Fixed Implant Dental Prosthetics

Oral Surgery Full Mouth Rehabilitation

Meet Rochelle (her full face after treatment photo appears below). The adjacent close up picture shows major dental problems that were so severe, an entire rehabilitative treatment plan was developed to restabilize her oral health, bite and basic dental function.

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When Rochelle first presented in our office, she reported severe mouth and gum pain. She had been previously treated by a cosmetic dentist who had used laser surgery. After the laser treatments, the pain worsened.

It was discovered that the teeth in the back of her mouth were decayed and separated from their roots. She was interested in specific implant treatments similar to what her husband had received under the care of Dr. Winter over 7 years previous. Her husband provided the testimonial she was looking for regarding the quality of dental implant surgery and an implant bridge Dr. Winter had created for her husband’s treatment.

Different types of tooth replacement treatments were discussed with the patient. Because of all the treatment problems she had in the past… she decided she wanted teeth that would be permanent and not something she would remove every night. Fixed implant procedures were Rochelle’s prefered treatment.

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Precision diagnostic impression modeling and diagnostic wax ups were implemented to provide not only the technical data needed by our doctors to develop the best choice treatments and occlusal rehabilitation but also to provide the patient a precise representation of how the new teeth would be sized, shaped and shaded, based on her likes and dislikes.

Full mouth extractions were performed. Tissue grafts (socket grafting) were selectively performed to rehabilitate weakened areas of her jawbone. The goal was to reestablish the healthiest condition possible for undergoing multiple dental implant procedures.

Bone grafting was also provided to treat weakened sinus cavity areas of the maxilla (upper jaw). These “sinus lifts” provide volume of bone to adequately cover the implants so they can withstand occlusal stresses of chewing.

The adjacent mid-treatment photo reflects two different types of implant devices that would serve to meet the patient’s short term and long term goals for replacing her teeth.

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In most instances, regular dental implants can require up to 6 months healing time, while the implant device osseointegrates with the jaw bone.

It is not uncommon for patients to remain toothless while this osseointegration process takes place. Rochelle did not want to be toothless and therefore elected to have mini-implants inserted alongside the traditional implants.

The mini-implants allowed immediate use of a temporary bridge that enabled our patient to look and feel comfortable, cosmetically, and to provide basic dental function while waiting for the regular implants to heal properly.

In the adjacent treatment picture, sutures were used to close up the incision sites.

By looking closely, the mini-implants can be seen protruding from the gum, to act as a framework for the temporary bridge.

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The next mid-treatment photo shows the substantial growth of healthy gum tissue that has occurred over a 4 month period.

The state of the tissues are extremely healthy, indicating that all grafting procedures and grafting products have responded well.

Platelet Rich Plasma (PRP) was used by Dr. Winter to accelerate healthy tissue replacement and growth.

This photo also reflects treatment progress on the upper jaw. The maxillary arch can be seen with the 6 mini-implants (this is a mirrored photo so lower jaw temporary is seen on top) in the lower jaw. The upper and lower temporaries were made based on the specifications given by the patient.

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The next picture represents a view of the metallic attachment devices used by Dr. Winter to create the most stable means for attaching new teeth to the implants.

The maxillary bar (attachment for upper teeth) is made in 2 pieces that dovetail together.

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The attachments and precision denture will snap on to the bar. The attachments hold the 3 strategically placed balls on the tongue side of the bar.

All of our dentures are metal reinforced so the contact will always be metal on metal, to avoid wear and fracture of an unsupported acrylic denture.

Although it is common for most dentists to put clips and attachments into the undersurface of plastic, Dr. Winter’s preference for embedded platinum attachment technologies enable our patients to enjoy their fixed bridges and over-dentures for a much longer time… with little fear of acrylic components becoming fractured through normal wear and tear.

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The next photo is the patient’s new porcelain to gold prosthesis. It is a fixed implant supported bridge. The color of the gum tissues and teeth are customized to match the patient’s own tissues as perfectly as possible. Rochelle’s new bridge restores the lost smile dynamics she had enjoyed previously.

Our last photo in the treatment series shows the dramatic results of Rochelle’s upper implant overdenture combined with the permanent lower porcelain bridge.

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Her new teeth have the natural feel, texture and shading that produces a cosmetic result that has successfully restored Rochelle’s ability to smile and laugh without the embarrassment she had before treatment.

Dental function, for the most part, has returned to normal. Her speech and ability to chew and eat just about anything has fully returned… something she had missed for over 10 years.

Advanced prosthodontics, premium porcelain products, specialty implant devices (traditional and mini), bone and tissue grafting, PRP (platelet rich plasma) and computer assisted (implant guides) dental implant surgery are used by our doctors to create treatment solutions that many patients never realized were possible.

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Edentulous patients, or patients who fear becoming edentulous (toothless) in the future do have access to technologies that didn’t exist just a few short years ago. Contact us with your questions about how this treatment could be used in a similar or different treatment plan for your dental needs.


Call (414) 464-9021 for information on any of our services.


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