Extra-oral photos Full Face SmileFull Face at Rest Lateral View.

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Presentation transcript:

Extra-oral photos Full Face SmileFull Face at Rest Lateral View

Nobel biocare guide pins

#30 #29 5x13 mm nobel replace 5x10 mm nobel replace

TRY TRY IN PHASE AFTER LAB WORK RETURNS PERMUCOSAL ABUTMENTS #29(5x3mm),30 PLACED AFTER 4MONTHS IMPLANT INTEGRATION AND ALLLOWED 4-6WEEKS FOR EPITHELIAZATION PATIENT IS ADVISED TO RINSE WITH CHLORHEXIDINE THROUGHOUT COURSE OF HEALING

RESTORATIVE PHASE IMPRESSION PHASE CLOSED TRAY IMPRESION OF LOWER ARCH IMPLANT TRANSFER COPINGS TORQUED BY HAND ON #29,#30 ABUTMENT IMPRESSION WITH REPROSIL HEAVY BODY AND LIGHT BODY LABORATORY PHASE TRANSFER COPING PLACED BACK IN IMPRESSION AFTER UNSCREWING THEM FROM IMPLANTS IMPLANT REPLICA SCREWED TO IMPLANT TRANSFER COPINGS PRESCRITIONS SHOULD INCLUDE LAB FOR FABRICATION OF 1.2 UNIT PROVISIONALS OF #29,30 2.METAL CASTINGS FOR TRY IN 3.RETURN OF STOCK ABUTMENTS #29,30 TRY-IN PHASE IMPLANT ABUTMENTS TORQUED TO 35NCM WAIT 5MIN. FOR OBSERVANCE OF BLANCHING OF GINGIVAL TISSUE AROUND ABUTMENT SEAT CASTINGS #29,30 TAKE A PA ABUTMENTS FIT WELL AROUND FREE GINGIVAL MARGINS LABAROTORY PHASE REQUEST BISQUE BAQUE TRY IN

IMPRESSION PHASE IMPLANT TRANSFER COPINGS TORQUED BY HAND ON #29,#30 ABUTMENT IMPRESSION WITH REPROSIL HEAVY BODY AND LIGHT BODY VISIT SHOULD ACCOMPLISH 1.FULL ARCH CLOSED TRAY IMPRESION OF LOWER ARCH 2.BITE RGISTRATION 3.ALGINATE IMPRESSION OF UPPER ARCH 4.SHADE

PA OF NOBEL TRANSFER COPINGS #29,30 VERIFIED SEATING

LABORATORY PHASE AFTER FINAL IMPRESSION, IMPRESSION COPINGS ARE REMOVED AND HEALING ABUTMENTS PLACED BACK LAB BAG CONTAINS 1.COUNTER MODEL 2.LOWER ARCH IMPRESION 3.STOCK ABUTMENTS 4.BITE 5.SHADE 6.IMPRESSION COPINGS PRESCRITION SHOULD INCLUDE FABRICATION OF 1.2 UNIT PROVISIONALS OF #29,30 2.SINGLE UNIT METAL CASTINGS FOR TRY IN 3.RETURN OF STOCK ABUTMENTS #29,30

TRY-IN PHASE IMPLANT ABUTMENTS TORQUED TO 35NCM WAIT 5MIN. FOR OBSERVANCE OF BLANCHING OF GINGIVAL TISSUE AROUND ABUTMENT since emergence profile of healing abutment is straight up Take a PA to verify seating of abutments

NOTE DIRECTION OF ABUTMENTS WE USED A 15 DEGREE ESTHETIC ABUTMENT 7.5MM HEGHT 0.5MM COLLAR

#29 #30 Abutments well seated

Seat Castings #29 30 VERIFY EMBRASURE

CASTINGS TRY IN SINGLE UNITS(NOT SODDERED) LOST PROVISIONALS

#29#30 #31

LABAROTORY PHASE REQUEST BISQUE BAQUE TRY IN OR A FINISH

Cemented crowns #29,30 with durelon cement DEFINITIVE CROWN VISIT MUST VERIFY 1.SEATING 2.M-D CONTACTS 3.OCCLUSAL CONTACTS 4.PROPER EMBRASURES 5.EMERGENCE PROFILE 6.SHADE VERIFICATION

NEW PROVISIONAL FABRICATED ON #4 2 UNIT #29,30 IN CROSS BITE

FIM F I N MUSIQUE: Richard Clayderman – Músicas inesquecíveis

CLAUDE MONET Le meilleur de l’impressionnisme PAYSAGES