Bego Implants case report #3

Dear Friends of BEGO Implant Systems,


Short & Crisp: As in our past Case Report Messengers we would like to continue to share informative details in the implantological treatment of patients with our products with you.

The photostory shows the most important stages of the treatment, including key data on the initial situation. Todays’ clinical case comes from Dr Ilia Roussou from Athens/Greece.

Have fun with our Case Report Messenger No. 3!

Clinical Case Dr Ilia Roussou from Athens/Greece


Gender: male
Age: 81 years old

Periodontal condition/oral hygiene: poor oral hygiene

Treatment reason:
• failure of the old restoration
Treatment plan:
1. Teeth extraction, installation of BEGO Semados® RI implants and a CAD/CAM PMMA temporary prosthesis
2. Production and installation a Porcelain fused to metal prosthesis with a SLM framework, after osseointegration period

(1) Clinical initial situation (note the inflammation and failure of 20 years old restorations).

(2) Extractions of upper teeth and old restorations.

(3) PS CADP on five BEGO Semados® RI implants in place. Implant on side #24 was covered, since it was not stable enough for immediate loading.

(4) Suturing of surgical side. Digital impression is taken to design the provisional restoration, according to soft tissue position.

(5) Digital planning of the posthesis.

(6) Digital planning of the posthesis.

(7) Digital planning of the posthesis.

(8) CAD/CAM PMMA provisional restoration.

(9) Cementation of the PS TiB NH abutments on the temporary restoration.

(10) Delivery of the screw retained prosthesis on 5 implants.

(11) X-ray image after implant surgery and immediate loading.

(12) Intraoral placement of the PS MultiPlus abutments. In the anterior region PS MultiPlus abutments with inclination were used, in order to restore the facial location of the screw access hole.

(13) Framework fabricated with selective laser melting (SLM).

(14) Verification of the framework fit, the muscular skeletal stable position and treatment position re-evaluation.

(15) Bisque stage. Evaluation of occlusion, phonetics and esthetics.

(16) Final prosthesis after glazing procedure.

(17) Final prosthesis after glazing procedure.

(18) Final prosthesis delivered. The patient is aware that the lower arch needs to be treated, as well.

(19) Final prosthesis delivered. The patient is aware that the lower arch needs to be treated, as well.

(20)Stabilization appliance, for night use only.

(21) 5 years follow-up of the clinical case. A fracture of the porcelain occurred on #12. Patient admitted that he was not regularly using his appliance.

(22) Preparation of the porcelain for a veneer restoration.

(23) Lithium disilicate veneer restoration.

(24) Intraorally cementation of the veneer restoration, with a dual-cure resin cement.

We would like to thank Dr Ilia Roussou for this interesting case and her approval to provide the data for the 3rd Clinical Case Messenger.

Forstec Dental AB Malmö 040 755 45 Forshaga 054 87 53 00 Stockholm 08 611 55 45 Klinik 08 55 76 51 70 OpenMill 040 31 75 45 Support 010 500 61 90 Service 040 755 40 info@forstec.se