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Temporization Temporization utilizing the Inclusive Tooth Replacement Solution consists of seating the custom temporary abut ment, then relining and cementing the BioTemps provisional crown (Fig. 11). If a screw-retained temporary is preferred, after adjustments are made, an occlusal hole is drilled through the crown (Fig. 12). The abutment and internal surfaces are roughened up to help create mechanical retention. A guide pin is used to maintain the screw opening, and the crown is luted to the abutment with permanent cement. The crownabutment assembly is then delivered to the implant (Fig. 13), and the abutment screw is tightened to 15 Ncm (Fig. 14). The occlusal screw is covered with a piece of Teflon tape and the access opening sealed with composite (Fig. 15). The crown should be out of occlusion (Fig. 16). Figure 9: Inclusive Tooth Replacement Solution custom healing abutment Final Impressions The final impression is made with the Inclusive Tooth Replacement Solution custom impression coping (Fig. 17). The custom impression coping allows you to transfer the position of the implant as well as the soft tissue contours to the master cast. The custom impression coping is seated on the implant and the screw is tightened (Fig. 18). The access opening is sealed with soft wax to prevent impression material from flowing into the coping (Fig. 19). The closed-tray impression is made following standard technique. When the material has set, the impression is pulled. The impression coping is removed and replaced with the healing abutment or provisional restoration. The shade is selected (Fig. 20) and clinical photos are taken. A bite registration and impression of the opposing arch are made. The pre-populated Inclusive Tooth Replacement Solution lab prescription is filled out and the case sent to the lab. Figure 10: Custom healing abutment in place with access opening sealed Laboratory Fabrication Upon receipt, the lab will mount the custom impression coping on an implant analog (Fig. 21) and reseat it back into the impression (Fig. 22). A soft tissue model will be poured (Fig. 23), the case articulated, and the final restoration fabricated. Figure 11: Custom temporary abutment and BioTemps crown Based on the clinician’s preference, a cemented or screwretained prosthesis can be ordered. In this case, the cemented restoration consisted of an Inclusive ® All-Zirconia Custom Abutment (Figs. 24a, 24b) and an IPS e.max ® crown (Ivoclar Vivadent; Amherst, N.Y.) (Fig. 25). An acrylic jig is fabricated to aid in seating the abutment (Figs. 26a, 26b). Final Delivery: Cement-Retained Crown When the healing abutment or provisional restoration is removed, the soft tissues will have healed to more Figure 12: After adjustments, a hole is drilled through the crown and the crown cemented to the abutment. 22 – www.inclusivemagazine.com –
Figure 13: Seated provisional restoration Figure 17: Custom impression coping Figure 14: The abutment screw is tightened Figure 18: The impression coping is seated Figure 15: The occlusal access opening is sealed Figure 19: The screw access opening is sealed with soft wax Figure 16: The temporary crown is out of occlusion Figure 20: Shade selection – Restoring Mandibular Single Teeth with the Inclusive Tooth Replacement Solution – 23
Page 1 and 2: Inclusive Restorative Driven Implan
Page 3 and 4: Contents 19 Restoring Mandibular Si
Page 6 and 7: Publisher Jim Glidewell, CDT Editor
Page 8 and 9: Contributors ■ Bradley C. Bockhor
Page 10 and 11: Trends in Implant Dentistry Average
Page 13 and 14: my first implant with Jack A. Hahn,
Page 15 and 16: The House that Jack Built Inspired
Page 17 and 18: Hygienist’s Corner A Probing Ques
Page 19 and 20: Probe using only 0.15 Ncm of pressu
Page 21 and 22: Restoring Mandibular Single Teeth w
Page 23: Figure 4: Cross-sectional view of p
Page 27 and 28: Figures 26a, 26b: Acrylic abutment
Page 29 and 30: IMPLANT POSITION IN THE ESTHETIC ZO
Page 31 and 32: type of connection between implant,
Page 33 and 34: SMALL DIAMETER implants Planning fr
Page 35: Mandibular Spacing Maxillary Spacin
Page 38: used before the patient even presen
Page 42 and 43: BB: Sounds like it’s a truly inte
Page 44 and 45: Figure 6: Double-cord tissue retrac
Page 46: It’s a great time to be in dentis
Page 51 and 52: CLINICAL TIP Go online for in-depth
Page 53 and 54: 5a Figures 5a, 5b: A new bite regis
Page 55 and 56: Photo Essay: Immediate and Post-Pla
Page 57 and 58: 4a On the day of surgery, the risks
Page 59 and 60: With the implant securely hand-thre
Page 61: Case #2: Post-Placement Utilization
Page 65 and 66: 7a Once an appropriate osseointegra
Page 67 and 68: CLINICAL TIP When a Flapless Approa
Page 69 and 70: LAB SENSE Go online for in-depth co
Page 71 and 72: Digitally (CAD) Designed vs. Waxed
Page 73 and 74: mitigate the painful and disruptive
Page 77 and 78:
Go online for in-depth content Trea
Page 79 and 80:
BB: For the sake of our audience, c
Page 81 and 82:
A lot of times, having the prosthes
Page 83 and 84:
the time, and then I will prescribe
Page 85 and 86:
Go online for in-depth content Crea
Page 87 and 88:
Figure 3: In2Guide surgical guide c
Page 89 and 90:
Figure 13: Implants torqued to full
Page 91 and 92:
Figure 22: Teflon plumber’s tape
Page 93 and 94:
“Rules of 10” Guidelines for Su
Page 95 and 96:
Some added concern is focused on th
Page 97 and 98:
The all-on-four concept generally r
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