Angled Abutment

Angled Abutment

- Angled Abutment demanded for the case of bad insertion path to reward the angle, and Dentisprovides, inclined Angled Abutment.

115Ⅶ. Abutment Prosthetic Protocol ｜

Part 1

1. Removing cover screwfrom the fixture.

2. EquippingPick-up typeI m p r e s s i o nc o p i n g .

3. Capping the opentray for making ap a t t e r n .

4. Removing theguide pin.

5. Removingthe tray( p a t t e r n ) .

6. Equipping theGuide pin on thesame position oftray (pattern).

7. Equipping Labanalog and thenbuilding a softg i n g i v a .

8. Pouringstone in thep a t t e r n .

8. Removing thepattern from thestone, and thenremoving Transfer.



5. CombiningLab analogwith Transfer.

4. Removing thetray (pattern).

3. Capping the tray formaking a pattern.

2. Equipping Transfertype Impressionc o p i n g .

9. Combining Abutment onthe working model.

10. Equipping Abutmenton the working model.

12. Final process for theCrown (or Bridge).

11. Wax-up.

13. Combining the Crown (orBridge) for the completeimplant system.

Pick up (Open Tray)

Transfer (Close Tray)

Octa Abutment

- It's demanded to be used in Multi case of screw type with bad implant path.

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2. Equipping OctaA b u t m e n t .

1. Removing HealingA b u t m e n t .


4. Capping thetray for makinga pattern.







8. Pouring stone inthe pattern.





3. EquippingTransfer typeI m p r e s s i o nc o p i n g .

10. Removing the pattern fromthe stone, and then makingthe complete working model.

11. Equipping Goldu c l a .


12. Wax-up.


Pick up (Open Tray)


O-Ring Abutment

- O-ring Abutment is attachment-retained type prosthesis for the full denture case; the O-ringconnected with prosthesis as the connector.


Part 1

1. Removing Healing Abutment.

6. Pouring stone in the pattern.

7. Removing the pattern from the stone, and thenmaking the complete working model.

8. Equipping retainer on the balls.

9. Denture work.

10. Combining the Denture for thecomplete implant system.

2. Equipping Ball Abutment.

3. Capping the tray for making a pattern.

4. Removing the tray (pattern).

5. Equipping Lab Analog in the position.

O-Ring Abutment

- O-ring Abutment is attachment-retained type prosthesis for the full denture case; the O-ringconnected with prosthesis as the connector.

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4. Impression Taking : External Type

1. Removing Healing Abutment.

6. Pouring stone in the pattern.

7. Removing the pattern from the stone, and thenmaking the complete working model.

8. Equipping retainer on the balls.

9. Denture work.

10. Combining the Denture for the completeimplant system.

2. Equipping Ball Abutment.

3. Capping the tray for making a pattern.

4. Removing the tray (pattern).

5. Equipping Lab Analog in the position.

Mount Abutment

- Mount Abutment is used as a mount during External fixture placement, and also it’s possible to beused as standard abutment and Angled abutment due to capability of customized milling work andadjustment for height of the cuff.


Part 1

1 . Removing HealingA b u t m e n t .

2. Equippingguide pin onthe mount.

3. Capping thetray formaking ap a t t e r n .






8. Pouring stone inthe pattern.

7. Building asoft gingiva.

6. Equipping themount in thep a t t e r n .

5. Combining Labanalog with the mountafter the combining ofmount and copings c r e w .



2. Equippingthe mount.

9. Removing the pattern from thestone, and then making thecomplete working model.

10. Milling.


11. Wax-up.


Pick up (Open Tray)


Cemented Abutment

- Cemented Abutment is applicable for Cemented type prosthesis among case of External type asu s u a l .

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3. Capping theopen tray formaking a pattern.

4. Removingthe guidep i n .







6. Equipping Labanalog andthen building asoft gingiva.






10. EquippingAbutment on theworking model.


11. Wax-up.


Pick up (Open Tray)


Gold UCLA Abutment

- Gold UCLA Abutment is applicable for a very low occlusion case which requires esthetics and fora screw type prosthetics.


Part 1



3. Capping theopen tray formaking ap a t t e r n .








6. Equipping Labanalog in the patternand then building asoft gingiva.






10. Equipping GoldUCLA on theworking model.


11. Wax-up.


Pick up (Open Tray)


Angled Abutment

- Angled Abutment demanded for the case of bad insertion path to reward the angle, and Dentisprovides, inclined Angled Abutment.

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3. Capping theopen tray formaking a pattern.




7. Equipping Labanalog in thepattern and thenbuilding a softg i n g i v a .




6. Equipping Labanalog in thepattern andthen building asoft gingiva.



3. Capping the trayfor making ap a t t e r n .


9. Removing the pattern fromthe stone, and then makingthe complete working model.

10. EquippingAbutment on theworking model.


11. Wax-up.


Pick up (Open Tray)


Estheticone Abutment

- It's demanded to be used in Multi case of screw type with bad implant path.


Part 1

2. Equipping EstheticoneA b u t m e n t .







8. Equipping Labanalog in thepattern and thenbuilding a softg i n g i v a .




7. Equipping Labanalog in thepattern andthen building asoft gingiva.

6. Combining Labanalog withT r a n s f e r .




10. Removing the pattern from the stone,and then making the complete workingmodel. (In the open tray method, whenremoving the pattern, the guide pinwould be removed.)

11. EquippingG o l dC y l i n d e r .


12. Wax-up.


Pick up (Open Tray)


Part. 2Clinical Cases

Fig. 1. X-ray taken before implant surgery. Fig. 2. Pre-surgical photograph of the intraoralview 1.

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Fig. 3. Photograph showing the occlusalrelationship with the corresponding tooth beforeplacing the Dentis implant.

Fig. 4. Intraoral view after incision andsubsequent reflection of the flap.

1. Maxillary anterior teeth

Age / gender▶ 27 years / female

Diagnosis and treatment plan▶ Diagnosis : poor prosthesis on #13-#21▶ Treatment Plan

Extraction of #12 and fabrication of flipper on #13-#21,Implant placement with Dentis implant and Horizontal bone augmentation on #13, #11,# 2 1 .

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Part 2

Fig. 7. Bone augmentation with Bio-oss. Fig. 8. Intraoral view after suturing.

Fig. 5. Dentis implant. Fig. 6. Intraoral view after placement of the Dentisimplant.

Fig. 9. Intraoral view 1 month after implantp l a c e m e n t .

Fig. 10. Radiograph 1 month after implantp l a c e m e n t .

Fig. 11. Radiograph before second surgery. Fig. 12. Intraoral view before second surgery.

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Fig. 13. Intraoral view after incision andconnection of healing abutment with CO2 laseri r r a d i a t i o n .

Fig. 14. Intraoral view after suturing

Fig. 15. Radiograph after second surgery. Fig. 16. Intra-oral view after removal of healingabutment for taking impression.

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Part 2

Fig. 19. Replica model. Fig. 20. Intra-oral view after abutment try-in.

Fig. 17. Connection of Impression coping for takingpick up impression.

Fig. 18. Connection of lab analogue.

Fig. 21. Intra-oral view after delivery of the finalp r o s t h e s i s .

Fig. 22. Intraoral view at 1 year after installationof the final prosthesis (clsoing state).

Fig. 23. Panoramic view at 1 year afterinstallation of the final prosthesis.

Fig. 1. X-ray taken before implant surgery. Fig. 2. Pre-surgical photograph of theintraoral view.

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2. Sinus lift (1)

Age / gender▶ 52 years / male

Diagnosis and treatment plan▶ Right sinus grafting using DBX allogenic bone (0.5cc x 2) was done. The implantplacement (#14-17) was performed 10 months after the first surgery. #14-17 missing areaswere restored by prosthesis with Dentis implant (type Ⅳ).

Fig. 3. Placing a round bar parallel to the lateralside of the maxillary bone.

Fig. 4. Inferior horizontal bone cut was done.

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Part 2

Fig. 5. After formation of the bony window, it waspressed lightly, to separate the bony window fromthe adjacent bones.

Fig. 6. Transplanting particulated bone to theright maxillary sinus.

Fig. 7. The lateral wall of maxilla was replaced.

Fig. 8b. X-ray taken after sinus grafting. Fig. 8c. X-ray taken after sinus grafting.

Fig. 8a. X-ray taken after sinus grafting.

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Fig. 10. Intraoral view after 10 months, before theimplant placement.



Fig. 13a. Dentis implant.

Fig. 9. X-ray taken after 10 months.

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Part 2

Fig. 15. Post-surgical radiograph after placement of the Dentis implant.

Fig. 16. Radiograph before second surgery. Fig. 17. Radiograph after second surgery.

Fig. 18. Intraoral view at 1 year after installation of the final prosthesis. Fig. 19. Panoramic view at 1 year after installation of the final prosthesis.

Fig. 13b. Dentis implant. Fig. 14. Intraoral view after placement of the Dentis implanton #13 - #17 (#13, #14 : 3.7mm in diameter and 12mm long, #15,#16, #17 : 4.3mm in diameter and 10mm long, #46 : 4.3mm indiameter and 12mm long).

Fig. 1. X-ray taken before implant surgery.

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Sinus lift (2)


Diagnosis and treatment plan▶ Left sinus grafting using DBX allogenic bone (0.5cc x 2) was done. The implantplacement (#25-#27) was performed 9 months after the first surgery. #25-#27 missingareas were restored by prosthesis with Dentis implant (type Ⅳ) .

Fig. 2. Pre-surgical photograph of the intraoralv i e w .


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Part 2

Fig. 6. Transplanting particulated bone to theright maxillary sinus.

Fig. 7. Intraoral view after suturing. In mostcases, the primary suture was possible bystretching soft tissues in the vicinity.

Fig. 4. Intraoral view after bony windowf o r m a t i o n .

Fig. 5. The maxillary mucosa was reflected fromthe inferior margin of the bony window, using asinus curet.

Fig. 8. X-ray taken after sinus grafting.

Fig. 9. X-ray taken after 9 months.

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Fig. 10. Intraoral view after 9 months, before theimplant placement.


Fig. 12. Photograph showing the occlusal relationship with the correspondingtooth before placing the Dentis implant on #25 - #27 (#25 : 3.7mm in diameterand 12mm long, #26, #27 : 4.3mm in diameter and 12mm long).

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Part 2

Fig. 14. Radiograph before second surgery.

Fig. 13. Post-surgical radiograph after placement of the Dentis implant.

Fig. 1. X-ray taken before implant surgery. Fig. 2. X-ray taken after sinus grafting.

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Sinus lift (3)


Diagnosis and treatment plan▶ Left sinus augmentation was done using Bio-Oss. The implants (#25-#27) were placedafter 7 months after left sinus augmentation. Second surgery was performed 7 months afterthe first surgery. #25-#27 missing areas were restored by prosthesis with Dentis implant(type Ⅳ) .

Fig. 3. X-ray taken 2 months after sinusg r a f t i n g .

Fig. 4. X-ray taken 5 months after sinusg r a f t i n g .

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Part 2

Fig. 6. Pre-surgical photograph of the intraoralview 7 months after sinus grafting, before theimplant placement.


Fig. 5. Pre-operative CT before implant surgery.

Fig. 8. Intraoral view after the implant placement(#25 : 4.8mm in diameter and 12mm long, #26, #27: 4.3mm in diameter and 12mm long).

Fig. 9. Clinical imaging after suturing.

Fig. 10. Post-surgical radiograph afterplacement of the Dentis implant.

Fig. 11. Intraoral view before second surgery.

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Fig. 12. Intraoral view before second surgery;occlusal relationship.

Fig. 13. Intraoral view after second surgery.

Fig. 14. Photograph showing the occlusalrelationship after second surgery.

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Part 2

Sinus lift (4)


Diagnosis and treatment plan▶ Left sinus grafting using Tutoplast and lateral wall repositioning were done. Dentisimplants were inserted at #26 and #27 area.

Fig. 2. Preoperative intraoral view. Fig. 3. Photograph showing the occlusalrelationship before incision and subsequentreflection of the flap.


Fig. 6. The maxillary mucosa was reflected fromthe inferior margin of the bony window, using asinus curet.

Fig. 7. Intraoral view after the implant placementon #26, #27 (4.8mm in diameter and 12mm long).

Fig. 8. Transplanting Puros particulated allograftto the right maxillary sinus.

Fig. 9. The lateral wall of the maxillary sinus wasr e p l a c e d .

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Fig. 5. Intraoral view after bony windowf o r m a t i o n .

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Part 2

Fig. 10. X-ray taken after simultaneous implant placement and sinus grafting.


Fig. 13. Intraoral view at 1 year afterinstallation of the final prosthesis.

Fig. 12. Radiograph after second surgery.

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Sinus lift (5)


Diagnosis and treatment plan▶ Right sinus grafting using DBX allogenic bone and Dentis implant placement (#16) wasd o n e .

Specific chara c t e r i s t i c s▶ Fixture was removed because of mobility and Dentis implant was re-inserted on thisarea.

Fig. 2. Pre-surgical photograph of the intraoralview.


Fig. 3. Photograph showing the occlusalrelationship before incision and subsequentreflection of the flap.

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Part 2

Fig. 6. Complete osteotomy.

Fig. 8. Transplanting allogenic bone (DBX) to theright maxillary sinus.

Fig. 7. Osteotome technique. The concave straightosteotome with the smallest diameter was tappedlightly with a mallet and inserted to the desireddepth. The osteotomes are concave at the tip inorder to transfer particles of bone from theimplant bed to below the membrane of themaxillary sinus. The next size osteotome wassoaked with saline, and the hole was widened bythe same method.

Fig. 4. Intraoral view after bony windowformation.

Fig. 5. After formation of the bony window, it waspressed lightly, to separate the bony window fromthe adjacent bones.

Fig. 9. Intraoral view after placement ofthe Dentis implant on #16 (4.8mm indiameter and 12mm long).

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Fig. 11. Radiographafter second surgery.

Fig. 12a. Intraoral view at 1 year after installationof the final prosthesis.

Fig. 12b. Intraoral view at 1 year afterinstallation of the final prosthesis.

Fig. 13. Radiograph at 1 year after installation of the final prosthesis.


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Part 2


Sinus lift (6)

Age / gender▶ 55 years/ male

Diagnosis and treatment plan▶ Left sinus grafting (Piezosurgery) using autogenous lateral wall bone and tutoplast (1cc)was done. #24-27 missing area was restored by prosthesis using Dentis implant.

Specific chara c t e r i s t i c s▶ Cyst was found at left maxillary sinus area. Before sinus grafting, cyst was aspiratedand collatape was used for coverage of sinus membrane. Pericardium membrane and 2tacks were applied.

Fig. 2. Pre-surgical photograph of the intraoralview.


Fig. 6. Application of collatape. Fig 7. Autogeneous bone was mixed with tutoplast.


Fig. 5. Complete osteotomy.

Fig 8. PRP. Fig. 9. Transplanting bone material with PRP tothe maxillary sinus. Dentis implant was placed on#24 ~ #27 (4.3mm in diameter and 12mm long).

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Part 2

Fig. 10. Placement of pericardium membrane andfixation of membrane using 2 tacks.

Fig. 11. Intraoral view after suture.



Fig. 14. Radiograph after second surgery. Fig. 15. Radiograph at 1 year after installationof the final prosthesis.

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Fig. 1. X-ray taken before implant surgery. Fig. 2. Pre-surgical photograph of the intraoralview.

Sinus lift (7)


Diagnosis and treatment plan▶ Rigft sinus grafting using autogenous lateral wall bone and Puros particulated allograftwas done. #15-17 missing area was restored by prosthesis using Dentis implant..



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Part 2

Fig. 7. Radiographbefore second surgery.

Fig. 5. Intraoral view after simultaneous implantplacement on #15~#17 (4.3mm in diameter and12mm long) and sinus grafting using Purosparticulated allograft.


Fig. 8. Radiograph after second surgery.

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Fig. 1. X-ray was taken at first visit. Fig. 2. Pre-surgical photograph of the intraoralview.

3. Maxillary posterior teeth (1)

Age / gender▶ 48 years / Female

Diagnosis and treatment plan▶ Diagnosis : root rest of #14▶ Treatment Plan

The implant placement was performed 8 weeks after extraction. #14 missing areas wererestored by prosthesis with Dentis implant.


Fig. 4. Bone defect around #14 implant.

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Part 2

Fig. 7. Radiograph before second surgery. Fig. 8. Radiograph after second surgery.

Fig. 5. Bone augmentation with Bio-oss.

Fig. 9. Intraoral view after removal of healingabutment for taking impression.

Fig. 10. Pick-up impression taking by impressioncoping and connection of lab analogue.


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Fig. 11. Intra-oral view after abutment try-in. Fig. 12. Intra-oral view after temporary setting.

Fig. 13. Intra-oral view after permanent setting. Fig. 14. Intraoral view at biting.

Fig. 15. Intraoral view after delivery of thefinal prosthesis.

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Part 2

Fig. 1. X-ray was taken at first visit. Fig. 2. Intraoral view before surgery.

Maxillary posterior teeth (2)


Diagnosis and treatment plan▶ Diagnosis : missing state of #24, #25, #26▶ Treatment Plan

The implant placement #24-#26 was performed. #24-#26 missing areas were restoredby prosthesis with Dentis implant.


Fig. 4. Intraoral view after implant surgery.

Fig. 7. Radiograph after second surgery. Fig. 8. Intra-oral view after removal of healingabutment for taking impression.



Fig. 9. Pick-up impression taking by impressioncoping and connection of lab analogue.

Fig. 10. Intra-oral view after abutment try-in.

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Part 2

Fig. 11. Intra-oral view after temporary setting. Fig. 12. Intra-oral view after permanent setting.

Fig. 13. Intra-oral view at occlusion. Fig. 14. Intra-oral view after delivery of thefinal prosthesis.

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Fig. 1. X-ray taken before implant surgery. Fig. 2. Pre-surgical photograph of the intraoralv i e w .

4. Mandibular anterior teeth


Diagnosis and treatment plan▶ #31, #33, #41, #43, #46, #47 missing area were restored by prosthesis with Dentisimplant. On #44 area, GBR only using Tutoplast and Tutoplast membrane was done.Autogenous bone was applied around the fixture on #31, #33, #41, #43.


Fig. 4. Intraoral view after incision and sebsequentreflection of the flap.

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Part 2

Fig. 7. Perforation of buccal cortical bone in the recipient site (#44 area).

Fig. 5. Drilling of #31, #33, #41, #43, #46. Fig. 6. Placement of Dentis implant (#31, #33 :3.7mm in diameter and 10mm long, #41, 43 :3.7mm in diameter and 12mm long, #46 : 4.3mm indiameter and 10mm long, #47 : 4.3mm in diameterand 8mm long).

Fig. 8. Transplanting bone material (tutoplastallograft) at #44 area.

Fig. 9. Placement of pericardium membrane at #44a r e a .

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Fig. 10. Intraoral view after suture. Fig. 11. X-ray taken after placement of theDentis implant.

Fig. 12. Two weeks after implant placement. Fig. 13. Radiograph before second surgery (4.5months after implant placement).

Fig. 14. Intraoral view before second surgery. Fig. 15. Intraoral view after incision andsebsequent reflection of the flap.

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Part 2

Fig. 16. Intraoral view after second surgery. Fig. 17. Radiograph after second surgery.

Fig. 18. Radiograph at 1 year after installationof the final prosthesis.


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5. Mandibular posterior teeth (1)


Diagnosis and treatment plan▶ #45, #46, #47 missing area was prosthetically restored using Dentis implant.


Fig. 4. Dentis implant.

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Part 2


Fig. 8. Radiograph before second surgery (4 months after implant placement).


Fig. 5. Intraoral view after implant placement on#45 - #47 (#45 : 3.7mm in diameter and 8mm long,#46, #47 : 4.3mm in diameter and 10mm long).

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Fig. 11. Intraoral view after incision andsebsequent reflection of the flap.

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Part 2

Fig. 3. Photograph showing the occlusal relationshipbefore incision and subsequent reflection of the flap.

Fig. 4. Intraoral viewafter implantplacement on #36,#37 (4.3mm indiameter and 8mml o n g ) .



Fig. 2. Pre-surgicalphotograph of theintraoral view.

Mandibular posterior teeth (2)


Diagnosis and treatment plan▶ #36, #37 missing area was prosthetically restored using Dentis implant.

Fig. 7. Radiograph before second surgery (4 months after implant placement).



Fig. 10. Intraoral view after incision andsebsequent reflection of the flap.

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Part 2




Diagnosis and treatment plan▶ The defect in the right molar tooth and teeth #34 - #36 were restored by prosthesiswith the placement of Dentis implants using Tutoplast.


Fig. 4. Intraoral view after implant placement on#34- #36 (3.7mm in diameter and 8mm long).


Fig. 5. Perforation of buccal cortical bone in therecipient site.

Fig. 6. Transplanting Puros particulated allograft( t u t o p l a s t ) .

Fig. 9. Intraoral view of 10 days after implantp l a c e m e n t .

Fig. 10. Radiograph before second surgery (4months after implant placement).

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Part 2

Fig. 11. Intraoral viewbefore seconds u r g e r y .

Fig. 12. Intraoral viewafter incision andsebsequent reflectionof the flap.

Fig. 13. Intraoral viewafter second surgery.

Fig. 16. Radiograph after second surgery. Fig. 17. Radiograph at 6 months afterinstallation of the final prosthesis.

Fig. 14. Photograph showing the occlusalrelationship after second surgery.

Fig. 15. Intraoral view of 2 weeks after seconds u r g e r y .

Fig. 1. X-ray was taken at first visit. Fig. 2. Pre-surgical photograph of the intraoralview.

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Diagnosis and treatment plan▶ Diagnosis : missing state of #44, #45, #46▶ The implant placement #44 - #46 was performed. #44 - #46 missing areas wererestored by prosthesis with Dentis implant.



Documents

Angled Abutment