The surgery of an osseointegrated dental implant must be executed under controlled conditions and
surgical asepsis and should aim at a solid and direct conection between the bone and the implant,
and should be as less traumatic as possible to the patient. The decision for an osseointegrated dental
implant must be preceded by a complete treatment plan, based on visual inspection, panoramic and
periapical radiographies, aiming at determining the anatomic limits, the occlusal conditions, the periodontal status and patient osseous condition. This analysis can be enriched with lateral cephalometric radiography and CAT scans.

1. Superior Unitary Crowns

Autogenous graft reopening moment	Surgical guide in position
Occlusal view of the internal hexagon implants 30 days after second surgical phase	Substructure of unitary crowns in the model
Unitary metalloceramic crowns in the model	Vestibular view of the unitary metalloceramic crowns

2. Superior Anterior Fixed Prosthesis

Absence of superior incisors	Healers in position (implants nr. 12 and 22)
Occlusal view of the implants	Substructure of the screw fixed prosthesis
Vestibular view of the metalloceramic fixed prosthesis	Patient’s smile

3. Inferior Unitary Crowns

Occlusal view of 2 internal hexagon implants nr. 31 and 41	Screwed unitary crowns substructure test
Screwed unitary crowns substructure test	Lingual view of the unitary crowns
Vestibular view of the crowns in the mouth	Patient’s smile

4. Mandibular Posterior Fixed Prosthesis

Right side external hexagon implants	Left side external hexagon implants
Metalloceramic fixed prosthesis screwed on the model	Vestibular view of the right side metalloceramic crowns
Vestibular view of the left side etalloceramic crowns	Frontal view of the concluded prosthesis

5. Cementeded Superior Unitary Crown

Absence of element 11	Second surgical phase, implant of external hexagon
Radiographic aspect of the implant in region 11	Vestibular aspect of the healer in position
Unitary crown on the implant of region 11	Cemented unitary crowns, implant in region 11 and in region 21

6. Mandibular Protocol

Radiographic aspect of the implants in mandibule	Vestibular aspect of the esteticone prosthetic components
Substructure test and join with weld fixing duralay	Inferior view of the fixed prosthesis “Branemark protocol”
Lingual view of the superior total prosthesis and the inferior fixed prosthesis	Frontal view of the fixed prosthesis "Branemark protocol”