Case diagnostics and treatment planning starting with conventional clinical and prosthetic diagnostic procedures, resulting in a wax up.

As a result of the diagnostic procedures, clinically evaluated wax-ups are transformed into a radiographic guide for each jaw. Digitization folaows the double scan technique.

Through NobelGuide™ planning NobelSpeedy^® implants are virtually placed - upper jaw: implants on the right, 3 on the left side. A need for sinus floor augmentation is identified on both sides, lower jaw: implants each at both sites. The plan is transferred to a ready to use surgical template.

Upper left side: minimal invasive access through tissue punch, Guided implant site preparation (surgical template). Bone condensation with dedicated tooling (osteotomes, internal sinus floor elevation). Guided implant insemion, healing abutments.

Upper right side: external access for external sinus floor elevation. Flap elevation through guided surgery predictable and stable insertion of implants even in the measured bone quality 3 and 4. Cover screws, bone grafting and sealing with a resorbable membrane, submerged healing, tight suturing.

OPG after conventional healing time of 4 months. Second stage surgery upper right implants impression taking and fabrication of master models.

Wax up in the articulator for NobelProcera^® (Following initial waxup).

All considerations taken during the NobelGuide™ planning facilitate the design of the NobelProcera^® framework design.

Try in of final NobelProcera^® zirconia framework.

Final veneered single crowns, screw retained in the patient's mouth.