Multiple teeth
Restoring worn and missing teeth with implants and crowns
This patient had very worn teeth and some missing teeth. Temporary crowns made from a planned diagnostic wax-up, a model of the intended result, were fitted first; the photos show them after three months. Implants were placed using a surgical guide to help position them. Digital iTero scans were used to make the crowns, which were tried in, fitted and reviewed at three months.
Before and after
Before 
After
Step by step
Every stage of the treatment, in order. Photos from the practice archive.
Preoperative retracted view 
Close up preoperative of very worn teeth 
Left side retracted preoperative view 
Right side preoperative view of missing and worn teeth 
Provisional temporary crowns in situ after 3 months made from planned diagnostic wax up 
Lower arch provisional restorations made from diagnostic wax up 
Upper arch provisional crowns made from diagnostic wax up 
Preoperative site healed before implant placement 
Gum reflected to expose implant bed 
Surgical guide in situ to aid in correct implant positioning 
Implant bed prepared for placement of implant fixtures 
Implants placed in situ with correct angulations 
Healing abutments placed and implant site closed 
iTero scan taken during the implant healing phase to make the lower crowns 
During implant healing phase lower right crowns constructed 
Lower left crowns fitted 
iTero digital scan of implant fixture scan bodies 
Upper left hand side crowns fitted and front crowns tried in situ 
Upper front crowns tried in situ 
Implant fixture abutments connected from iTero model and scan 
Retracted view of permanent implant crowns tried in situ 
View of permanent implant restorations tried in 
Chewing surface of implant restorations 
3 month review of lower right crowns 
3 month review of lower left crowns 
3 month review of lower restored teeth 
Mirror view of upper restored teeth 
3 month review of upper teeth 
3 month review of implant restorations 
3 month review close up of permanent front crowns 
3 month review close up of upper front right crowns 
3 month review close up of upper front left crowns 3 month review of final restorative outcome
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