Bicon Dental Implants
Friday, November 21st 2008 12:40PM EDT

Polyceramic Material Fused to Metal: Maxillary Three-Unit Anterior Bridge
This case demonstrates the temporization, implant level impression and insertion of a three-unit polyceramic to metal bridge.
     


1. Two 5.0mm wide shouldered abutments inserted only with finger pressure at the uncovering of the implants with the two-stage implant placement technique.


2. Buccal view of acrylic anterior teeth removed from metal removable partial denture.


3. Palatal view of removed acrylic teeth.


4. Acrylic teeth being fitted around shouldered abutments.


5. Modified one-piece acrylic sleeves snapped onto abutments with pink methylmethacrylate for their being incorporated into an interim prosthesis.


6. Two one-piece acrylic sleeves with pink denture acrylic.


7. Retrofitting of removed acrylic teeth with two one-piece acrylic sleeves on shouldered abutments.


8. Cervical view of new acrylic interim prosthesis.


9. Interim prosthesis being placed on shouldered abutments.


10. Seated interim prosthesis.


11. Interim prosthesis being removed after initial healing of implant sulci.


12. Removed interim prosthesis with two 5.0mm x 4.0mm shouldered abutments.


13. View of implant sulci.


14. Impression post being inserted into 3.0mm implant well for the making of an implant level impression.


15. Two fully seated impression posts after having been tapped axially into their respective implant wells.


16. Impression material being injected around fully seated impression post.


17. Two laboratory prepared non-shouldered abutments seated in metal implant analogs.


18. Three-unit metal frame bridge on model.


19. Mirrored labial view of prosthesis.


20. Mirrored cervical view of metal frame prosthesis.


21. Interim prosthesis prior to its removal for the insertion of permanent bridge.


22. Finger-pressure seated shouldered abutments prior to their being removed.


23. Removal of second shouldered abutment.


24. Incisal view of 3.0mm implant wells.


25. Final prosthesis being used to assist in the alignment of the permanent abutments.


26. Seated prosthesis.


27. Patient’s smile with finished prosthesis.


28. Post-operative Radiograph.


29. Prosthesis one year post-op.
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