Pre made provisional

Copyright © 2011 Idondivi, Inc. All rights reserved.

Categories ; Posterior, flapless, immediate load, CBCT, Implant

Direct

2 Copyright © 2011 Idondivi, Inc. All rights reserved

Sagittal cut of stone cast.


Denture tooth wax - up


CBCT with VPS impression worn during scan. VPS is radio opaque so the soft

tissues are imaged also


Bone availability based on CBCT data transfer


BLP ( Bucco Lingual Positioner) locks in BL axis and top of the implant, for screw

retained crown.


Narrow Diameter Buccal wing. Limited MD space between teeth. Reversible

connection via hot glue.


Wings are permanently connected to vacuform carrier, crossbar is removed


RIR’s overlap, X-ray is diagnostic. No need for correction, so green 0 degree

rotation-block


Model surgery in preparation for fabrication of provisional


Small hole enlarged for analog placement


Provisional composite used to cement analog into cast


Guided implant carrier and implant analog placed back into surgical guide


Analog is cemented with composite


Analog now in place of planned implant allowing pre-fabrication of provisional


Teflon tape used to separate during fabrication of provisional


Screw retained premade provisional



Under contoured emergence profile


Guide in place without rotation-block


Mark on rotation-block to indicate position of tri lobe for pre-made provisional


.


Implant is 4.3 mm , diameter of rotation-block is 4.1 mm, so stack


Tissue punch


Guided start-drill


Drill sequence


Intra operative radiograph


Guided screw tap from Nobel Biocare although Implant direct implant


Stack assembly


Once implant is a few turns in the osteotomy , snap in rotation-block, for guided

implant placement


Matching tri-lobe to mark on rotation-block to allow provisional placement in

predetermined position


Reactive 4.3 x 10, Implant Direct


Implant seated


Delivery of provisional


Provisional in place, no occlusal or interproximal contacts.

Documents

Pre made provisional