Multi-unit restoration in case of lack of space

Patient age 50, Four frontal teeth with calculus, movement and pockets. Extraction of those teeth is needed.
The patient also has 2 crowns on implants.

Prior to the extractions a Maryland bridge fixed to implants with Ti-Bases was made from.

Ti-base anti-rotational

Ti-base rotational

The Ti-Base serves as a connector between the implant and the restoration, enabling the highest customizable solutions using CAM\CAD, with best results and highest precision.

The teeth were extracted and two implants were placed.
After the implant placement a Maryland bridge was fixed to the posterior implants.
The bridge was polished and adjusted.

After six months the Maryland bridge was removed and the healing caps were reviled.
The teeth were extracted and two implants were placed.
After the implant placement a Maryland bridge was fixed to the posterior implants. The bridge was polished and adjusted.

The healing caps were removed and the height of the gingiva was measured.

Two multi-unit abutments were placed. They were chosen by the height of the gingiva.

Scan abutments were placed on top of the multi-units and the implants.

Scan abutment on the implant level vs scan abutment for the Multi-unit level.

Implant level scan marker

Multi unit level scan marker

For a single tooth the only scan abutments that can be used are implant level can be placed.
For bridges both of the options are possible but it is always recommended choosing the Multi-unit level scan abutments.

The old crowns of the molars were in a good shape, it was chosen to use them instead of making new ones. A new PMMA bridge was made for the anterior implants.

The old crowns and the new PMMA four unit bridge placed in the mouth.

The holes of the PMMA bride were closed with Plastic pins.

The old Maryland bridge after 6 months in the mouth.