- Age: 50
- Gender: female
- Gingival recession on 4.1 (LR1), 3.1 (LL1)
- Horizontal alveolar bone loss on 1.7 (UR7), 4.7 (LR7), 3.7 (LL7)
- Atrophy of edentulous alveolar ridge on 1.6 (UR6), 4.6 (LR6), 3.6 (LL6)
- Partial loss of tooth on 1.6 (UR6), 4.6 (LR6), 3.6 (LL6)
- Unsatisfactory restoration on 1.7 (UR7)
Total Treatment Visits
Step 1: Consultation and treatment plan were completed. Lower wisdom teeth were extracted bilaterally.
Step 2: Spaces were regained for implant placement through Invisalign treatment. The total treatment time was 16 months.
Step 3: Three implants were placed, 4.0 x 8 mm fixture was placed on #16 with crestal sinus lifting procedure, 4.0 x 10mm fixtures were placed on #36 and #46 with an autogenous connective tissue graft.
Step 4: After osseointegration, an iTero scan was taken for crown fabrication on #16, #17, #36, and #46.
Step 5: Three screw-retained crowns were placed on #16, #36, and #46.
Step 6: Crown was seated on #17. Upper and lower removable retainers were delivered.
Dental history: The patient suffered from chronic generalized periodontitis and lost three first molars many years ago. The edentulous spaces were partially closed by the adjacent teeth.
Treatment plan: The first step was Invisalign treatment as tissue friendly and comfortable orthodontic treatment option, especially for periodontally compromised patients. It was followed by placing implants and implant-supported crowns on #16, #36, and #46 and a crown on #17