CA LÂM SÀNG CA #0239

Dương Quang Sáng

Braces Extraction of 4 premolars

Patient info

Hanoi

Condition

Multiple missing teeth

Bone loss

Grade III bone loss

Treatment time

3 months

The treatment goal is to restore multiple missing teeth, improve chewing force, and rebuild a harmonious smile.

- BS. Lê Thị Bích Phương

1. Treatment Profile

Triệu chứng & tình trạng

The patient had long-term tooth loss, loose teeth, pain, and difficulty eating. Severe upper jaw bone loss with a thin and low ridge was recorded.

Diagnosis

  • Full-arch tooth loss in the upper jaw.
  • Grade IV upper jaw bone loss.
  • Thin and low alveolar ridge.
  • Severe impact on chewing function and aesthetics.

Cone beam CT images

2. Treatment Plan

3. The recovery journey

Day 1

Examination & planning
Examination & planning

Clinical examination, CT scan and detailed treatment planning.

Day 5

Implant surgery
Implant surgery

Implants are placed according to the pre-planned surgical position.

Day 7

Follow-up visit
Follow-up visit

Healing check, suture removal and home-care instructions.

Day 14

Healing follow-up
Healing follow-up

Soft tissue healing and hygiene around the implant area are reviewed.

Month 1

Gum stabilization
Gum stabilization

Gum tissue recovers and the patient follows light chewing guidance.

Month 2

Osseointegration check
Osseointegration check

Implant stability and bone integration progress are assessed.

Month 3

Fixed temporary teeth
Fixed temporary teeth

Temporary fixed prosthesis supports light chewing and aesthetics.

Month 4

Final ceramic teeth
Final ceramic teeth

Final restoration is fitted, bite and aesthetics are adjusted.

Month 6

Post-restoration check
Post-restoration check

Bite, hygiene and long-term maintenance guidance are reviewed.

After 1 year

Periodic check-up
Periodic check-up

Implant stability and long-term chewing function are reviewed.

4. Treatment Results

5. Patient Testimonials

The new teeth are stable, natural-looking and comfortable for chewing. I am very satisfied with the result.

- Mr. Thanh - 55 years old
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