CDOCS a SPEAR Company

emax Md Bridge for Implant Provisionals


This was a case ready for a final implant restoration. 5 months ago when the implant was placed a single-wing no prep emax maryland bridge was milled and bonded to serve as a temporary solution. It looked so nice and natural with the plaque customization I had to take photos.


That's really nice.  perfect shade!

 


I would use biocopy for your final restoration so you can capture that detailed calculus anatomy!!big grin


I just love showing these pictures to the patient.  The reaction is usually priceless.  What is that stuff????  


Here's the final. It was a Biomet 3i 3.4. One of the few implants that uses the A14 (S) block to restore and it was still a very tight squeeze. Ended up with a design with the split just above the gingival crest to allow for a bit more ceramic to cover the tibase.


Looks great Bob.  It's tough to find room for tibase, abutment and crown on those lower incisors.


Great Job!

 


Nice case Bob.  Did you do any tissue training after the implant integrated?

The reason I ask is the thing that I do different is I put on a cover screw and then create an ovate pontic into the extraction site that just barely sits over the implant about .5-1mm.  This way I can start training the tissue right away.   


I have a question regarding MD bridges as temps for implants. Are you bonding these in? Do you need to cut them off each time you need access to the implant and then remake or is it possible to cement these in a way that allows you to pull them off?


Nice work Bob!  Completely unrelated question,  what are your thoughts for #8 & 9.  I have been taught that anterior craze lines are not a huge concern and are ok to watch.  However from the looks of that crack and the amount of stain that has gotten in, there seems to be a communication.  Would it change treatment choice if the patient reports sensitivity?