Presented by Michael A. Pikos, DDS
54 Year old female with edentulous maxilla
24 years of complete upper and lower denture wear
Interpositional graft (AlloDerm) to thicken the maxillary soft tissues
Bilateral sinus graft using autogenous marrow, xenograft and PRGF
Mesh particulate graft reconstruction of the entire arch for width and height with tibia marrow, xenograft and PRGF
Stage I surgery with eight Internal HA implants
Implants were immediately provisionalized
Final restoration was a fixed hybrid bridge
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