Ferhan Ahmed introduces a full-arch upper immediate load case with Tapered Pro implants, in advance of constructing the final bridge.

This 49-year-old male patient presented as fit and well; he was a non-smoker and had adequate oral health. He had referred himself to the practice, having recently had all his upper teeth removed due to multiple failing restorations.

Following a thorough clinical examination and obtaining a full medical and dental history, three treatment options were offered to the patient:

  • A complete upper denture

  • A removable denture on a metal bar

  • Immediate load, fixed teeth

The case gallery

Click images to read captions

The patient expressed a strong desire for a fixed solution, as he felt he was too young to be wearing dentures. He also has a job that involves face-to-face interaction with clients, so a superior aesthetic outcome was essential.

Once appropriate consent was obtained from the patient, treatment began. The treatment was completed in a morning session and was uneventful. (See Figures 1-11 for details of the process.)

As planned, immediate loading was possible, and the patient was provided with an interim prosthesis for the osseointegration period.

Following three months of healing, a definitive restoration will be constructed. Then, once the final bridge is in place, three- to six-month hygiene visits will be recommended, alongside annual bridge checks, at which time the prosthesis will be removed to check oral hygiene levels and assess the peri-implant tissues.

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Ferhan Ahmed

Ferhan Ahmed

Dual qualified in dentistry and medicine, Dr Ahmed qualified from the University of Glasgow with a BDS in 2005 and from the University of Liverpool with a MBChB in 2012. Since completion of vocational training, he has exclusively focused training and research in the area of oral and maxillofacial surgery. Dr Ahmed is involved in teaching and mentoring within the field of dental implants and surgical dentistry. His current practice is limited to dental implants and surgical dentistry. His practice in dental implants involves conventional implants, complex bone grafting and extra maxillary implants such as pterygoids and zygomatics.