porcelain bridgework |


Total treatment time for implant placement to final restoration is three to six months: implant placement - three months connection of abutments – two weeks for final bridgework in place.
CONGENITALLY MISSING TEETH
Case study: Missing upper lateral incisors and upper left second premolars causing “smile disharmony” shifted midline to the right narrow upper arch. Another difficulty is the patient has a slightly protruding (overshot) lower jaw.

Solution: Orthodontics repositioning of teeth in ideal sites to allow optimal placement of implants especially at missing upper lateral incisors. In most cases, patients with congenitally missing teeth have a lack of bone at these sites requiring bone augmentation grafting with or without simultaneous implant placement. In this patient, no bone augmentation was needed.
Optimal spaces created using orthodontics treatment time 12 months, followed by optimal implant placement.

Ideal gum architecture achieved to simulate and replicate natural teeth. Final crown placement on osseointegrated implants.

Final definitive implant crowns bolted to the implant surface.
Improved patient confidence, comfort and aesthetics.
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