Multiple posterior teeth replacement

Clinical case · 03

Three posterior mandibular sites with different degrees of ridge resorption were restored using Excellence Series implants.

Patient and presentation

A 50-year-old patient presented with several missing posterior teeth that affected eating. The mandibular right posterior teeth had been absent for years, with additional tooth loss in the opposite arch.

The patient reported smoking 10–15 cigarettes daily and light alcohol use; the recorded systemic medical history was otherwise unremarkable.

Clinical assessment

Sites 37, 46 and 47 were diagnosed as missing. Imaging recorded mild vertical resorption at 46 and 47 and moderate resorption at 37, with average oral hygiene.

A three-implant plan was prepared to restore the mandibular posterior spaces.

Surgical treatment

BL.RC4110 implants (Ø4.1 × 10 mm) were placed at sites 37, 46 and 47, each with a BL.HA.RC6020 healing abutment. The sites were classified as Class III bone.

No grafting was used. The implants were managed with a non-submerged protocol, interrupted sutures and good reported primary stability above 35 Ncm.

Restoration and review

One year after placement, the restorations showed close crown margins and no reported peri-implant abnormality. Cement-retained abutments were used for the definitive prostheses.

At five years, imaging continued to show favorable implant position, stable reported first-thread bone levels and no abnormal peri-implant findings.

Three posterior implants remained clinically stable with well-fitting restorations during long-term follow-up.

This case has been edited and reorganized from the original Trusyou clinical record for clearer professional reading.

Clinical information

Discuss the appropriate workflow for your case.

Product selection and treatment planning must follow professional diagnosis, current instructions for use and local requirements.