Implant Laboratory Procedures: A Step-by-Step Guide [Spiral-bound]
Author: Carl Drago Thomas Peterson | Language: English | ISBN: 0813823013 | Format: PDF, EPUB
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- Spiral-bound: 344 pages
- Publisher: Wiley-Blackwell; 1 edition (May 4, 2010)
- Language: English
- ISBN-10: 0813823013
- ISBN-13: 978-0813823010
- Product Dimensions: 1.1 x 9.1 x 10.6 inches
- Shipping Weight: 2.4 pounds (View shipping rates and policies)
- Amazon Best Sellers Rank: #1,381,556 in Books (See Top 100 in Books)
- #95 in Books > Textbooks > Medicine & Health Sciences > Dentistry > Oral Surgery
Preface xv
Acknowledgments xvii
Notice for Readers xix
Registered Trademarks xxi
Chapter 1: Introduction to Implant Dentistry 3
Introduction 3
Loading Protocols 3
Traditional, Two-Stage, Unloaded Healing 3
Single-Stage, Unloaded Healing 3
Immediate Occlusal Loading 3
Immediate Nonocclusal Loading 3
Abutments 4
Abutment Selection 6
Surgical Guides 7
Conventional 7
Computer Generated 9
Chapter 2: Mandibular Two-Implant Overdenture 11
Introduction 11
Clinical Patient Presentation 12
Diagnosis 12
Assessment 12
Diagnostic Casts 14
Custom Impression Trays 15
Defi nitive Intraoral Impression 16
Master Cast 16
Record Bases 17
Articulator Mounting 18
Wax Dentures 18
Processing 21
Insertion 24
Chapter 3: Immediate Occlusal Loading—Maxillary Hybrid Prosthesis with Cast Metal Framework (The Columbus Bridge Protocol) 27
Introduction 27
Clinical Patient Presentation 28
Diagnoses 30
Assessment 30
Diagnostics 31
Articulator Mounting 33
Surgical Guide 33
Surgery/Implant Placement 40
Abutment Placement 42
Abutment Impression 44
Jaw Relation Records 46
Master Cast 47
Articulator Mounting 48
Fabrication of Interim Screw-Retained Implant Prosthesis 49
Construction of the Cast Metal Framework 49
Construction of the Hybrid Prosthesis 51
Insertion 54
One-Week Post-Insertion Clinical Visit 56
Chapter 4: Robot Analog Placement and CAD/CAM Abutments 61
Introduction 61
The Encode Complete Restorative System 64
Clinical Patient Presentation 67
Diagnosis 67
Assessment 72
Diagnostic Casts/Surgical Guide 72
Implant Surgery 73
Placement of Healing Abutment 73
Placement of Encode Healing Abutment and Encode Healing Abutment Impression 74
Master Cast 76
Articulator Mounting 77
Encode Complete Work Order 77
Scanning 79
Abutment Design/Milling 80
Robotic Placement of Lab Analog into Cast (Robocast) 81
Fabrication of Porcelain-Fused-to-Metal Crown 85
Clinical Insertion 86
Chapter 5: Maxillary Implant-Retained Primary Bar (CAM StructSURE Precision Milled Copy Milled Bar Framework) with Secondary Casting Maxillary Overdenture; Mandibular CAM StructSURE Precision Milled Bar for Mandibular Hybrid Screw-Retained Prosthesis 93
Introduction 93
Clinical Patient Presentation 93
Diagnoses 95
Assessment 95
Diagnostic Casts/Surgical Guide 96
Implant Surgery 96
Implant-Level Impression—Laboratory Procedures 98
Master Cast 98
Record Bases/Jaw Relation Records 100
Articulator Mounting/Wax Dentures/Verifi cation Index 102
Overview of the Design/Construction of CAD/CAM Frameworks 104
Maxillary Copy Milled Bar 105
Electroformed Bar Sleeves 108
Tertiary Casting 109
Mandibular CAM StructSURE Precision Milled Bar 111
Silicoating 113
Denture Setup on CAD/CAM Frameworks 114
Clinical Try-In Appointment 114
Processing 116
Insertion 121
Contents ix
Chapter 6: Computed Tomography (CT)-Guided Surgery/Immediate Occlusal Loading with a Full-Arch Prosthesis in the Edentulous Mandible 127
Immediate Occlusal Loading 127
Tilted Implants 127
Diagnostic Imaging 127
Computed Tomography (CT) 130
Interactive CT (ICT) 131
Interactive Computer Software 132
Surgical Guides 132
Master Tubes 133
Prosthetic Laboratory Kit—Implant Analog Mounts 133
Surgical Kit Components 134
Fabrication of a Master Cast for an Immediate, Fixed Provisional Prosthesis 135
Abutment Selection for Fixed, Screw-Retained Provisional Prostheses 136
Fabrication of a Screw-Retained Provisional Prosthesis 137
Clinical Patient Presentation 139
Radiographs 141
Diagnosis 141
Assessment 142
Treatment Plan 142
Construction of Wax Dentures 142
Clinical Try-In of the Wax Dentures 145
Fabrication of CT Scanning Appliance 146
Intraoral CT Scan 147
Fabrication of the Master Cast with Implant Analogs 150
Laboratory Abutment Selection and Placement 153
Framework Fabrication (Provisional Prosthesis) 154
Provisional Prosthesis 155
Surgical Implant Placement 157
Clinical Abutment Placement 158
Insertion of Provisional Prosthesis 161
Postoperative Visit 162
Chapter 7: Three-Unit Implant-Retained Porcelain-Fused-to-Metal Fixed Partial Denture with Premachined, Fixed Collar Height Titanium Abutments 165
Introduction 165
Clinical Patient Presentation 168
Diagnosis 168
Assessment 168
Abutment Selection 169
Diagnostics 169
Surgery 169
Abutment Impression 172
Master Cast with Abutment Analogs 173
Waxing Sleeves 174
Defi nitive Prosthesis 175
Insertion 178
Aesthetic Evaluation 178
Chapter 8: Multiple CAD/CAM Abutments with Implant-Retained Porcelain Metal Crowns (The EncodeComplete Protocol) 181
Introduction 181
The EncodeComplete Restorative System 184
Clinical Patient Presentation 187
Diagnosis 191
Assessment 191
Diagnostic Casts/Surgical Guide 192
Implant Surgery 192
Placement of Healing Abutments 193
Placement of Encode Healing Abutments and Encode Healing Abutment Impression 194
Master Cast 196
Articulator Mounting 197
Encode Complete Work Order 198
Scanning 198
Abutment Design/Milling 200
Robotic Placement of Lab Analogs into Cast (Robocast) 201
Fabrication of Porcelain-Fused-to-Metal Crowns 202
Clinical Insertion 206
Chapter 9: Single-Unit Implant-Retained Porcelain Crown with Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) Ceramic Abutment (Encode Zirconia Abutment) 213
Introduction 213
CAD/CAM Protocol—The Encode® Complete Restorative System 219
Clinical Patient Presentation 223
Diagnosis 225
Assessment 225
Diagnostic Casts/Surgical Guide 227
Implant Surgery 228
Placement of Encode Healing Abutment 228
Master Cast 232
Articulator Mounting 232
Encode Complete Work Order 233
Scanning 235
Robotic Placement of Lab Analog into Cast (Robocast) 236
Abutment Design/Milling 240
Fabrication of Porcelain Crown 243
Clinical Insertion 247
Chapter 10: Computed Tomography (CT)-Guided Surgery/Immediate Occlusal Loading with a Full-Arch Prosthesis in Edentulous Maxillae 253
Introduction 253
Tilted Implants 254
Computed Tomography (CT) 255
CBCT 255
Interactive CT 256
Accuracy in CT Treatment Planning 256
Preoperative Planning 257
Clinical Patient Presentation 257
Radiographs 258
Diagnosis 259
Assessment 259
Treatment Plan 259
Construction of Maxillary Wax Denture 259
Clinical Try-in of the Maxillary Wax Denture 262
Fabrication of the Scanning Appliance 262
Intraoral CT Scan 264
Fabrication of the Master Cast with Implant Analogs 265
Laboratory Abutment Selection and Placement 270
Framework Fabrication (Provisional Prosthesis) 273
Provisional Prosthesis 276
Surgical Implant Placement 278
Clinical Abutment Placement 278
Insertion of Provisional Prosthesis 280
Postoperative Visit 283
Chapter 11: Replacement of Denture Teeth and Denture Base for a Preexisting Mandibular Fixed/Detachable Prosthesis 287
Introduction 287
Clinical Patient Presentation 289
Diagnosis 290
Assessment 291
Appointment Sequence 291
Diagnostic Casts 292
Custom Maxillary Impression Tray and Defi nitive Maxillary Impression 293
Maxillary Master Cast 294
Maxillary Record Base and Wax Occlusion Rim 294
Clinical Jaw Relation Records 297
First Articulator Mounting 298
Maxillary Wax Denture 298
Mandibular Master Cast 301
Second Articulator Mounting—Mandibular Master Cast 302
Mandibular Wax Denture 302
Silicoating 304
Processing 306
Insertion 308
Index 313
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