Case Study 1

Screw Retained acrylic bridge with Ti CAD/CAM milled bar

Implant Specification: Nobel Biocare Replace Select NP, RP

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Discussion:

1. Not enough vertical dimensions
(The mandibular over denture requires at least 12mm between the soft tissue and the
occlusal plane to provide sufficient space)

2. Patient wants to get a fixed bridge.

3. More economical cost.

Solution:

1. CAD/CAM Ti milled bar (wrap around design)

2. Make a screw retained acrylic bridge.

3. Make three piece bridges for making the bridge easier to fix in the future.

Procedure:

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1. Take a final impression

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2. Make a verification jig and Bite block

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3. Verify impression, obtain jaw relation record and select shade, mold of denture teeth.

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4. Make a wax denture.

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5. Wax denture try in check smile and bite.

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6. CAD/CAM scan design fabricate a Ti milled bar.

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7. Metal bar try in.

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8. Final wax denture set up.

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9. Final wax denture try in.

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10. Finish final denture.

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11. Final prosthetic delivery.

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