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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

Postoperative panoramic radiograph.
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Figure 8: Postoperative panoramic radiograph.

Mentions: Upon delivery, the FPDs were adjusted at the embrasure as needed using a diamond disc (KOMET USA, Rock Hill, SC, USA) and under water spray. There was no need for occlusal adjustment. All adjusted areas were polished with porcelain polishing wheels (Brasseler USA, Savanah, GA, USA) and diamond filled polishing paste (Temrex Diamond, Temrex Corp. Freeport, NY, USA). The custom abutments were tightened to 30 Ncm twice at 10 minute intervals and screw accesses were covered with cotton pellets and interim restorative material (Telio CS Onlay, Ivoclar Vivadent Inc. Amherst, NY, USA) following manufacturer's instruction. The fit of the FPDs with the abutments were evaluated. A visual evaluation under ×2.5 magnifications and using an explorer showed a clinically acceptable fit. The fit was also verified with periapical radiographs. Then, the FPDs were cemented using a resin modified glass ionomer (RelyX Luting Plus, 3M ESPE, St. Paul, MN, USA) and the occlusion was verified again. At the follow up appointment the patient requested a crown on tooth #28 and porcelain veneers on #23 and 24 for esthetic improvement. The final restorations were documented in intraoral and extraoral photographs (Fig. 7A to 7F) and a panoramic radiograph (Fig. 8).


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)

Postoperative panoramic radiograph.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 8: Postoperative panoramic radiograph.
Mentions: Upon delivery, the FPDs were adjusted at the embrasure as needed using a diamond disc (KOMET USA, Rock Hill, SC, USA) and under water spray. There was no need for occlusal adjustment. All adjusted areas were polished with porcelain polishing wheels (Brasseler USA, Savanah, GA, USA) and diamond filled polishing paste (Temrex Diamond, Temrex Corp. Freeport, NY, USA). The custom abutments were tightened to 30 Ncm twice at 10 minute intervals and screw accesses were covered with cotton pellets and interim restorative material (Telio CS Onlay, Ivoclar Vivadent Inc. Amherst, NY, USA) following manufacturer's instruction. The fit of the FPDs with the abutments were evaluated. A visual evaluation under ×2.5 magnifications and using an explorer showed a clinically acceptable fit. The fit was also verified with periapical radiographs. Then, the FPDs were cemented using a resin modified glass ionomer (RelyX Luting Plus, 3M ESPE, St. Paul, MN, USA) and the occlusion was verified again. At the follow up appointment the patient requested a crown on tooth #28 and porcelain veneers on #23 and 24 for esthetic improvement. The final restorations were documented in intraoral and extraoral photographs (Fig. 7A to 7F) and a panoramic radiograph (Fig. 8).

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