Canada (EN)
CLINICAL CASE
Maxillary full-arch rehabilitation using the new NobelZygoma™ TiUltra™ implants
Prof. Enrico Agliardi
The NobelZygoma TiUltra 0° is a great leap forward from the previous generation of zygomatic implants. The small diameter and conical connection offer advantages both surgically and prosthetically. Furthermore, the TiUltra surface ensures minimal tissue trauma making them more stable over time. In addition to all this, the new drill system offers optimal implant site preparation in every anatomical situation and greatly simplifies every single step. The entire system for treating patients with severe maxillary atrophy using zygomatic implants now has a new gold-standard thanks to Nobel Biocare.
Initial clinical situation
Patient initial situation.
Patient initial situation.
Patient initial situation.
Patient initial situation.
Provisional prosthesis planned before the surgery (left).
Provisional prosthesis planned before the surgery (right).
Treatment planning
Right side view (left).
Planning frontal view (center).
Left side view (right).
Cross sectional view of planned zygomatic implant.
Surgical procedure
Extraction of the pre-existing teeth and incision (left).
Flap elevation (right).
Initial osteotomy drill (left).
Direction indicator (center).
NobelSpeedy® implant of 11.5mm * 4 mm (right).
Design of the window – Extra sinus (left).
Lower border of zygomatic bone identification (right).
Complete zygomatic bone visualization (left).
Round bur to mark the entry point (right).
Lateral bur engages at the mark and creates the implant path (left).
Precision drill (right).
2.9 mm twist drill (left).
3.5 mm pilot drill (right).
Depth indicator angled to identify correct implant length (left).
37.5mm NobelZygoma 0° TiUltra implants in region 25 (right).
Zygoma implant final position (left).
Mounting of MUA (right).
Final implant position with MUA (left).
Occlusal view post implant and MUA placement (right).
Nasal and sinus communication Double closure thanks to buccal fat (BICHAT) Pad and soft tissue (left).
Suture (right).
Immediate provisional
Occlusal view of provisional prosthesis (left).
Frontal view of provisional prosthesis (right).
Pre-op smile (left).
Post-op smile (right).
Phase 1 check-up
Follow-up X-Ray post implant placement.
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