Really thin ridges everywhere so we did two ridge splits and planned pilots for those areas. Re-inforced the thin buccal plate with graft and membrane. Got some expansion, but had to place the implants fairly subcrestal.
Went for a two stage surgery due to the splits and primary closure.
Took an impression intra orally for Bio-temps which we kept her in for 6 months. Patient returned for uncovery, In retrospect I should have done some bone recontouring in the 8-10 to even everything out.
Custom abutments from Custom Direct by Implant Direct. I just love those things. All abutments torqued (not twerked as my patients think I say when tightening them !)
Finals with pink porcelain. Crowns remented with Relyx resin reinforced Glass Ionomer, Implant bridge
with temp bond. Handy Dandy floss threading trick.
Before and After, even though we had to use pink porcelain the patient has a low smile line and I think we got a good improvement. Will work on the lowers when she is ready.