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Patient: A 60-year-old female with horizontal and vertical bone defects, which required comprehensive augmentative measures.
Challenge: All of the patient’s natural teeth, which serve as abutment teeth for a telescopic restoration, could not be preserved and thus were extracted. In this case, a concept for bone grafting and prosthetic rehabilitation is required, which offers maximum stability and good long-term results.
Treatment: The surgical treatment consisted of three procedures, each at three-month intervals. After harvesting a bone block from the retromolar region of the right mandible with the Frios MicroSaw and bone augmentation, four Xive implants were inserted. As a second step, the previously augmented area was opened for the insertion of two more Xive implants. At last, the final prosthetic restoration on Atlantis was carried out based on the stability of the primary splinting of the implants.
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