Tuesday, January 16th 2018 9:56AM EST

Ceramo-Metal Restorations

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Temporization Options One: Transitional Restoration wIth Sleeve

1. Insert the appropriate non-shouldered abutment. The width of the abutment is dictated by the anatomy of the interdental papillae. The abutment should support the papillae without encroaching upon them.

2. Tap the abutment in the long axis of the abutment post and implant well.

3. Orientate the internal flat(s) of the appropriate non-shouldered acrylic temporization sleeve with the external flat(s) of the abutment prior to snapping it onto the abutment.

4. Confirm the appropriateness of the non-shouldered acrylic temporization sleeve with a vacuum formed template. Adjust the acrylic sleeve as necessary.

5. Inject transitional crown material around the non-shouldered acrylic temporization sleeve.

6. Inject transitional material into the vacuum-formed template prior to re-inserting it over the non-shouldered acrylic temporization sleeve to form a transitional prosthesis.

7. Remove transitional prosathesis for polishing.

8. Snap the completed transitional prosthesis onto the non-shouldered abutment to facilitate the formation and preservation of an aesthetic soft tissue emergence profile.






Temporization Options Two: TemporIzatIon wIth a Temporary Abutment

At the time of uncovering, place a titanium temporary abutment. Abutment will support the soft tissue and assist in the formation of the gingival sulcus. Abutment may be modified to achieve a desired gingival contour. Transitional crowns should not be placed on temporary abutments.












Temporization Options Three: A Transitional Prosthesis in The AesthetIc Zone

1. Choose appropriately sized temporary abutment See Option #2 above.

2. Insert temporary abutment into the implant well and gently seat the abutment by tapping on the head of the abutment Removal of the abutment may be achieved with a variety of extraction forceps.

3. In aesthetic areas, a flipper may be inserted for aesthetics and function while tissue is healing around the temporary abutments.

4. View of inserted provisional restoration.






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