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Healing Phase
As with any implant treatment protocol,
it is generally advisable that the
patient return for monthly follow-up
appointments to ensure osseointegration
is proceeding well and to adjust
the provisional restoration as needed.
Figure 10: Flat oriented toward the facial
Figure 12: Custom temporary abutment seated
Figure 14: BioTemps crown temporarily cemented
Figure 11: Periapical radiograph to verify implant
position
Figure 13: Abutment screw tightened to 15 Ncm,
with access opening sealed and flap sutured back
into place
Figure 15: Custom impression coping and screw
access opening sealed with soft wax
Restorative Phase:
Final Impressions
When an adequate amount of time has
elapsed and successful osseointegration
of the implant has been confirmed,
the restorative phase begins. Fortunately,
because the contours of the custom
impression coping match those of the
custom healing abutment or custom
temporary abutment, it is simple to
remove the custom abutment, seat the
custom impression coping (Fig. 15)
and take an accurate final impression
(Fig. 16). Either a closed-tray or opentray
technique may be used, but it
should be a full-arch impression. A
full-arch opposing impression and
bite registration are also required.
You then complete a simple prescription
form included with the original
solution components, selecting
your choice of final custom abutment
(titanium or zirconia) and indicating
the final shade for your BruxZir
or IPS e.max ® (Ivoclar Vivadent; Amherst,
N.Y.) restoration. There are no
additional laboratory fees at this point
because the cost of these final restorative
components is included in the
price of the solution. Simply forward
the final impressions and bite registration
along with the completed prescription
to Glidewell Laboratories for
fabrication of the definitive restoration.
Figure 16: Final impression
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