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A periapical radiograph was taken to verify complete
seating of the custom impression coping.
A standard closed-tray impression was taken. The
impression coping was then removed and the healing
abutment replaced. The impression, an opposing model,
bite registration, and prescribed shade of BioTemps
provisional crown were sent to Glidewell Laboratories
with the Tooth Replacement Solution Rx.
5a
Upon receipt of the Tooth Replacement Solution components, the stock healing abutment was removed
and replaced with a custom healing abutment. This patient-specific abutment is anatomically
contoured, unlike standard, round components. The abutment screw was tightened to 15 Ncm and
the access opening sealed with a piece of Teflon tape, covered with flowable composite. Had the
patient desired a temporary restoration in this posterior space, the custom temporary abutment
and BioTemps provisional crown could have been delivered in lieu of the custom healing abutment,
with the same emphasis on sculpting the desired soft tissue contours.
5b
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