Canada (EN)
CLINICAL CASE
Hybrid-zygoma surgery with the new NobelZygoma™ TiUltra™ implants
Dr. Rubén Davó
Initial clinical situation
Initial occlusion (left).
Initial patient’s X-ray (right).
Initial situation without the prosthesis (left).
Initial situation with the prosthesis (right).
Intraoral pre-op maxillary arch (left).
Intraoral pre-op mandibular arch (right).
Data collection
IOS of preexisting prosthesis (left).
IOS of bite in preexisting prosthesis (right).
Treatment planning
Virtual wax-up of the provisionals (left).
Virtual wax-up trial of the future prosthesis (right).
Upper left picture: Central bone.
Lower left picture: Bone in premolar/molar region (left side of the patient).
Upper right picture: Available bone from premolar area to posterior (right side).
Lower right picture: Available bone at the level of the canine (left side).
Printed model of part of the skull of the patient.
Surgical procedure
Extraction of the pre-existing teeth and incision (left).
Flap elevation (right).
Surgical splint position (left).
Design of the window and sinus slot (right).
Window and slot (left).
Reflecting sinus membrane (right).
First drill (left).
Drilling (right).
Zygoma implant insertion through the slot (left).
Positioning the implant head (right).
Surgical splint position (left).
Drilling right side (right).
Zygoma implant insertion through the maxillary slot (left).
Zygoma implant insertion (right).
Implants in place.
Immediate provisional
Provisional printed (left).
Provisional printed (right).
Phase 1 check-up
Occipitomental view, post-surgery (left).
Panoramic X-ray, post–surgery (right).
Share this clinical case
© Nobel Biocare Services AG, 2024. All rights reserved. Distributed by: Nobel Biocare. Nobel Biocare, the Nobel Biocare logotype and all other trademarks are, if nothing else is stated or is evident from the context in a certain case, trademarks of Nobel Biocare. Please refer to nobelbiocare.com/trademarks for more information. Product images are not necessarily to scale. All product images are for illustration purposes only and may not be an exact representation of the product. Please contact the local Nobel Biocare sales office for current product assortment and availability. Disclaimer: For prescription use only. Caution: Federal (United States) law or the law in your jurisdiction may restrict this device to sale by or on the order of a licensed clinician, medical professional or physician. See Instructions For Use for full prescribing information, including indications, contraindications, warnings and precautions. Nobel Biocare does not take any liability for any injury or damage to any person or property arising from the use of this clinical case. This clinical case is not intended to recommend any measures, techniques, procedures or products, or give advice, and is not a substitute for medical training or your own clinical judgement as a healthcare professional. Viewers should never disregard professional medical advice or delay seeking medical treatment because of something they have seen in this clinical case. Full procedure is not shown. Certain sequences have been cut. Dr. Davó is a paid consultant for Nobel Biocare. The opinions expressed are those of the doctor. Nobel Biocare is a medical device manufacturer and does not dispense medical advice. Clinicians should use their own professional judgment in treating their patients. Individual patient results may vary.