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12a As sufficient initial implant stability was achieved in this case (35–40 Ncm), the decision was made to immediately temporize the implant with the custom temporary abutment and BioTemps crown. 12b 13 Both the custom abutment and BioTemps crown exhibited excellent fit and orientation in all dimensions. It was further confirmed that the BioTemps crown was out of occlusion by 1.5 mm, which is desirable for immediate temporization so as to avoid any lateral micromotion on the neophyte implant that might compromise its osseointegration. The patient tolerated the procedure very well, and there were no operative complications. Postoperative home care instructions were reviewed thoroughly with her, and she was appointed in one month for follow-up. 14 A three-month postoperative checkup revealed excellent healing of the soft tissues. Final impressions were scheduled to follow one month later. 58 – www.inclusivemagazine.com –
Case #2: Post-Placement Utilization of the Inclusive Tooth Replacement Solution A 41-year-old male presented with a chief complaint of: “I had my molar taken out over 10 years ago, and I would like an implant to replace it.” Following appropriate workup, a 5.2 mm x 8 mm Inclusive Tapered Implant was placed without complication in the edentulous area #19. The 5.2 mm diameter implant features a platform-switching design that utilizes 4.5 mm diameter prosthetic components. A flaring Inclusive ® Healing Abutment 4.5 mm x 5.7 mm x 3 mm was tightened to 15 Ncm into the implant in a singlestage procedure. To ensure proper tissue management specific to his anatomy, in the interest of gingival health and natural esthetics, the patient elected to take advantage of the custom healing features of the post-placement Tooth Replacement Solution. An advantage of the post-placement solution is that the custom temporary components are designed and milled based on an implant-level impression, mitigating or even eliminating any need for chairside adjustment of the custom components upon delivery. Continued on page 62 Upon return to the office post-implant placement, the patient exhibited excellent soft tissue healing around the standard titanium healing abutment. The resulting tissue formation, however, is of a generic, round geometry commonly encountered with stock components, rather than being optimized for the anatomy of the edentulous space. 1 The stock healing abutment was removed so that a closed-tray impression coping could be seated on the implant and the closed-tray screw handtightened. 2 – Photo Essay: Immediate and Post-Placement Utilization of the Inclusive Tooth Replacement Solution – 59
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 and 26: Figure 13: Seated provisional resto
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: With the implant securely hand-thre
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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