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Clinical cases

Dr Loïc


Bordeaux - France

Mr Jérôme


Jérôme Ozenne dental lab

Bone Level or Tissue Level Implants ?

A 67-year-old patient in good health. Iatrogenic removable prostheses in the mouth. Would like a comfortable, fixed oral rehabilitation. The proposed treatment plan includes the placement of Axiom® BL (Bone Level implants with Simplant® surgical guide on maxilla (bone increase graft with sinus lift refused) and Axiom® TL (Tissue Level) implant in mandible with immediate loading and functional reconstruction in the two sectors.

1 – Pre-operative panoramic X-ray.

2 – Implant projection (Simplant®).

3 – T0: pre-operative situation of Axiom® TL (Tissue Level) implants.

4 – T0: pre-operative situation of Axiom® TL (Tissue Level) implants.

5 – T0 + 48h: immediate loading (extraction of 43).

6 – TO + 4 months: Healing.

7 – Transfers pick up Ø 4.0 mm.

8 – Aesthetic recording (Ditramax®).

9 – Simeda® CAD model.

10 – Co-Cr frame (Simeda®).

11 – Superstructure for fitting with inLink® fitting locks.

12 – Fitting the superstructure with inLink® fitting locks.

13 – Fitting the Simeda® superstructure, molar sector.

14 – Palatal view of the Simeda® superstructure in the mouth.

15 – Fitting the superstructure, vestibular view of the incisive sector.

16 – Fitting the superstructure, frontal view in occlusion.

17 – Ceramic superstructure (Jérôme Ozenne dental lab).

18 – Permanent inLink® fixing locks in place.

19 – Functional prosthesis.

20 – Panoramic X-ray after functional loading.

21 – Final smile.


The placement of bi-maxillary implants was carried out at the same time the impression was taken for the placement of the bridges in view of immediate loading. We note a significant difference in the surgical and prosthetic execution time with Axiom® TL (Tissue Level) implants (mandible) and the new inLink® connection compared to the Axiom® BL (Bone Level) implants with Multi-Unit abutments (maxillary):
• better management of the surgical tray by the assistants,
• simplified execution of prosthetic procedure by the prosthetic technician
• improved comfort for the patient and the practitioner, thanks to a faster procedure.