Purpose: A diagnostic wax try-in has been recommended to correctly design the future prosthesis for edentulous maxillae and to predict its effect on the supporting oral tissues. The objectives of this study were to analyze (1) the reliability of this diagnostic tool in planning fixed implant-supported prostheses and (2) the amount of prosthetic compensation required. Materials and Methods: Nine female patients participated in this prospective study (mean age, 53.6 years). After anamnesis, clinical examination, and preoperative analysis, the patients underwent preoperative prosthetic preparation, and the wax try-in was fabricated. To evaluate the efficiency of the diagnostic wax try-in, three profile cephalograms were taken of each patient: (1) with the initial conventional prosthesis, (2) with the wax try-in, and (3) with the implant-supported prosthesis. Two analyses were carried out for the assessment of lip support: the nasolabial angle and Steiner's S-line. To analyze the amount of prosthetic compensation, two measurements-vertical and horizontal distanceswere obtained for each wax try-in and final prosthesis. Results: For the Steiner's S-line, the results of the statistical tests indicated no significant difference between the initial and final prosthesis for the upper (P = .237) and lower lips (P = .237), and between the wax try-in and final prosthesis for the upper (P = .463) and lower lips (P = .463). Regarding the nasolabial angle, the results of the statistical tests indicated no significant difference between the initial and final prosthesis (P = .594), and between the wax try-in and final prosthesis (P = .800). Regarding prosthetic compensation, the results of the statistical test indicated no significant difference between the vertical (P = .753) and horizontal evaluations (P = .855) carried out for the wax try-in and those for the final prosthesis. Conclusion: On the basis of the data collected, it was concluded that the methods of replacing muco-supported prostheses with implant-supported fixed prostheses were efficient at maintaining the original lip design. The wax try-in was capable of predicting the future lip design and the prosthetic compensation of the final prosthesis. More studies are required to consolidate these data.

No abstract

Tooth loss can occur due to several factors including dental caries. Immediate replacement of posterior teeth with dental implants facilitates to plan and to obtain consistent results with good prognosis. Factors such as minimally traumatic extraction, primary implant stability, maintenance of proximal bone ridges, buccal and lingual bone plates, in addition to a temporary or customizable component for tissue stabilization are important parameters to make the case predictable. The immediate technique for implants placement in the posterior regions has been described in the literature since the 1990s, presenting a high success rate and predictability of patients rehabilitation with shorter waiting times and maintenance of soft and bone tissue architecture. This study reports a clinical case of extraction of an upper molar tooth (26) with dental caries and placement of an extra-wide diameter implant, followed by filling of the surgical alveolar socket with bioactive calcium phosphate ceramic and placement of a customizable healing abutment. Clinical and radiographic control was performed after 8 months with success, with maintenance of soft tissue and marginal bone.

Precise planning for dental implant placement requires appreciation of anatomical limitations and restorative purpose. Diagnosis can be made by complementary exams such as panoramic radiography and cone-beam computed tomography. The purpose of this study was to rehabilitate the upper and lower jaw of a patient with severe periodontal disease using a guided osteotomy and implants placed with free hands and Morse taper implants. The concept of guided surgery was used to prepare the alveolar bone to place eight implants, four implants in the upper jaw and four implants in the lower jaw, all have achieved a minimum torque of 60 Ncm. The modified suture technique was used to better stabilize the soft tissue around the mini conical abutments. The analogues were scanned by CAD/CAM for confection of the metallic structures of the bridges. On the third day, the upper and lower full arch prostheses were installed and simultaneous bilateral contacts were adjusted. After 12 months of patient follow-up, the implants and prostheses were in good condition of aesthetics and function, maintaining the success of the rehabilitation. Within the limitations of this clinical case, it can be concluded that the implants placed with free hands was facilitated by a previous guided osteotomy.

This case report describes the treatment of two patients who presented with single edentulous sites in the region of upper premolars and were rehabilitated through the placement of injection‐molded 2‐piece zirconia implants and immediate single crowns. Three months after surgery, definitive prostheses were confectioned through digital workflow. Both patients were followed for 12 months during which clinical and radiographic implant success were observed, concerning implant stability, absence of peri‐implantitis signs, complete implant osseointegration, good marginal bone‐level maintenance, and excellent soft tissue esthetics. No biological or mechanical complications were observed within this period.