Pre-operative situation

Study model, surgical stent and interim fixed prosthesis prepared by the dental lab

Anterior maxilla occlusal view

Flap and extraction of maxillary teeth

Maxillary ridge reduction

Ridge preparation

Straumann^® BL RC Implant with SLActive^® surface placed at #4

30° angled Screw-retained Abutment, placed onto the implant

Implant osteotomy #13

Surgical stent and anterior implants

Titanium Copings, non-engaging, placed intra-orally, facial view

Titanium Copings, non-engaging, placed intra-orally, occlusal view

Block-out technique to protect screw channels

Blu-Mousse^® application to identify the emergence of the Titanium Copings

Blu-Mousse^® set and pick up

Trimming of impression material in the dental lab

Study model drilling and registration

Study model occlusal view

Interim fixed bridge registration with study model

Trimming interim fixed bridge for intra-oral pick up

Passivity and fit check on study model

Titanium Copings in place and screw channels blocked out

Anterior Titanium Copings blocked out, verify access and passivity

Acrylic material intra-oral pick up

Posterior abutments blocked out and pick up

Security of intra-oral pick up verified

Application of additional acrylic to pick up sites

Trimming interim fixed prosthesis

Fit check of study model

Interim fixed prosthesis initial seating, occlusal view

Interim fixed prosthesis. Close screw access holes

Interim fixed prosthesis, post-operative, facial view: note buccal flange extension, adaptation to maxillary ridge, and relation to mandibular natural dentition

For the final fixed prosthesis, Straumann® CARES^® Bars are used as a framework

4 months later, the final fixed prosthesis is delivered to the patient

Pre-operative situation

Post-operative situation