k2 Ceramic Studio
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Got an implant case a bit ago and have just been sent some surgery pics so I thought I would share the case. Loads of pics but hope it's not too many. The doc wanted a stent to help with placement of three implants, We make the stents based on the information we get, so any cbvt data, x rays and ridge mapping, these are not surgical stents just a guide to help. He also wanted a post and a temp bridge.
Dear Peter,
Please find enclosed the most recent radiographs from XXXXXXXX
I have sent you some models yesterday. I also have some pre-op study models and photos that will be in the post on monday
This case is pretty complex, xxxxxxx has had some pretty poor dentistry, we have liased with the dental hospital and are basically redoing her whole mouth. The impressions I sent yesterday are with all the failed restorations removed on the upper arch and to try to make a surgical stent for the placement of implants in the UR4, UR2 and UL3. Also we would like a temporary porcelain bridge to restore the UR5-UL4 while the implants integrate.
We removed the grossly carious roots UR3, UR2 and UL3 about 6 months ago now and have been waiting for the sockets to heal. She is due for more radiographs in about 2 weeks to confirm healing of the sockets. If you need further impressions or info we can collect it then.
We removed all the upper restorations on friday, and there was gross caries under all the crowns. You will probably be able to see the cores need some work, but we didn't expect such a poor condition under everything.
The plan as it stands is;
1) new radiographs to confirm healed sockets and decide implant dimensions
2) xla UR4 and immediate placement of 2 part implant
2 part implant UR2 and also UL3
fit temp bridge UR5-UL4 and allow 3/12 for healing of implants
3) after integration of the implants (3/12) then impressions for;
- UR5 crown
- UR4-UR2 implant retained bridge
- UR1 post crown
- UL1 post crown
- UL2 crown
- UL3 implant retained crown
- UL4 crown with core build up.
4) fit upper arch
5) possible post crowns to restore the LR4,5 (we restored with composite for now, the hospital recommended post crowns to restore the bite.
I was considering placing healing collars immediately at the fit of the implants, would this interfere too much with the temp bridge and should I just place cover screws and then remove the bridge after healing and place the collars then? (I was hoping not to have to remove the temp bridge once it was on until we were ready to take impressions for the definitive work).
So..................
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Dear Peter,
Please find enclosed some photos from today's case. I will forward some more at the review appointments.
As a quick overview, the case has been pretty challenging.
The post core fit well and easily; the stent fit really well and the temp bridge fit really nicely and easily.
(All the work was done through Exocad, Pete)
Dear Peter,
Please find enclosed the most recent radiographs from XXXXXXXX
I have sent you some models yesterday. I also have some pre-op study models and photos that will be in the post on monday
This case is pretty complex, xxxxxxx has had some pretty poor dentistry, we have liased with the dental hospital and are basically redoing her whole mouth. The impressions I sent yesterday are with all the failed restorations removed on the upper arch and to try to make a surgical stent for the placement of implants in the UR4, UR2 and UL3. Also we would like a temporary porcelain bridge to restore the UR5-UL4 while the implants integrate.
We removed the grossly carious roots UR3, UR2 and UL3 about 6 months ago now and have been waiting for the sockets to heal. She is due for more radiographs in about 2 weeks to confirm healing of the sockets. If you need further impressions or info we can collect it then.
We removed all the upper restorations on friday, and there was gross caries under all the crowns. You will probably be able to see the cores need some work, but we didn't expect such a poor condition under everything.
The plan as it stands is;
1) new radiographs to confirm healed sockets and decide implant dimensions
2) xla UR4 and immediate placement of 2 part implant
2 part implant UR2 and also UL3
fit temp bridge UR5-UL4 and allow 3/12 for healing of implants
3) after integration of the implants (3/12) then impressions for;
- UR5 crown
- UR4-UR2 implant retained bridge
- UR1 post crown
- UL1 post crown
- UL2 crown
- UL3 implant retained crown
- UL4 crown with core build up.
4) fit upper arch
5) possible post crowns to restore the LR4,5 (we restored with composite for now, the hospital recommended post crowns to restore the bite.
I was considering placing healing collars immediately at the fit of the implants, would this interfere too much with the temp bridge and should I just place cover screws and then remove the bridge after healing and place the collars then? (I was hoping not to have to remove the temp bridge once it was on until we were ready to take impressions for the definitive work).
So..................
Dear Peter,
Please find enclosed some photos from today's case. I will forward some more at the review appointments.
As a quick overview, the case has been pretty challenging.
The post core fit well and easily; the stent fit really well and the temp bridge fit really nicely and easily.
(All the work was done through Exocad, Pete)
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