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anatomically correct contours (Fig. 27). The abutment is seated utilizing the jig (Fig. 28) and the screw tightened to 35 Ncm (Fig. 29). The jig is then removed (Fig. 30). The crown is seated and the margins and interproximal and occlusal contacts are checked (Figs. 31a, 31b). Any necessary adjustments are made. There should be light centric contact with a firm bite and no lateral contacts. The interproximal contacts should be light. The abutment screw is tightened once more to 35 Ncm, and the access opening sealed with a piece of Teflon tape. The crown is cemented in place with RelyX Unicem Self-Adhesive Resin Cement (3M ESPE; St. Paul, Minn.). All excess cement must be meticulously removed. A PA was taken to verify complete seating and cement removal (Fig. 32). Final Delivery: IPS e.max Screw-Retained Crown If a screw-retained crown was selected (Figs. 33a–33c), the one-piece restoration is seated on the implant (Fig. 34). The abutment screw is tightened to 35 Ncm utilizing the jig (Fig. 35). The interproximal and occlusal contacts are checked and adjusted as needed (Fig. 36). The screw access opening is sealed with a piece of Teflon tape and an occlusal composite (Fig. 37). Figure 22: Assembly reseated into impression Summary Replacement of missing mandibular molars with singletooth implant-borne restorations provides many benefits over fixed partial dentures. It avoids having to prep adjacent teeth, it makes hygiene easier for the patient, and it allows for flexure of the mandible. 2 The osteotomy can be created conventionally or through a guided surgical procedure. The Inclusive Tooth Replacement Solution provides the components to simplify the restorative process and provide a superior final restoration for this common restoration. IM Figure 23: Soft tissue model Figures 24a, 24b: Inclusive All-Zirconia Custom Abutment Figure 21: Custom impression coping mounted on implant analog Figure 25: Inclusive All-Zirconia Custom Abutment and IPS e.max crown 24 – www.inclusivemagazine.com –
Figures 26a, 26b: Acrylic abutment seating jig Figure 30: The jig is removed Figure 27: The provisional restoration is removed Figures 31a, 31b: After adjustments, the IPS e.max crown is cemented in place Figure 28: The abutment is seated with the jig Figure 32: PA verifying seating and cement removal Figure 29: The abutment screw is tightened to 35 Ncm Figures 33a–33c: IPS e.max screw-retained crown – Restoring Mandibular Single Teeth with the Inclusive Tooth Replacement Solution – 25
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 and 24: Figure 4: Cross-sectional view of p
Page 25: Figure 13: Seated provisional resto
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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