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Maxillary cement retained implant supported monolithic zirconia prosthesis in a full mouth rehabilitation: a clinical report.

Sadid-Zadeh R, Liu PR, Aponte-Wesson R, O'Neal SJ - J Adv Prosthodont (2013)

Bottom Line: This clinical report presents the reconstruction of a maxillary arch with a cement retained implant supported fixed prosthesis using a monolithic zirconia generated by CAD/CAM system on eight osseointegrated implants.The prosthesis was copy milled from an interim prosthesis minimizing occlusal adjustments on the definitive prosthesis at the time of delivery.Monolithic zirconia provides high esthetics and reduces the number of metal alloys used in the oral cavity.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthdontics, University of Alabama at Birmingham, School of Dentistry, Birmingham, AL, USA.

ABSTRACT
This clinical report presents the reconstruction of a maxillary arch with a cement retained implant supported fixed prosthesis using a monolithic zirconia generated by CAD/CAM system on eight osseointegrated implants. The prosthesis was copy milled from an interim prosthesis minimizing occlusal adjustments on the definitive prosthesis at the time of delivery. Monolithic zirconia provides high esthetics and reduces the number of metal alloys used in the oral cavity.

No MeSH data available.


Related in: MedlinePlus

A: Maxillary interim prosthesis cast against mandibular definitive prosthesis cast, B: Maxillary definitive cast cross mounted on mandibular cast, C: Solid resin matrix on definitive cast, D: Zirconia and gold platted titanium custom abutments on definitive cast.
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Figure 5: A: Maxillary interim prosthesis cast against mandibular definitive prosthesis cast, B: Maxillary definitive cast cross mounted on mandibular cast, C: Solid resin matrix on definitive cast, D: Zirconia and gold platted titanium custom abutments on definitive cast.

Mentions: Two months after the second stage of implant surgery on # 6 and 11, the interim prosthesis was assessed for VDO, CR, phonetics, and esthetics. At this phase, the mandibular treatment was finalized and the occlusal plane on the mandible was established. Irreversible hydrocolloid impressions (Jeltrate Alginate, DENTSPLY International Inc., York, PA, USA) were made from the existing maxillary interim prosthesis and mandibular definitive restorations. The interocclusal records and facebow were recorded. An open tray, implant level, definitive impression was made with a silicone impression material (Aquasil, DENTSPLY Caulk, Milford, DE, USA) using a custom tray (Triad TruTray, DENTSPLY International Inc., York, PA, USA) and open tray titanium impression posts (Direct Pick-up Coping, Hexed, BioHorizons, Birmingham, AL, USA). VDO, CR were recorded with dental wax (ALUWAX, Aluwax Dental Products Co. Allendale, Michigan, USA) using healing abutments (Healing Abutment, BioHorizons, Birmingham, AL, USA) and segmented interim FPDs. Implant analogs (Implant Analog, BioHorizons, Birmingham, AL, USA) were placed on the impression posts and soft tissue was reproduced using polyvinylsiloxane (Gingival Mask HP, Henry Schien Inc. Melville, NY, USA). All impressions were poured with type III gypsum (Microstone, Whip Mix Corporation, Louisville, KY, USA). Casts were transferred and cross mounted on a semi-adjustable articulator (Whip Mix Corporation, Louisville, KY, USA) (Fig. 5A and 5B).


Maxillary cement retained implant supported monolithic zirconia prosthesis in a full mouth rehabilitation: a clinical report.

Sadid-Zadeh R, Liu PR, Aponte-Wesson R, O'Neal SJ - J Adv Prosthodont (2013)

A: Maxillary interim prosthesis cast against mandibular definitive prosthesis cast, B: Maxillary definitive cast cross mounted on mandibular cast, C: Solid resin matrix on definitive cast, D: Zirconia and gold platted titanium custom abutments on definitive cast.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3675296&req=5

Figure 5: A: Maxillary interim prosthesis cast against mandibular definitive prosthesis cast, B: Maxillary definitive cast cross mounted on mandibular cast, C: Solid resin matrix on definitive cast, D: Zirconia and gold platted titanium custom abutments on definitive cast.
Mentions: Two months after the second stage of implant surgery on # 6 and 11, the interim prosthesis was assessed for VDO, CR, phonetics, and esthetics. At this phase, the mandibular treatment was finalized and the occlusal plane on the mandible was established. Irreversible hydrocolloid impressions (Jeltrate Alginate, DENTSPLY International Inc., York, PA, USA) were made from the existing maxillary interim prosthesis and mandibular definitive restorations. The interocclusal records and facebow were recorded. An open tray, implant level, definitive impression was made with a silicone impression material (Aquasil, DENTSPLY Caulk, Milford, DE, USA) using a custom tray (Triad TruTray, DENTSPLY International Inc., York, PA, USA) and open tray titanium impression posts (Direct Pick-up Coping, Hexed, BioHorizons, Birmingham, AL, USA). VDO, CR were recorded with dental wax (ALUWAX, Aluwax Dental Products Co. Allendale, Michigan, USA) using healing abutments (Healing Abutment, BioHorizons, Birmingham, AL, USA) and segmented interim FPDs. Implant analogs (Implant Analog, BioHorizons, Birmingham, AL, USA) were placed on the impression posts and soft tissue was reproduced using polyvinylsiloxane (Gingival Mask HP, Henry Schien Inc. Melville, NY, USA). All impressions were poured with type III gypsum (Microstone, Whip Mix Corporation, Louisville, KY, USA). Casts were transferred and cross mounted on a semi-adjustable articulator (Whip Mix Corporation, Louisville, KY, USA) (Fig. 5A and 5B).

Bottom Line: This clinical report presents the reconstruction of a maxillary arch with a cement retained implant supported fixed prosthesis using a monolithic zirconia generated by CAD/CAM system on eight osseointegrated implants.The prosthesis was copy milled from an interim prosthesis minimizing occlusal adjustments on the definitive prosthesis at the time of delivery.Monolithic zirconia provides high esthetics and reduces the number of metal alloys used in the oral cavity.

View Article: PubMed Central - PubMed

Affiliation: Department of Prosthdontics, University of Alabama at Birmingham, School of Dentistry, Birmingham, AL, USA.

ABSTRACT
This clinical report presents the reconstruction of a maxillary arch with a cement retained implant supported fixed prosthesis using a monolithic zirconia generated by CAD/CAM system on eight osseointegrated implants. The prosthesis was copy milled from an interim prosthesis minimizing occlusal adjustments on the definitive prosthesis at the time of delivery. Monolithic zirconia provides high esthetics and reduces the number of metal alloys used in the oral cavity.

No MeSH data available.


Related in: MedlinePlus