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Figure 22: Teflon plumber’s tape used to protect titanium screws
Figure 24: Radiograph to verify proper seating of restoration to implant
Figure 23: Composite resin placed to seal the screw access holes
Figure 25: Buccal view demonstrating excellent tissue adaptation
between the crown’s titanium base and the implant (Fig. 24).
The occlusion was checked in various functional positions
as well as maximum intercuspation, with an objective to
minimize lateral occlusal forces transmitted to the implant.
The occlusal composite was checked in occlusal function
and deemed to be satisfactory. The final BruxZir implant
restorations on tooth #29 and tooth #30 can be seen from
buccal (Fig. 25) and occlusal views (Fig. 26). The patient was
seen for a post crown insertion visit after two weeks to
reevaluate the crowns, and they were deemed to have an
excellent fit and occlusal relationship.
Conclusion
Software development now enables the merging of CBCT
DICOM files with Align Technology’s iTero STL files. The
Figure 26: Occlusal view of final restorations
– Creating Surgical Guides Using CBCT and Intraoral Scanning – 89