Clinical


carried out under local anaesthetic. The patient reported minimal


post-operative pain. Post-opera- tive instructions stressing a soft diet for six weeks were given. After a number of months, we carried out X-ray examination as well as clinically checking the osseointegration. We took closed tray impressions with a special tray and relined the replica denture. The bar and denture were fitted after one wax try-in stage. The patient was extremely


happy with the final outcome. Final X-rays were taken to con- firm proper seating. The patient has been reviewed on a periodic basis. The X-rays and photo- graphs show the situation after eight months. The patient was extremely pleased with the final result and will be proceeding to the upper implants in a few months. The treatment was carried out with minimal complications and no changes in the plan were made. The patient was impressed by


About the author Dr Abid Faqir BDS(Glasg), MFDS RCS(Edin),


MSc(MedSci), Dip Imp Dent (RCS Edin), is available at the Scottish Centre for Excellence in Dentistry for implant and restorative dentistry referrals.


how little post-op discomfort there was and the straightforward nature of the procedure. He has also been extremely impressed by the retention that was achieved. The ability to use the CT


allowed the case to be treated in a straightforward nature. There would be little I would change about the treatment plan. The most challenging part of the case was to get the patient to stop smoking; however we did get some reduction around the time of the surgery.


Fig 10 Impression taking using custom tray and replica denture


Fig 11


Fig 12


44 Scottish Dental magazine


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