protesis total superior by mauro

New technologies for complete edentulous with O.I. implants!

Â alejandro kleinman associate professor implant dentistry loma linda university

traditional FCD (hybbrid) Traditional FC

FIXED COMPLETE DENTURE

CAD/CAM technology

a new method of producing frameworks for implant supported prostheses

速 Procera

Implant Bridge Procera AllCeram

Applications Procera System

Procera AllTitan Procera AllZircon Procera Custom Abutment

Single Crowns Veneers Fixed Prosthesis Single Crowns Fixed Partial Denture Fixed Complete Denture Copings for Single Units Fixed prosthesis Titanium Zirconia

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CAD/CAM FCD Prosthesis misfit and marginal bone loss in edentulous implant patients Jemt T, Book K.

Strategies to achieve fit in implant prosthodontics: a review of the literarture Wee AG. et al. Int J Oral Prosthodont 1999 Mar-Apr;12(2):167-78

Int J Oral Maxillofac Implants 1996;11:620-5

Stresses introduced at the time of prostheses placement may remain after several years of functioning

Multiple factors preclude that the concept of passive fit can be achieved in implant prosthodontics,even with the use of advanced strategies AKS

CAD/CAM FCD Parel Thoupos Rubeling Wat Iglesia Jemt Luk

1989 1995 1999 2000 2001 2002 2004

soldering, modified casting techniques, cast to technique, spark-erosion, lasser welding, cementation, double casting technique have been advocate to minimize the problem

The single-piece milled titanium implant bridge Parel SM. Dent Today, 2003 Feb;22(2):90-9

this new technology offers the possibility of a consistently excellent passive fit compare with conventional casting techniques AKS

CAD/CAM FCD Fit of implant frameworks: an in vitro comparision between two fabrication techniques Takahashi T, Gunne J. J Prsthet Dent Today, 2003 Mar;89(3):2569-60

19 frameworks, 14 Procera, 5 cast gold-alloy A total of 95 implants, 70 in the Procera and 25 cast frameworks were evaluated The total mean value for Procera frameworks was 26.9 micr. (SD 9.3), and for conventional was 46.8 micr. (8.8)

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CAD/CAM FCD

Advantages

ü precision fit ü biocompatible material ü strong - One piece ü high, uniform quality AKS

Procera速 Implant Bridge

Wrap aroundnd

Traditional acrylic

Ti-Porcelain Ti-Porcelainrcelain

Individualidual Procera Crowns

Ti-Porcelain all Zi Procera crowns

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Procera® Implant Bridge

PIB wrap-around why wrap-around?

ü profitable ü faster lab procedure ü lower framework price ü shorter turnaround time (3 days) ü precision-fit ü biocompatible AKS

Procera® Implant Bridge

what is wrap-around?

PIB wrap-around

§ Lab Procedure ü Standard verified soft tissue master model AKS

Procera® Implant Bridge

what is wrap-around?

PIB wrap-around § Lab Procedure ü Standard framework fabrication of resin framework ü Designed as a bar with cylinders

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Procera速 Implant Bridge

PIB wrap-around

what is wrap-around?

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Procera速 Implant Bridge

PIB wrap-around

8 years AKS

Procera速 Implant Bridge

PIB wrap-around

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Procera速 Implant Bridge

PIB wrap-around

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Procera速 Implant Bridge

PIB wrap-around

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Procera速 Implant Bridge

PIB wrap-around

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Procera速 Implant Bridge

PIB wrap-around

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Procera速 Implant Bridge

PIB wrap-around

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Procera速 Implant Bridge

PIB wrap-around

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Procera速 Implant Bridge

PIB wrap-around

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Procera速 Implant Bridge

PIB wrap-around

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Procera速 Implant Bridge

PIB wrap-around

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Procera速 Implant Bridge

PIB wrap-around

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Procera速 Implant Bridge Traditional PIB

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Procera速 Implant Bridge Ti PIB

Procera速 Implant Bridge ! Ti PIB