In this presentation, Dr. Wolfgang Bolz (Munich) places angled implants in a patient's edentulous upper jaw. The fixed prosthesis is integrated as part of immediate loading. For various reasons, not least as a result of acute periodontitis, the height of the alveolar ridge is reduced; angled implants and a special bone preparation technique allow for sufficient implant length and the required primary stability, even without augmentation.

The drill guide used following conventional incision of the alveolar ridge and extraction specifies the prosthetic positioning and direction of the implants and defines the height to which the alveolar ridge must be reduced. A conventional external sinus augmentation is performed on both sides to support exact orientation during insertion of the implants at a distal angle. Following implantation, the soft tissue is reduced and sutured without tension using conventional double-sling sutures.

In order to achieve a common prosthetic insertion direction, the anterior implants are subsequently fitted with straight abutments, while the distal angled implants are fitted with angled abutments.