The patient is presented with many deficiencies but would like to achieve his goals with the least amount of procedures. The patient would like to have a full-arch implant prosthesis and does not mind if it’s removable or fixed (screw-retained). Without the patient’s desire of a bilateral or unilateral external sinus lift (since the patient lacks bone in the posterior regions), the patient is content that he still able to receive 6 implants in his upper arch. However, for this to be possible, ridge splitting procedures were required since the patient lacked the necessary bone thickness (width) in 5 of the 6 implant sites. After the ridge splits were completed, the bone is carefully spread apart and expanded to allow the placement of the desired dental implant sizes. Furthermore, the required primary stability for all 6 implants were achieved thus allowing the patient to wear a removable implant overdenture as he initially hoped for (after the proper amount of time of healing has occurred).
In the future, with additional procedures the patient can add more implants to his upper arch and upgrade from a removable implant prosthesis to a fixed implant prosthesis if he wishes to do so.
Description: The patient is presented with an irregular upper arch shape, lack of bone height (near the sinuses) and a lack of bone width.
Description: The cross-sectional view shows the sites of the 5 of the 6 implant to have triangular-shaped alveolar ridges and lacking the required thickness (width) which are insufficient for implant placements. To provide at least 1-2 mm of coverage of bone all around the implants, ridge splitting procedures are performed to achieve this.