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Figure 15: iTero virtual scan (Align Technology) Figure 16: Registering scanning abutment library to iTero virtual scan Figure 17: Scanning abutments registered to iTero virtual scan Figure 18: Abutment planning (labial view) with 3Shape's DentalDesigner software and Prismatik CZ add-on module The treatment plan included … restoration with all-zirconia custom abutments and a 4-unit all-ceramic fixed prosthesis to restore the anterior incisors to form and function. Figure 19: Abutment design (occlusal view) Using the iTero scanner with updated software (version 4.0), a full maxillary arch scan, full mandibular arch scan and centric bite in maximum intercuspation were completed. A three-dimensional digital record of the patient’s anatomy was created from these scans (Fig. 15) and electronically submitted to Glidewell Laboratories to be used in the CAD/ CAM restoration process. At Glidewell Laboratories, the virtual scan was registered to the scanning abutments (Figs. 16–17). This provides the dental technicians with the implant system, size, axis, position relative to the adjacent anatomy and locking feature orientation. A virtual zirconia abutment was designed using 3Shape’s DentalDesigner software (3Shape Inc.; New Providence, N.J.) and the Glidewell Digital Abutment Library (Figs. 18–21). 10 – www.inclusivemagazine.com –
Figure 20: Abutment design (profile view) Figure 21: Abutment design (lingual view) A virtual zirconia abutment was designed using 3Shape’s DentalDesigner software and the Glidewell Digital Abutment Library. From this ... Inclusive All-Zirconia Custom Abutments were milled. Figure 22: Inclusive All-Zirconia Custom Abutments #7 and #10 Figure 23: Inclusive All-Zirconia Custom Abutment #7 Figure 24: Inclusive All-Zirconia Custom Abutment #10 From this, the corresponding physical Inclusive All-Zirconia Custom Abutments (Glidewell Laboratories) were milled. Similarly, a BruxZir ® Solid Zirconia 4-unit fixed bridge (Glidewell Laboratories) was designed and milled using this state-of-the-art CAD/CAM technology. The custom zirconia abutments were trial-fitted in the patient’s mouth with some slight tissue blanching noted (Fig. 22). The individual close-up views demonstrate how close the labial path of insertion passed to the head of each abutment’s titanium screw (Figs. 23, 24). – From Intraoral Scan to Final Custom Implant Restoration – 11
Page 1 and 2: Inclusive® Restorative Driven Impl
Page 3: Contents 6 15 From Intraoral Scan t
Page 6 and 7: Contributors ■ Bradley C. Bockhor
Page 8 and 9: From Intraoral Scan to Final Custom
Page 10 and 11: Figure 4: Healing abutments at six
Page 14 and 15: Figure 25: 4-unit BruxZir Solid Zir
Page 17 and 18: Implant Q&A: An Interview with Dr.
Page 19 and 20: Not only are we maintaining the bon
Page 21: BB: If you go that route — four i
Page 24 and 25: For proper prosthetic function, zir
Page 26 and 27: On the abutment, there were three a
Page 28: Finite element analysis (FEA) provi
Page 31 and 32: Figure 1: Graph depicting usage of
Page 33 and 34: Clinical Delivery The following pro
Page 35: Delivery of a Screw-Retained BruxZi
Page 39 and 40: Figure 1: Preoperative digital trea
Page 41 and 42: Figure 8: Inclusive Mini Implant Im
Page 43 and 44: Figure 16: Wax rim delivered on cas
Page 45 and 46: Figure 26: Articulated model with b
Page 47 and 48: Implant-retained overdentures can o
Page 49 and 50: Figure 2: Sagittal MPR view with ma
Page 52 and 53: Understanding Zirconia Crown Esthet
Page 54 and 55: Spectrophotometry A spectrophotomet
Page 56 and 57: The key to increasing light transmi
Page 58: Inclusive ® Image Contest: Name Th

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