The “All-On-Four” & Immediate Loading Techniques
Pre-Op Close Up Photos
What She Has—What We Are Planning
Pre-Op Frontal View
Pre-Op Occlusal View
Begin Surgical Procedure
Begin Contouring The Remaining Bone
“Leveling Off” The Remaining Bone
Bone Surgery Complete
Surgical “Guide”
Dr. Neal B Gittleman
Surgical Guide Pin
Insertion Of The First Implant
Angled Posterior Implants
All Four Implants Are In Place
“Connection Hardware” Paced In The Mouth
Torque To 35 Ncm.
Healing Caps In Place
Phase IIAttaching (in the same day) her
new teeth to the implants…
Tissue Surface Of The Immediate Prosthesis Is “Hollowed” Out…
Impression Putty Is Employed To Register The Location Of The Implants
Readying The Prosthesis For Conversion
All Four Cylinders Are Secured
Voids Are Filled—Ready For Try-In
Finished Case : 124 Minutes Elapsed
Dr. Neal B GittlemanDr. Neal B Gittleman
Close-Up Of Seated Prosthetics
Another “All-On-Four “ Case to Look At…
Tissue View & Occlusal View
Case Lined Up Nicely
A Maxillary (Upper) Same Day Case To Observe…
Immediate Load Maxillary Case
The Case Is Carefully Planned
An Excellent Surgical Result Has Been Achieved
Same Day Temporary Teeth
Immediate Post-Op View
Patient Is Ready For Her “Permanent” Teeth