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Friday, November 21st 2008 2:51PM EDT

Porcelain Fused to Metal / Short Implants : Restoration of Two Mandibular Molar Short Implants with extra-orally cemented crowns with Porcelain Fused to Metal Crowns
This case demonstrates the restoration of two mandibular molars using two 5.0mm x 6.0mm short implants and extra-orally cemented porcelain fused to metal restorations.
     


1. Pre-operative radiograph.


2. Post-insertion radiograph of two 5.0mm x 6.0mm short implants.


3. Green 3.0mm plastic impression post being inserted into the 3.0mm well of an integrated implant for the making of an implant level transfer impression seven weeks after the two stage placement of the 5.0mm x 6.0mm short implants.


4. Green 3.0mm plastic impression post receiving its mandatory seating tap.


5. Porcelain fused to metal restorations and their laboratory milled abutments on stone model.


6. View of transitional prosthesis prior to its removal for the insertion of extra-orally cemented porcelain fused to metal restorations.


7. Shouldered stealth abutments after removal of transitional prosthesis.


8. View of implant wells after the removal of the transitional prosthesis and the stealth abutments.


9. View of a laboratory milled abutment and a porcelain fused to metal crown on another milled abutment.


10. Milled abutment being inserted into crown.


11. Milled abutment and porcelain fused to metal crown being inserted into the well of the implant.


12. View of initially inserted milled abutment and porcelain fused to metal crown.


13. Floss being used to confirm the fact that the inter-proximal contacts are passive and will not interfere with the engagement of the locking taper.


14. View of crown prior to its being removed for its extra-oral cementation.


15. Milled abutment being inserted into crown.


16. Milled abutment and porcelain fused to metal crown being inserted into the well of the implant.


17. Floss being used to confirm the fact that the inter-proximal contacts are passive and will not interfere with the engagement of the locking taper connection.


18. View of crowns prior to their being removed for their extra-oral cementation.


19. Minimal cement being injected into the cervical portion of the crown.


20. Milled abutment being inserted for the extra-oral cementation of the crown.


21. Extraneous cement being removed with a cotton applicator.


22. Abutment post being cleaned with an alcohol wipe.




23. Extra-orally cemented crown being inserted into the well of the implant.


24. Extra-orally cemented crown being tapped to engage its locking taper connection.


25. Minimal cement being injected into the cervical portion of the crown.


26. Milled abutment being inserted for the extra-oral cementation of the crown.


27. Extraneous cement being removed with a cotton applicator.


28. Extra-orally cemented crown being inserted into the well of the implant.


29. Extra-orally cemented crown being tapped to engage its locking taper connection.


30. Occlusal view of extra-orally cemented crowns immediately after being inserted three months after implant placement.


31. View of extra-orally cemented crowns immediately after being inserted and three months after implant placement.


32. Radiograph four months after the placement of implant.


33. Occlusal view of restorations one month after being inserted.


34. View of restorations one month after being inserted.
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