Implant Laboratory Procedures: A Step-by-Step Guide

Implant Laboratory Procedures: A Step-by-Step Guide......Page 5
Contents......Page 9
Foreword......Page 15
Preface......Page 17
Acknowledgments......Page 19
Notice for Readers......Page 21
Registered Trademarks......Page 23
Immediate Nonocclusal Loading......Page 27
ABUTMENTS......Page 28
ABUTMENT SELECTION......Page 30
Conventional......Page 31
Computer Generated......Page 33
INTRODUCTION......Page 35
ASSESSMENT......Page 36
DIAGNOSTIC CASTS......Page 38
CUSTOM IMPRESSION TRAYS......Page 39
MASTER CAST......Page 40
RECORD BASES......Page 41
WAX DENTURES......Page 42
PROCESSING......Page 45
INSERTION......Page 48
INTRODUCTION......Page 51
CLINICAL PATIENT PRESENTATION......Page 52
ASSESSMENT......Page 54
DIAGNOSTICS......Page 55
SURGICAL GUIDE......Page 57
SURGERY/IMPLANT PLACEMENT......Page 64
ABUTMENT PLACEMENT......Page 66
ABUTMENT IMPRESSION......Page 68
JAW RELATION RECORDS......Page 70
MASTER CAST......Page 71
ARTICULATOR MOUNTING......Page 72
Construction of the Cast Metal Framework......Page 73
Construction of the Hybrid Prosthesis......Page 75
INSERTION......Page 78
ONE-WEEK POST-INSERTION CLINICAL VISIT......Page 80
INTRODUCTION......Page 85
THE ENCODE COMPLETE RESTORATIVE SYSTEM......Page 88
DIAGNOSIS......Page 91
DIAGNOSTIC CASTS/SURGICAL GUIDE......Page 96
PLACEMENT OF HEALING ABUTMENT......Page 97
PLACEMENT OF ENCODE HEALING ABUTMENT AND ENCODE HEALING ABUTMENT IMPRESSION......Page 98
MASTER CAST......Page 100
ENCODE COMPLETE WORK ORDER......Page 101
SCANNING......Page 103
ABUTMENT DESIGN/MILLING......Page 104
ROBOTIC PLACEMENT OF LAB ANALOG INTO CAST (ROBOCAST)......Page 105
FABRICATION OF PORCELAIN-FUSED-TO-METAL CROWN......Page 109
CLINICAL INSERTION......Page 110
CLINICAL PATIENT PRESENTATION......Page 117
ASSESSMENT......Page 119
IMPLANT SURGERY......Page 120
MASTER CAST......Page 122
RECORD BASES/JAW RELATION RECORDS......Page 124
ARTICULATOR MOUNTING/WAX DENTURES/VERIFICATION INDEX......Page 126
OVERVIEW OF THE DESIGN/CONSTRUCTION OF CAD/CAM FRAMEWORKS......Page 128
Maxillary Copy Milled Bar......Page 129
Electroformed Bar Sleeves......Page 132
Tertiary Casting......Page 133
Mandibular CAM Struct SURE Precision Milled Bar......Page 135
Silicoating......Page 137
CLINICAL TRY-IN APPOINTMENT......Page 138
PROCESSING......Page 140
INSERTION......Page 145
DIAGNOSTIC IMAGING......Page 151
COMPUTED TOMOGRAPHY (CT)......Page 154
INTERACTIVE CT (ICT)......Page 155
SURGICAL GUIDES......Page 156
PROSTHETIC LABORATORY KIT—IMPLANT ANALOG MOUNTS......Page 157
SURGICAL KIT COMPONENTS......Page 158
FABRICATION OF A MASTER CAST FOR AN IMMEDIATE, FIXED PROVISIONAL PROSTHESIS......Page 159
ABUTMENT SELECTION FOR FIXED, SCREW-RETAINED PROVISIONAL PROSTHESES......Page 160
FABRICATION OF A SCREW-RETAINED PROVISIONAL PROSTHESIS......Page 161
CLINICAL PATIENT PRESENTATION......Page 163
DIAGNOSIS......Page 165
CONSTRUCTION OF WAX DENTURES......Page 166
CLINICAL TRY-IN OF THE WAX DENTURES......Page 169
FABRICATION OF CT SCANNING APPLIANCE......Page 170
INTRAORAL CT SCAN......Page 171
FABRICATION OF THE MASTER CAST WITH IMPLANT ANALOGS......Page 174
LABORATORY ABUTMENT SELECTION AND PLACEMENT......Page 177
FRAMEWORK FABRICATION (PROVISIONAL PROSTHESIS)......Page 178
PROVISIONAL PROSTHESIS......Page 179
SURGICAL IMPLANT PLACEMENT......Page 181
CLINICAL ABUTMENT PLACEMENT......Page 182
INSERTION OF PROVISIONAL PROSTHESIS......Page 185
POSTOPERATIVE VISIT......Page 186
INTRODUCTION......Page 189
ASSESSMENT......Page 192
SURGERY......Page 193
ABUTMENT IMPRESSION......Page 196
MASTER CAST WITH ABUTMENT ANALOGS......Page 197
WAXING SLEEVES......Page 198
DEFINITIVE PROSTHESIS......Page 199
AESTHETIC EVALUATION......Page 202
INTRODUCTION......Page 205
THE ENCODE® COMPLETE RESTORATIVE SYSTEM......Page 208
CLINICAL PATIENT PRESENTATION......Page 211
ASSESSMENT......Page 215
IMPLANT SURGERY......Page 216
PLACEMENT OF HEALING ABUTMENTS......Page 217
PLACEMENT OF ENCODE HEALING ABUTMENTS AND ENCODE HEALING ABUTMENT IMPRESSION......Page 218
MASTER CAST......Page 220
ARTICULATOR MOUNTING......Page 221
SCANNING......Page 222
ABUTMENT DESIGN/MILLING......Page 224
ROBOTIC PLACEMENT OF LAB ANALOGS INTO CAST (ROBOCAST)......Page 225
FABRICATION OF PORCELAIN-FUSED-TO-METAL CROWNS......Page 226
CLINICAL INSERTION......Page 230
INTRODUCTION......Page 237
CAD/CAM PROTOCOL—THE ENCODE® COMPLETE RESTORATIVE SYSTEM......Page 243
CLINICAL PATIENT PRESENTATION......Page 247
ASSESSMENT......Page 249
DIAGNOSTIC CASTS/SURGICAL GUIDE......Page 251
PLACEMENT OF ENCODE HEALING ABUTMENT......Page 252
ARTICULATOR MOUNTING......Page 256
ENCODE COMPLETE WORK ORDER......Page 257
SCANNING......Page 259
ROBOTIC PLACEMENT OF LAB ANALOG INTO CAST (ROBOCAST)......Page 260
ABUTMENT DESIGN/MILLING......Page 264
FABRICATION OF PORCELAIN CROWN......Page 267
CLINICAL INSERTION......Page 271
INTRODUCTION......Page 277
TILTED IMPLANTS......Page 278
CBCT......Page 279
ACCURACY IN CT TREATMENT PLANNING......Page 280
CLINICAL PATIENT PRESENTATION......Page 281
RADIOGRAPHS......Page 282
CONSTRUCTION OF MAXILLARY WAX DENTURE......Page 283
FABRICATION OF THE SCANNING APPLIANCE......Page 286
INTRAORAL CT SCAN......Page 288
FABRICATION OF THE MASTER CAST WITH IMPLANT ANALOGS......Page 289
LABORATORY ABUTMENT SELECTION AND PLACEMENT......Page 294
FRAMEWORK FABRICATION (PROVISIONAL PROSTHESIS)......Page 297
PROVISIONAL PROSTHESIS......Page 300
CLINICAL ABUTMENT PLACEMENT......Page 302
INSERTION OF PROVISIONAL PROSTHESIS......Page 304
POSTOPERATIVE VISIT......Page 307
INTRODUCTION......Page 311
CLINICAL PATIENT PRESENTATION......Page 313
DIAGNOSIS......Page 314
APPOINTMENT SEQUENCE......Page 315
DIAGNOSTIC CASTS......Page 316
CUSTOM MAXILLARY IMPRESSION TRAY AND DEFINITIVE MAXILLARY IMPRESSION......Page 317
MAXILLARY RECORD BASE AND WAX OCCLUSION RIM......Page 318
CLINICAL JAW RELATION RECORDS......Page 321
MAXILLARY WAX DENTURE......Page 322
MANDIBULAR MASTER CAST......Page 325
MANDIBULAR WAX DENTURE......Page 326
SILICOATING......Page 328
PROCESSING......Page 330
INSERTION......Page 332
Index......Page 337