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Implants
7 parallel abutments from trios/imes450
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<blockquote data-quote="JohnWilson" data-source="post: 208959" data-attributes="member: 213"><p>I am a bit of a loss on how this case got to the point of producing abutments with out knowing the design on top of it? I see a bunch of supra gingival margins in the maxilla that make me wonder how the emergence was generated???</p><p></p><p>IF you had set up the order form to do a simple round house temp bridge over the top of the abutments, milled it in plastic you could use this as.</p><p></p><p></p><p>1) Cross arch verification of the TRIOS scan.</p><p></p><p>2) Emergence profile verification</p><p></p><p>3) Bite/esthetic/midline and high/low lipline confirmation.</p><p></p><p></p><p>I think you are planning a cemented restoration, so knowing where your restoration is going to be before you finish abutments/margins/emergence is how we design in my lab.</p><p></p><p>If you went this route I outlined you could skip this impression step, do a standard copy of your abutment design, append the design to the copy, print the model of your abutment design and remount with the Temp bridge after bite equilibration/modifications. All of this is assuming you made a bite rim and scanned that into the trios scan as a preop. This path allows you to segmented this bridge if the scan is off, and have the ability to do an altered cast if necessary. From the design picture it appears an opposing was scanned in but how???</p><p></p><p></p><p>I am happy to share so please if your uncomfortable in open forum asking specific questions just PM me. This is a big case and you have the tools to do great work if you know how to use them wisely.</p></blockquote><p></p>
[QUOTE="JohnWilson, post: 208959, member: 213"] I am a bit of a loss on how this case got to the point of producing abutments with out knowing the design on top of it? I see a bunch of supra gingival margins in the maxilla that make me wonder how the emergence was generated??? IF you had set up the order form to do a simple round house temp bridge over the top of the abutments, milled it in plastic you could use this as. 1) Cross arch verification of the TRIOS scan. 2) Emergence profile verification 3) Bite/esthetic/midline and high/low lipline confirmation. I think you are planning a cemented restoration, so knowing where your restoration is going to be before you finish abutments/margins/emergence is how we design in my lab. If you went this route I outlined you could skip this impression step, do a standard copy of your abutment design, append the design to the copy, print the model of your abutment design and remount with the Temp bridge after bite equilibration/modifications. All of this is assuming you made a bite rim and scanned that into the trios scan as a preop. This path allows you to segmented this bridge if the scan is off, and have the ability to do an altered cast if necessary. From the design picture it appears an opposing was scanned in but how??? I am happy to share so please if your uncomfortable in open forum asking specific questions just PM me. This is a big case and you have the tools to do great work if you know how to use them wisely. [/QUOTE]
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7 parallel abutments from trios/imes450
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