Retreatment of failed implants using posteriorly placed ‘long implants’ With 8 years of follow-up Luc@Vrielinck.be
07/02/1995: Initial situation
Treatment I
X
X
X
X
30/07/1995: Failure 4 implants
Treatment II Hip crestal bone, Titanium membrane 2x Zygoma, RP: 2x tuber, paranasal and anterior
Treatment III 26/10/2000
X
X
2002: failure 23 and left zygoma
X
Treatment IV 03/10/2002
Situation • Only 3 implants available: – Zygoma right (M1 location teeth 16) – Pterygoid right (M3 location teeth 18) – Pterygoid left (M3 location teeth 28)
• Premaxilla: Second PM Right to second PM left : no bone present anymore • Additional support is required – Planning for 1 skull base implant and 1 pterygoid left
Immediately before treatment
After bar removal
03/10/2002: Placement 1 skull base implant ans 1 pterygoid implant
Note that the drill guide is screwed on top of the remaining 3 implants
03/10/2002: Placement 1 skull base implant ans 1 pterygoid implant
Skull base implant
Pterygoid implant
03/10/2002: Placement 1 skull base implant ans 1 pterygoid implant
Drilling for the skull base implant: easy to do !
03/10/2002: Placement 1 skull base implant ans 1 pterygoid implant
Drilling for the pterygoid implant: easy to do !
03/10/2002: Placement 1 skull base implant ans 1 pterygoid implant
03/10/2002: Placement 1 skull base implant ans 1 pterygoid implant
Free hand placement of the skull base implant
03/10/2002: Placement 1 skull base implant ans 1 pterygoid implant
03/10/2002: Placement 1 skull base implant ans 1 pterygoid implant
10/2002: Postoperative healing after placement 1 pterygoid and 1 skull base implant
10/2002: Postoperative CT scan
10/2002: Postoperative CT scan
10/2002: Postoperative CT scan
10/2002: Postoperative CT scan
10/2002: Postoperative CT scan
04/2003: Prosthetic treatments
Prosthetic bar with adequate 3dimensional splinting of the implants
04/2003: Prosthetic treatments
04/2003: Prosthetic treatments
Residual bucconasal fistula
04/2003: Prosthetic treatments
04/2003: Prosthetic treatments
04/2003: Prosthetic treatments
01/2007: Teeth lower jaw to be extracted
Prosthetic screw was lost and replaced
04/2007:bone healing after extractions in lower jaw
04/2007:bone healing after extractions in lower jaw
04/2007:bone healing after extractions in lower jaw
Treatment V 17/04/2007: placement 2 implants LJ
17/07/2007: Second stage lower jaw
8 year follow up for the skull base implant 27/03/2011
27/03/2011: Follow-up 08 years
27/03/2011: Follow-up 08 years
Only dorsal implant support since whole premaxilla is missing
27/03/2011: Follow-up 08 years
27/03/2011: Follow-up 08 years
27/03/2011: Follow-up 08 years
27/03/2011: Follow-up 08 years
27/03/2011: Follow-up 08 years