Implant Laboratory Procedures: A Step-by-Step Guide

Description

Implant Laboratory Procedures: A Step-By-Step Guide provides its readers with a systematic and practical approach to the common dental laboratory procedures associated with implant restorative dentistry. Written with laboratory technicians and restorative dentists in mind, the book is organized by case type, taking common case scenarios and devoting a separate chapter to each one in turn, demonstrating each step of the laboratory procedure required for the implant restoration. Complications associated with the various prosthetic procedures are also included in each chapter and work orders are shown for each and every step. Cases are illustrated with products from various implant companies, but predominantly feature products from Biomet 3i.

Table of Contents

Forward
Preface
Acknowledgments
Notice to Readers
Registered Trademarks

Chapter 1: Introduction to Implant Dentistry

• Introduction
• Loading Protocols
• Traditional, Two-Stage, Unloaded Healing
• Single-Stage, Unloaded Healing
• Immediate Occlusal Loading
• Immediate Nonocclusal Loading
• Abutments
• Abutment Selection
• Surgical Guides
• Conventional
• Computer Generated

Chapter 2: Mandibular Two-Implant Overdenture

• Introduction
• Clinical Patient Presentation
• Diagnosis
• Assessment
• Diagnostic Casts
• Custom Impression Trays
• Definitive Intraoral Impression
• Master Cast
• Record Bases
• Articulator Mounting
• Wax Dentures
• Processing
• Insertion

Chapter 3: Immediate Occlusal Loading—Maxillary Hybrid Prosthesis with Cast Metal Framework (the Columbus Bridge Protocol)

• Introduction
• Clinical Patient Presentation
• Diagnoses
• Assessment
• Diagnostics
• Articulator Mounting
• Surgical Guide
• Surgery/Implant Placement
• Abutment Placement
• Abutment Impression
• Jaw Relation Records
• Master Cast
• Articulator Mounting
• Fabrication of Interim Screw-Retained Implant Prosthesis
• Construction of the Cast Metal Framework
• Construction of the Hybrid Prosthesis
• Insertion
• One-Week Post-Insertion Clinical Visit

Chapter 4: Robot Analog Placement and CAD/CAM Abutments

• Introduction
• The Encode Complete Restorative System
• Clinical Patient Presentation
• Diagnosis
• Assessment
• Diagnostic Casts/Surgical Guide
• Implant Surgery
• Placement of Healing Abutment
• Placement of Encode Healing Abutment and Encode Healing Abutment Impression
• Master Cast
• Articulator Mounting
• Encode Complete Work Order
• Scanning
• Abutment Design/Milling
• Robotic Placement of Lab Analog Into Cast (Robocast)
• Fabrication of Porcelain-Fused-to-Metal Crown
• Clinical Insertion

Chapter 5: Maxillary Implant-Retained Primary Bar (CAM StructSURE Precision Milled Copy Milled Bar Framework) with Secondary Casting Maxillary Overdenture; Mandibular CAM StructSURE Precision Milled Bar for Mandibular Hybrid Screw-Retained Prosthesis

• Introduction
• Clinical Patient Presentation
• Diagnoses
• Assessment
• Diagnostic Casts/Surgical Guide
• Implant Surgery
• Implant-Level Impression—Laboratory Procedures
• Master Cast
• Record Bases/Jaw Relation Records
• Articulator Mounting/Wax Dentures/Verification Index
• Overview of the Design/Construction of Cad/Cam Frameworks
• Maxillary Copy Milled Bar
• Electroformed Bar Sleeves
• Tertiary Casting
• Mandibular CAM StructSURE Precision Milled Bar
• Silicoating
• Denture Setup on Cad/Cam Frameworks
• Clinical Try-In Appointment
• Processing
• Insertion

Chapter 6: Computed Tomography (CT)-Guided Surgery/Immediate Occlusal Loading with a Full-Arch Prosthesis in the Edentulous Mandible

• Immediate Occlusal Loading
• Tilted Implants
• Diagnostic Imaging
• Computed Tomography (CT)
• Interactive CT (ICT)
• Interactive Computer Software
• Surgical Guides
• Master Tubes
• Prosthetic Laboratory Kit—Implant Analog Mounts
• Surgical Kit Components
• Fabrication of Master Cast for Immediate, Fixed Provisional Prosthesis
• Abutment Selection for Fixed, Screw-Retained Provisional Prostheses
• Fabrication of a Screw-Retained Provisional Prosthesis
• Clinical Patient Presentation
• Radiographs
• Diagnosis
• Assessment
• Treatment Plan
• Construction of Wax Dentures
• Clinical Try-In of the Wax Dentures
• Fabrication of CT Scanning Appliance
• Intraoral CT Scan
• Fabrication of the Master Cast with Implant Analogs
• Laboratory Abutment Selection and Placement
• Framework Fabrication (Provisional Prosthesis)
• Provisional Prosthesis
• Surgical Implant Placement
• Clinical Abutment Placement
• Insertion of Provisional Prosthesis
• Postoperative Visit

Chapter 7: Three-Unit Implant-Retained Porcelain-Fused-to-Metal Fixed Partial Denture with Premachined, Fixed Collar Height Titanium Abutments

• Introduction
• Clinical Patient Presentation
• Diagnosis
• Assessment
• Abutment Selection
• Diagnostics
• Surgery
• Abutment Impression
• Master Cast with Abutment Analogs
• Waxing Sleeves
• Definitive Prosthesis
• Insertion
• Aesthetic Evaluation

Chapter 8: Multiple CAD/CAM Abutments with Implant-Retained Porcelain Metal Crowns (The Encode® Complete Protocol)

• Introduction
• The Encode® Complete Restorative System
• Clinical Patient Presentation
• Diagnosis
• Assessment
• Diagnostic Casts/Surgical Guide
• Implant Surgery
• Placement of Healing Abutments
• Placement of Encode Healing Abutments and Encode Healing Abutment Impression
• Master Cast
• Articulator Mounting
• Encode Complete Work Order
• Scanning
• Abutment Design/Milling
• Robotic Placement of Lab Analogs into Cast (Robocast)
• Fabrication of Porcelain-Fused-to-Metal Crowns
• Clinical Insertion

Chapter 9: Single-Unit Implant-Retained Porcelain Crown with Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) Ceramic Abutment (Encode Zirconia Abutment)

• Introduction
• CAD/CAM Protocol—The Encode® Complete Restorative System
• Clinical Patient Presentation
• Diagnosis
• Assessment
• Diagnostic Casts/Surgical Guide
• Implant Surgery
• Placement of Encode Healing Abutment
• Master Cast
• Articulator Mounting
• Encode Complete Work Order
• Scanning
• Robotic Placement of Lab Analog into Cast (Robocast)
• Abutment Design/Milling
• Fabrication of Porcelain Crown
• Clinical Insertion

Chapter 10: Computed Tomography (CT)-Guided Surgery/Immediate Occlusal Loading with a Full-Arch Prosthesis in Edentulous Maxillae

• Introduction
• Tilted Implants
• Computed Tomography (CT)
• CBCT
• Interactive CT
• Accuracy in CT Treatment Planning
• Preoperative Planning
• Clinical Patient Presentation
• Radiographs
• Diagnosis
• Assessment
• Treatment Plan
• Construction of Maxillary Wax Denture
• Clinical Try-in of the Maxillary Wax Denture
• Fabrication of the Scanning Appliance
• Intraoral CT Scan
• Fabrication of the Master Cast With Implant Analogs
• Laboratory Abutment Selection and Placement
• Framework Fabrication (Provisional Prosthesis)
• Provisional Prosthesis
• Surgical Implant Placement
• Clinical Abutment Placement
• Insertion of Provisional Prosthesis
• Postoperative Visit

Chapter 11: Replacement of Denture Teeth and Denture Base for a Preexisting Mandibular Fixed/Detachable Prosthesis

• Introduction
• Clinical Patient Presentation
• Diagnosis
• Assessment
• Appointment Sequence
• Diagnostic Casts
• Custom Maxillary Impression Tray and Definitive Maxillary Impression
• Maxillary Master Cast
• Maxillary Record Base and Wax Occlusion Rim
• Clinical Jaw Relation Records
• First Articulator Mounting
• Maxillary Wax Denture
• Mandibular Master Cast
• Second Articulator Mounting—Mandibular Master Cast
• Mandibular Wax Denture
• Silicoating
• Processing
• Insertion

Index

Author Information

Carl Drago, DDS, MS, is the Director of Dental Research at Biomet 3i, Palm Beach Gardens, Florida. He is also Adjunct Prosthodontic Faculty at Nova SE University College of Dental Medicine in Ft. Lauderdale.
Thomas Peterson, CDT, MDT, is President of North Shore Dental Laboratories in Lynn, Massachusetts.