Immediate provisionalization with a CAD/CAM interim abutment and crown: A guided soft tissue healing technique
Section snippets
Technique
- 1.
Evaluate the tissue around the edentulous area for signs or symptoms of pathosis (Fig. 1). Make complete arch preliminary impressions preoperatively from the patient’s maxillary and mandibular arches by using polyvinyl siloxane impression material (Silgimix; Sultan Healthcare). Make an interocclusal record with polyvinyl siloxane occlusal registration material (Exabite II NSD; GC America Inc) at the maximum intercuspation position. In addition, after providing local anesthesia, map the alveolar
Discussion
Placement of an interim restoration on the day of implant surgery offers esthetic, psychological, and functional advantages compared with the use of an interim removable prosthesis. It also eliminates second-stage surgery, which reduces patient discomfort and additional procedural cost. The soft tissue around the implants can heal according to the contours of the interim restoration.11, 13, 14, 28, 29 However, if the interim restoration is placed after the implant becomes osseointegrated, then
Summary
The described technique offers an alternative method for fabricating interim restorations on dental implants. A prospective clinical study is needed to validate the use of the described technique.
References (41)
- et al.
A 15 year study of osseointegrated implants in the treatment of the edentulous jaw
Int J Oral Surg
(1981) - et al.
A 3-year follow-up study on single implant treatment
J Dent
(1993) - et al.
Development of implant soft tissue emergence profile: a technique
J Prosthet Dent
(1994) - et al.
Transfer of gingival contours to a master cast
J Prosthet Dent
(1996) Duplication of anterior provisional fixed partial denture for the final restoration
J Prosthet Dent
(1992)The use of healing abutments for an implant supported fixed partial denture
J Prosthet Dent
(2002)Placement of a custom implant provisional restoration at the second-stage surgery for improved gingival management: a clinical report
J Prosthet Dent
(1996)Osseointegration and its experimental background
J Prosthet Dent
(1983)- et al.
A longitudinal study of the survival of all-on-4 implants in the mandible with up to 10 years of follow-up
J Am Dent Assoc
(2011) - et al.
Immediate loading of hydroxyapatite-coated implants at maxillary premolar area: three-year results of a pilot study
J Prosthet Dent
(2004)
Preserving soft tissue after placing implants in fresh extraction sockets in the maxillary esthetic zone and a prosthetic template for interim crown fabrication: a prospective study
J Prosthet Dent
Accurate transfer of soft tissue morphology with interim prosthesis to definitive cast
J Prosthet Dent
Use of implant-supported interim restorations to transfer periimplant soft tissue profiles to a milled polyurethane definitive cast
J Prosthet Dent
An alternative technique for the accurate transfer of periimplant soft tissue contour
J Prosthet Dent
In vitro assessment of three types of zirconia implant abutments under static load
J Prosthet Dent
Osseointegrated implants in the treatment of partially edentulous patients: a preliminary study of 876 consecutively installed fixtures
Int J Oral Maxillofac Implants
The use of a provisional restoration in implant dentistry: a clinical report
Int J Oral Maxillofac Implants
The diagnostic use of provisional restorations
Restorative Dent
Anatomically correct soft tissue profiles using fixed detachable provisional implant restorations
J Can Dent Assoc
Periodontal tissues and their counterparts around endosseous implants
Clin Oral Implants Res
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A cast-free approach to fabricating an implant-supported interim restoration: A dental technique
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2022, Journal of Prosthetic DentistryCitation Excerpt :CAD-CAM technology enables dentists and dental laboratory technicians to design and fabricate implant dentistry components that had previously only been available from implant manufacturers, for example, custom abutments, impression copings, and healing abutments.6,8-10
Design and fabrication of a fixed implant-supported interim restoration from a dynamic navigation virtual plan
2020, Journal of Prosthetic DentistryCitation Excerpt :It also eliminates the need to outsource any part of the preoperative planning if the facility is not equipped with a method for guide fabrication. Other reports have been published on using CAD-CAM technology to design and fabricate interim implant-supported restorations.3,11-13 The present workflow builds upon these articles and uses recently introduced digital dental technology to complete the implant surgery in an accurate manner, which allows a prefabricated interim restoration to be inserted with minimal adjustment.
Cytotoxicity of acrylic resin-based materials used to fabricate interim crowns
2020, Journal of Prosthetic Dentistry