Complete denture reconstruction with BioniQ and BioniQ Plus implants

Doc. MUDr. Martin Starosta, Ph.D.

  • Dr. Martin Starosta completed his dental education at Palacky University in Olomouc, Czech Republic, followed by a residency at the Clinic of Stomatology, University Hospital Olomouc.
  • In 1999, he was appointed as a forensic expert in forensic dentistry.
  • Dr. Starosta assumed leadership of the Department of Dentistry at the University of Ostrava‘ s Faculty of Medicine in 2023, while continuing to operate his private practice in Olomouc.
  • He is a member of the Committee of the Czech Periodontology Society and belongs to international organizations such as the European Federation of Periodontology (EFP) and the International Team of Implantology (ITI). Dr. Starosta regularly contributes to his field through professional reports, scientific articles, and textbooks, and is a respected speaker at conferences both in the Czech Republic and internationally.

 

Anamnesis

A 58-year-old female smoker presented with a complex dental situation. Her maxilla was edentulous but with a preserved alveolus, and had been treated with an overdenture for the past four years. In the mandible, she had a non-functional fixed bridge supported by teeth 45, 43, 33, and 35, along with a separate molar at position 46. At the patient‘s request, we prioritized treatment of the mandible. Only after the successful completion and a one-year follow-up of the mandibular treatment did we proceed with the maxilla. For the upper jaw, we implemented a fixed restoration supported by six implants.

 

Clinical casebook

Initial situation: edentulous maxilla and the denture supported by teeth 45, 43, 33, 35 and a separated molar 46 in the mandible. The treatment plan was to extract all remaining teeth in the mandible and perform an immediate restoration. After the extraction socket had healed, four implants were to be inserted and a hybrid restoration with telescopes was to follow.

 

Three months after the extraction, four implants were placed in the mandible. BioniQ Plus implants, with a machined neck section of Ø 4 mm and lengths of 10 and 12 mm, were inserted at the soft tissue level. Due to the bone volume, they were inserted in regions 45, 43, 32 and 34. The prosthesis was used as a surgical template.

 

After the eight-week healing phase, the prosthetic phase began. An implant-supported telescope prosthesis was made.

 

Telescope crowns on implants in the mandible.

 

The patient found the final treatment satisfactory. At the recall after one year, everything was fine. The patient also wished to be treated with a fixed restoration in the upper jaw.

 

In the maxilla 6 BioniQ implants were placed at the bone level; the anterior tooth area Ø 4 mm, with lengths of 12 and 14 mm, and the molar tooth area Ø 5 mm, with a length of 10 mm. After the healing phase, the patient was treated with a fixed, milled ZrO2 bridge.

 

After her articulation was checked and adjusted, the patient was instructed on oral hygiene in the maxilla area. The next recall was scheduled in six months. At this follow-up, the patient reported satisfaction with the esthetics and function of both prostheses.

 

The follow-up X-ray also showed the stability of the alveolar bone around the implants. The patient is now three years post-treatment with a stable result.

 

 

Here you can download clinical casebook