Restoring several missing teeth when bone volume is limited requires particularly precise planning. It is important not only to place the implants securely, but also to select every component of the future prosthetic restoration correctly.
In this clinical case, a 77-year-old patient needed to restore four missing teeth. Due to a very narrow alveolar ridge, the treatment was technically challenging and required careful attention at every stage.
Implant Placement Immediately After Tooth Extraction
The implants were placed directly on the day of tooth extraction. This approach is known as immediate implant placement.
When bone volume is limited, the dentist must determine the position of each implant with exceptional precision. This affects implant stability, the correct distribution of chewing forces and the possibility of successful future prosthetic treatment.
In this case, the implantologist had to work with a narrow alveolar ridge and preserve the available healthy bone tissue as carefully as possible.
The main objective was to create a reliable foundation for the future dental bridge.
Four Crowns Supported by Two Implants
After the implants had integrated, the next important stage began — prosthetic restoration.
A dental bridge consisting of four crowns supported by two implants was fabricated for the patient. This type of restoration makes it possible to replace several missing teeth without placing a separate implant for every crown.
However, achieving a high-quality result requires careful consideration of many details:
- the position and depth of the implants;
- the distance between them;
- the direction of the implants;
- the condition of the gums;
- the patient’s bite;
- the height of the future crowns;
- the distribution of chewing forces.
Even a small planning error can affect the comfort, appearance and longevity of the prosthesis.
Individual Selection of Abutments
Special attention was paid to the choice of abutments.
An abutment is the connecting element between an implant and a crown. In this case, it was necessary to select individual abutments of the correct height and determine the appropriate angle for securing the restoration.
This is especially important when implants are positioned deeply. An incorrectly selected abutment may make daily hygiene more difficult, place excessive pressure on the gum and affect the long-term durability of the entire restoration.
Precise selection of the components helps to:
- preserve the health of the gums around the implants;
- reduce the risk of inflammation;
- provide secure and stable fixation;
- make the prosthesis comfortable for everyday use;
- achieve a natural appearance.
Why Original Implant Components Matter
At Diente Sano, the dentist uses original screws, abutments and other components supplied by the implant system manufacturer.
These are not components to compromise on. They must match the installed implants precisely and ensure a reliable connection between all parts of the restoration.
High-quality original components help reduce the risk of screw loosening, component damage and premature repair of the prosthesis.
The main goal of treatment is to create a restoration that the patient can use comfortably for many years.
Shape, Colour and Design of the Future Crowns
Implant-supported prosthetic treatment is not only about restoring chewing function. The finished crowns should also blend harmoniously with the patient’s natural teeth.
The dentist and dental technician carefully coordinated:
- the shape of each crown;
- its proportions;
- the shade of the material;
- its position in relation to the gum;
- contact with neighbouring teeth;
- the characteristics of the chewing surface.
Much of this work remains invisible to the patient. However, close cooperation between the dentist and dental technician is precisely what makes a natural and functional result possible.
Treatment Result
As a result, the patient received four aesthetic crowns securely fixed on two implants.
The treatment restored:
- full chewing function;
- proper distribution of chewing forces;
- continuity of the dental arch;
- a natural appearance of the teeth;
- comfort when speaking and eating.
The patient can once again smile freely and experience the prosthesis almost like her own natural teeth.
Implant-Supported Prosthetic Treatment in Barcelona
Every implant case requires an individual approach. This is especially important when there is limited bone volume, when implants are positioned deeply, or when several teeth need to be restored with a single prosthetic structure.
At Diente Sano, treatment begins with diagnostics and detailed planning. The dentist evaluates the condition of the bone tissue, the position of neighbouring teeth and the patient’s bite, and selects the most appropriate restoration option.
