Dr. Costantino Vignato
Full upper and lower jaw milled prosthesis made of zirconio and ceramic screw-retained on implants
ALL CLINICAL CASES
PATIENT’S HISTORY
Patient S.C. 50 years old with severe bone resorption had been wearing removable prosthesis in both jaws for 20 years.
The treatment consist in a final restoration of full upper and lower jaw milled prosthesis made of zirconio and ceramic screw-retained on implants.
Photo 1-6
INITIAL EXAMINATION:
patient with severe bone resorption is wearing full dentures in cross and deep bite.
Photo 7-10
TREATMENT:
the cast of the upper and lower jaw with a new reletionship and vertical dimension (DV) is transferred to the articolator so the it can be created a template in order to position the implants and obtain the right occlusion for the fixed temporary prosthesis
Photo 11-13
TEMPORARY PROSTHESIS:
after two days a milled resin temporary prosthesis is screwed on implants.
The temporary prosthesis is essential for esthetic, functional evaluations and gum healing (note bumps in order to stimulate a better gum design)
In these kind of cases, where occlusion and bite plane are strongly compromised, the temporary prosthesis works as a rihabilitation bite.
Photo 14-23
FINAL IMPRESSION AND CROSS MOUNTING
once the implants are osseointegrated and the gum is in perfect health a final impression is taken.
The temporary prosthesis is wore until the implant osseointegration is complete and then through the cross mounting the working casts are placed on the articolator.
A resin arch is built and settled on implants to verify the passivity of the lab analogs in the working cast (ph.21-23).
Photo 24-36
FINAL RESTORATION
sometimes a new temporary prosthesis is required for minor esthetics and functionals adjustment.
After in mouth try-in of the milled zirconio substructure, the restoration is ultimated with the application of ceramic.
Prosthodontist Dr. Costantino Vignato
Implant surgery Dr. Giuseppe Vignato
Dental technician Mr. Riccardo Finotello
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ALL CLINICAL CASES
