Editorial_lay:Layout 1 - BDIZ EDI

Figs. 1 to 4
The clinical
examination
showed the
precarious
condition of the
patients’ restorations
and pronounced
vertical
and horizontal
atrophy in both
mandibular
segments.
1 2
3 4
tion consisted of complete implant-supported dentures
for the maxilla and the mandible, using a computer-assisted
approach to treatment planning and
atraumatic surgery. The plan called for the placement
of six implants each in the maxillary and mandibular
arches, to be loaded immediately on placement with
fixed denture prefabricated on the basis of data
obtained from the SurgiGuide [12-17]. To be able to
perform an atraumatic flapless procedure, it is necessary
to transition through a phase with a conventional
removable denture immediately after the extraction
of the residual teeth, to remain in place during
the entire time required for the soft tissue to heal.
EDI 45
Case Studies
Fig. 5
Baseline
orthopantomograph.
The patient embraced this project with enthusiasm
and signed an informed consent form, and the
treatment was begun immediately.
The first step was a preparatory periodontal treatment
to reduce the activity of periodontal disease
and to improve the prognosis of the subsequent
treatment steps.
After four weeks and antibiotic preparation (amoxicillin
3 g one hour before the procedure), we proceeded
to extracting the residual maxillary teeth. The
extractions were performed with the utmost caution,
using the appropriate bone levers and syndesmotomes
[18].