Full arch Ti implant bridge with Emax and GC Gradia Gum

[cumino]

Ok, firstly thanks to Ryan Gottlieb's article that I saw online somewhere ...gave me the idea for this technique

"Waxed" up in acrylic to full contour, trimmed back to ideal setup and sent it off to be copy milled in titanium



Came back beautifully milled, checked passivity by Sheffield test...all good so applied composite opaquer, waxed up crowns and pressed in emax ...in sets of two to make life easier when cementing



Finished off crowns, primed opaquer with silane and cemented with Multilink Implant cement





and finally used GC Gradia Gum to finish tissue








Before and after





This is the second one I've made. Yes, tooth morphology could be better and they could do with a bit more "life"

First one I used HT, but got shine through of cement as crowns were too thin...so used LT this time..next one??

Patient happy though, like the technique

pip

 

[rkm rdt]

Excellent

 

[Drizzt]

It looks great , congrats ! I am having one like this coming in the next weeks in the lab , I have never done something like this but I like you got inspired from another technician and will do it like this . Thanks for sharing !

 

[JeffT]

Hi cumino, how do you treat the denture prior to bonding Emax. jeff

 

[Ryan Gottlieb]

Nice work.

 

[RileyS]

That looks like a fun technique. In that second pic of opaqued framework, metal seems to extend past incisal compared to resin build. So in that case are the e.max veneers?

 

[JohanBarnard]

Not a negative comment, but why veneers? Surely the separation of single crowns on a framework is much more aesthetically pleasing?

 

[cumino]

Hi cumino, how do you treat the denture prior to bonding Emax. jeff

Well, used silane coupling agent Jeff

 

[cumino]

Nice work.

Many thanks Ryan, appreciate your article for the idea, pip

 

[cumino]

Not a negative comment, but why veneers? Surely the separation of single crowns on a framework is much more aesthetically pleasing?

Sorry Johan, not sure I understand your comment...why veneers?? coudnt do full crowns due to the occlusion and as for the separation, think there is fairly good separation, but things can always be done different/better.

In fact, in Ryan' article, he did them as single crowns, but its jsut easier cementing them in two's..

pip

 

[Marcusthegladiator CDT]

good job