Replacement of Multiple Teeth in a Partially Dentate Posterior Maxilla and Mandible with Fixed Dental Prostheses Using a Conventional Loading Protocol - Clinical Case Report - Home
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Clinical Case Report
Replacement of Multiple Teeth in a Partially Dentate Posterior Maxilla and Mandible with Fixed Dental Prostheses Using a Conventional Loading Protocol
In the summer of 2002, a 42-year-old female patient was referred to the University of Geneva for the replacement of posterior maxillary and mandibular missing or non-restorable teeth.The patient’s medical history revealed no significant findings,and she was in good general health.Her dental history included recurrent decay that led to the loss of several posterior teeth. The patient showed no history of periodontal disease. At the extraoral examination, the patient presented normal physiognomy with normal facial and lip support and homogenous distribution of the facial thirds. At full smiling, the patient displayed an average lip line, and a tooth gap was slightly visible in the left maxilla. Small diastemas were present between the anterior maxillary teeth.
Deficient vertically or deficient vertically AND horizontally
* General SAC assessment modifiers that are also part of the ERA. To avoid redundancy they are listed in this section even if no complete ERA has been made.
** Not applicable to the ERA of immediate placement cases and replaced by "Socket Integrity" listed below under "Surgical SAC Classification". For all other placement types this value is a classification determinant and listed here even if no complete ERA has been made.
Surgical SAC classification
SAC Level
Straightforward
Defining Characteristics
Up to three missing teeth to be replaced with an implant-borne restoration or restorations
Modality
-
Placement Protocol
Early or late implant placement
Tooth Site
-
Socket Morphology
-
Socket Integrity
-
Bone Volume
Horizontally and vertically sufficient
Anatomic Risk
Low
Esthetic Risk
Low
Complexity
Low
Risk of Complications
Low
Prosthodontic SAC classification
SAC Level
Straightforward
Defining Characteristics
Up to three missing teeth to be replaced with an implant-borne restoration or restorations
Loading Protocol
Conventional or early
Retention
Cemented, with prosthesis margin < 3mm submucosal Cemented, with prosthesis margin < 3mm submucosal
Maxillomandibular Relationship
-
Mesio-Distal Space
Anatomic space corresponding to the missing teeth +/- 1 mm
Inter-Arch Distance
> 8 mm
Bruxism
Absent
Esthetic Risk
Low
Provisional Implant-Supported Prosthesis
- -
Interim Prosthesis during Healing
- -
Occlusion/Articulation
Harmonious
Occlusal Scheme/Issues
-
Surgical SAC Modifiers
Periodontal Status
Healthy
Prosthodontic SAC Modifiers
Soft Tissue Contour and Volume
-
General SAC Modifiers
Oral Hygiene and Compliance
Sufficient
Access
Adequate
Craniofacial/Skeletal Growth
Completed
Publication date: Jan 11, 2015
Last review date: Apr 10, 2021
Next review date: Apr 10, 2024
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