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Figure 25: 4-unit BruxZir Solid Zirconia fixed bridge (labial view) Figure 26: 4-unit BruxZir Solid Zirconia fixed bridge (internal abutment view) Figure 27: 4-unit BruxZir Solid Zirconia fixed bridge (labial view) Figure 28: 4-unit BruxZir Solid Zirconia fixed bridge (occlusal view) Figure 29: Final all-zirconia restoration Figure 30: Happy patient! 12 – www.inclusivemagazine.com –
In the same visit, the completed 4-unit all-ceramic milled BruxZir Solid Zirconia bridge was trial-fitted and examined for proper occlusion (Figs. 25, 26). There was “tight” anterior coupling for this case as evidenced by the history of provisional denture fracture. The occlusion was checked and presented as so precise that no adjustment was required. The anterior view of the final prosthesis demonstrates optimal mesial-distal width proportion, incisal edge proportion, pontic-tissue contact and excellent shade/esthetics (Fig. 27). Further, the occlusal view demonstrates an optimal incisal edge arch form (Fig 28). The soft tissue lip position and speech phonetics appeared to be optimal (Fig. 29). Following the trial fitting, the fixed bridge was removed, the zirconia abutment retention screws torqued to 35 Ncm, the abutment screws covered with cotton/Cavit Temporary Filling Material (3M ESPE ; St. Paul, Minn.), and the prosthesis cemented with GC Fuji PLUS (GC America; Alsip, Ill.). The final full-face photo demonstrates the pleasing smile achieved with the restorative result (Fig. 30). IM General References • Baldissara P, Llukacej A, Ciocca L, Valandro FL, Scotti R. Translucency of zirconia copings made with different CAD/CAM systems. J Prosthet Dent. 2010 Jul;104(1):6-12. • Birnbaum NS, Aaronson HB. Dental impressions using 3D digital scanners: virtual becomes reality. Compend Contin Educ Dent. 2008 Oct;29(8): 494, 496, 498-505. • Chang YB, Xia JJ, Gateno J, Xiong X, Zhou X, Wong ST. An automatic and robust algorithm of reestablishment of digital dental occlusion. IEEE Trans Med Imaging. 2010 Sep;29(9):1652-63. • Christensen GJ. Will digital impressions eliminate the current problem with conventional impressions? J Am Dent Assoc. 2008 Jun;139(6):761-3. • Drago C, Saldarriaga RL, Domagala D, Almasri R. Volumetric determination of the amount of misfit in CAD/CAM and cast implant frameworks: a multicenter laboratory study. Int J Oral Maxillofac Implants. 2010 Sep-Oct;25(5):920-9. • Ender A, Mehl A. Full arch scans: conventional versus digital impressions — an in-vitro study. Int J Comput Dent. 2011;14(1):11-21. • Fasbinder DJ. Digital dentistry: innovation for restorative treatment. Compend Contin Educ Dent. 2010;31(4):2-11. • Garg AK. Cadent iTero’s digital system for dental impressions: the end of trays and putty? Dent Implantol Update. 2008 Jan;19(1): 1-4. • Jones PE. Cadent iTero digital impression case study: full-arch fixed provisional bridge. DC Dentalcompare. 2009 Jul 8 [cited 2011 Jul 28]. Available from: http://www.dentalcompare.com/Featured-Articles/2082-Cadent-iTero-Digital- Impression-Case-Study-Full-Arch-Fixed-Provisional-Bridge/. • Jones PE. Cadent iTero optical scanning digital impressions for restorative and invisalign. Dental Product Shopper. 2011 Jun 28 [cited 2011 Jul 29]. Available from: http://dentalproductshopper.reachlocal.net/articles/cadent-itero-optical-scanningdigital-impressions-restorative-and-invisalign. • Kurbad A. Impression-free production techniques. Int J Comput Dent.2011;14(1): 59-66. • Priest G. Virtual-designed and computer-milled implant abutments. J Oral Maxillofac Surg. 2005 Sep;63(9 Suppl 2):22-32. • Smith R. Creating well-fitting restorations with a digital impression system. Compend Contin Educ Dent. 2010 Oct;31(8):640-4. • Touchstone A, Nieting T, Ulmer N. Digital transition: the collaboration between dentists and laboratory technicians on CAD/CAM restorations. J Am Dent Assoc. 2010;141 Suppl 2:15S-9S. • Zweig A. Improving impressions: go digital! Dent Today. 2009 Nov;28(11):100, 102, 104. – From Intraoral Scan to Final Custom Implant Restoration – 13
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 12 and 13: Figure 15: iTero virtual scan (Alig
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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