CREATIVE PROCESS INVOLVED IN RESTORING THE POSTERIOR PART I OF III

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description

CREATIVE PROCESS INVOLVED IN RESTORING THE POSTERIOR PART I OF III. PLACEMENT OF 2 PORCELAINCROWNS. SMILE BY DESIGN NY.COM. Extra-oral photos. Full Face at Rest. Full Face Smile. Lateral View. Nobel biocare guide pins. #30. #29. 5x10 mm nobel replace. 5x13 mm nobel replace. TRY. - PowerPoint PPT Presentation

Transcript of CREATIVE PROCESS INVOLVED IN RESTORING THE POSTERIOR PART I OF III

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Extra-oral photos Full Face SmileFull Face at

Rest

Lateral View

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Nobel biocare guide pins

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#30 #29

5x13 mm nobel replace

5x10 mm nobel replace

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• TRY

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

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RESTORATIVE PHASE

IMPRESSION PHASECLOSED TRAY IMPRESION OF LOWER ARCHIMPLANT TRANSFER COPINGS TORQUED BY HAND ON #29,#30 ABUTMENTIMPRESSION WITH REPROSIL HEAVY BODY AND LIGHT BODY

LABORATORY PHASE• TRANSFER COPING PLACED BACK IN IMPRESSION AFTER

UNSCREWING THEM FROM IMPLANTSIMPLANT REPLICA SCREWED TO IMPLANT TRANSFER COPINGS PRESCRITIONS SHOULD INCLUDE LAB FOR FABRICATION OF

1.2 UNIT PROVISIONALS OF #29,302.METAL CASTINGS FOR TRY IN3.RETURN OF STOCK ABUTMENTS #29,30

TRY-IN PHASEIMPLANT ABUTMENTS TORQUED TO 35NCM WAIT 5MIN. FOR OBSERVANCE OF BLANCHING OF GINGIVAL TISSUE AROUND ABUTMENTSEAT CASTINGS #29,30TAKE A PAABUTMENTS FIT WELL AROUND FREE GINGIVAL MARGINSLABAROTORY PHASEREQUEST BISQUE BAQUE TRY IN

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IMPRESSION PHASE IMPLANT TRANSFER COPINGS TORQUED BY HAND

ON #29,#30 ABUTMENTIMPRESSION WITH REPROSIL HEAVY BODY AND

LIGHT BODY

VISIT SHOULD ACCOMPLISH 1.FULL ARCH CLOSED TRAY IMPRESION OF LOWER

ARCH2.BITE RGISTRATION

3.ALGINATE IMPRESSION OF UPPER ARCH 4.SHADE

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PA OF NOBEL TRANSFER COPINGS #29,30VERIFIED SEATING

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LABORATORY PHASE

AFTER FINAL IMPRESSION, IMPRESSION COPINGS ARE REMOVED AND HEALING ABUTMENTS PLACED BACK

LAB BAG CONTAINS1.COUNTER MODEL

2.LOWER ARCH IMPRESION3.STOCK ABUTMENTS

4.BITE5.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

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• 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

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NOTE DIRECTION OF ABUTMENTS

WE USED A 15 DEGREE ESTHETIC ABUTMENT 7.5MM HEGHT0.5MM COLLAR

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#29 #30

Abutments well seated

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Seat Castings #29 30

VERIFY EMBRASURE

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CASTINGS TRY INSINGLE UNITS(NOT SODDERED)

LOST PROVISIONALS

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#29#30

#31

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• LABAROTORY PHASE• REQUEST BISQUE BAQUE TRY IN OR A FINISH

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Cemented crowns #29,30 with durelon cement

DEFINITIVE CROWN VISIT MUST VERIFY1.SEATING 2.M-D CONTACTS 3.OCCLUSAL CONTACTS

4.PROPER EMBRASURES 5.EMERGENCE PROFILE

6.SHADE VERIFICATION

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NEW PROVISIONAL FABRICATED ON #4

2 UNIT #29,30 IN CROSS BITE

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FIMFIM

F I N

MUSIQUE: Richard Clayderman – Músicas inesquecíveis

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CLAUDE MONET

Le meilleur del’impressionnisme

PAYSAGES 1864 - 1897