Implant Supported Monolithic Zirconium Restorations for Rehabilitation of Edentulous Maxillae by the Help of Two Stage 3D Temporary Approach

Duran, Ibrahim and Zarkova Atanasova, Julija and Köksal, Mesut (2024) Implant Supported Monolithic Zirconium Restorations for Rehabilitation of Edentulous Maxillae by the Help of Two Stage 3D Temporary Approach. In: 28th congress of the Balkan Stomatological Society (BASS), 25-27th April 2024, Budva, Montenegro.

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Abstract

The purpose of this report is to illustrate a protocol for achieving adequate vertical dimension, soft tissue support and smile line using 3D printed temporaries in the rehabilitation of maxillary full arch implants with monolithic zirconia. A two-stage try-in appointment was performed. After taking impressions of 5 implants with additional silicone, a base wax template was prepared, supported and stabilised by the impression posts. Reference lines were marked on the wax for easy guidance of the Exocad user. The first 3D printed temporary was fabricated and a try-in was performed after the abutments were transferred. The smile line, occlusion and soft tissue support were evaluated. An intraoral scanner was used to capture the current situation of the temporary. The scan data was used to determine the occlusion, gingival and crown height and smile line of the provisional. Finally, a final temporary was fabricated according to the patient's requirements. Minor occlusal adjustments were made and the restoration was scanned again. Final monolithic zirconia restorations were fabricated using the second temporary restorations as a guide and cemented with a resin-modified glass ionomer cement. All temporaries were tried by the patient for 3 days after the appointments. The functional, aesthetic and physiological adaptation of the patient with the temporary restorations was evaluated. This technique allows us to use intraoral scanners as a guide for permanent restorations instead of full dentures.

Item Type: Conference or Workshop Item (Poster)
Subjects: Medical and Health Sciences > Other medical sciences
Divisions: Faculty of Medical Science
Depositing User: Julija Zarkova Atanasova
Date Deposited: 21 May 2024 13:36
Last Modified: 23 Aug 2024 10:19
URI: https://eprints.ugd.edu.mk/id/eprint/34069

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