All on 6 bridge , Pekkton frame , cubic zirconia crowns , composite gingiva

[Drizzt]

Hello all , this is a fun case we did . First one of this kind for us . Pekkton frame , single CubeX2 crowns , 6 anterior labial layered , posterior full contour , and composite gingiva . Lots to improve , but it is a good start I think . Ceramics and gingiva were made by my dad , I have a fractured wrist that ddin't allow me to work on this case , all I did was to design the frame and take the pics .

 

[bigbrush]

Looks quite good to me!! respect

 

[Gru]

Dimitris, you're work is inspiring, amazing! Thanks for posting.

 

[Tayebdental]

Dimitris, great work, I hope your wrist will heal soon. Artistry run in family, salute to all the dads.

 

[Tayebdental]

And the moms.

 

[Drizzt]

Thanks guys for the comments , really appreciated !!!

 

[rkm rdt]

Well done sir!

 

[charles007]

Very nice case and I love the individual look...
How many hours of labor would you say you have compared to the other way.....
Drizzt, like to hear your thoughts about designing a case like this ?

Did you charge extra in the designing so the patient could floss lol

 

[TomZ]

design question-
Aren't you concerned about micro leakage between the crowns and the pink?

 

[PearlZ]

i like it!! great job man!

 

[RileyS]

design question-
Aren't you concerned about micro leakage between the crowns and the pink?

That's what I'm wondering. How well can they clean in there?

 

[rkm rdt]

composite cement

 

[JohnWilson]

Fantastic job!

The biggest issue with these in my mind is how easy it is to retrieve them once cemented. I love the idea of PEEK and when its all cleared to be used here in the states I am sure I will use it.

What is the thought process if the case needs to come out

 

[TomZ]

will the composite cement be placed circumferentially around the composite tissue/ tooth ceramic interface?

 

[KTR]

Great work! Can you tell us if the frame was milled or pressed?

 

[PearlZ]

Great work! Can you tell us if the frame was milled or pressed?

i didnt know pekkton could be pressed.

 

[grantoz]

bredent make a press for their peek its quite cool. im still not convinced about the resin gingiva looks ok now but in 2years not so sure i also think it will stain around the gingival margins with the flex in the peek it will pull away for the zirk crowns. drizzt great hands!

 

[kcdt]

design question-
Aren't you concerned about micro leakage between the crowns and the pink?

Only time will tell, but my guess is it will stain over time, I think the frame is touted as having flexure as a feature, so I don't see how the bond is supposed to survive both thermocycling and flexing...
But I could be wrong

 

[grantoz]

kcdt i couldnt agree more you look at things and sometimes they dont add up.

 

[kcdt]

kcdt i couldnt agree more you look at things and sometimes they dont add up.

At the risk of being an ass, these designs just seem like a lot of billable work for a ceramist, with many other issues left enumerated, but unanswered by early adapters.
Designs like this definitely represent the "Rolls Royce" approach, but I wonder how, in the reality that is a prosthesis, these will stand the test of time.
Resin over titanium has many flaws, but fixing and/ or rebuilding them in a jiffy ain't one of them.