Complications from Malaysia and Korea

65 year old, Male.

• On referral from specialist periodontist with concerns of unsatisfactory full arch tooth and dental implant dental crown and bridge work.

• Poor dental implant and tooth crown margin fit – allowing substantial space for bacterial plaque and food particle accumulation leading to
  • Rampant dental caries (tooth decay) development.
  • Moderate to severe peri-implantitis and periodontitis / periodontal disease (gum and bone infection) around multiple implants and natural teeth respectively.

• Dismantle of all dental implant and tooth supported crown and bridgework – with assistance of CADCAM implant abutment screw location stents – to allow for:
  • Investigation of the extent of damage and restorability of underlying teeth and dental implants.
  • Periodontal and peri-implant (gum and bone) tissue therapy.
• Removal of all remaining upper natural teeth (6 teeth) and 2 upper failed dental implants found to have poor prognosis or unrestorable.
• Surgical placement of 3 dental implants using CADCAM implant surgical stents.
• Construction of new dental implant bridges (screw retrievable) – on newly placed and preexisting dental implants – to replace upper missing teeth.
• NOTE: The result is not ideal as pre-existing clinical parameters such as occlusion / bite and previous implant placements are present. The treatment required to correct the original work has limited the scope and has precluded us from achieving an ideal final outcome due to the high financial cost.