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•Step 3: Milling of Custom Components Once the digital design of each component has been finalized, the files are transferred to a state-of-the-art computer-aided milling station. The custom impression coping, custom temporary abutment and custom healing abutment are all milled from polyether ether ketone (PEEK), an organic polymer thermoplastic (Figs. 9, 10). The BioTemps provisional crown is milled from poly(methyl methacrylate) (PMMA), a transparent thermoplastic sometimes referred to as acrylic glass (Figs. 11, 12). After seating is confirmed, the custom temporary crown is stained according to the shade prescribed by the clinician, then glazed before a final quality inspection is performed. Figure 9: PEEK abutment blank ready for milling Figure 10: Milled PEEK abutment Figure 11: Close-up of PMMA milling Figure 12: PMMA block after milling 20 – www.inclusivemagazine.com –
Figure 12: PMMA block after milling Figure 12: PMMA block after milling Inclusive ® Tooth Replacement Solution The finished custom temporary components (Fig. 13), along with the physical models and prosthetic guide, are sent to the clinician as part of the newly launched Inclusive ® Tooth Replacement Solution. One of the goals of this solution, which also includes an Inclusive ® Tapered Implant and the appropriate surgical drills (Fig. 14), is to provide clinicians with everything they need to provisionalize the case at the time of implant placement. This way, the patient can leave the office with an esthetic restoration in place. These custom temporary components not only serve to manage and maintain the desired gingival contours critical to a natural emergence profile, but also give the clinician and patient a chance to preview the ultimate result — providing valuable preliminary information and increasing the likelihood of acceptance upon delivery of the final restorative components (Inclusive Custom Abutment and BruxZir ® Solid Zirconia crown [<strong>Glidewell</strong> Laboratories]) that complete the Inclusive Tooth Replacement Solution. Summary Without proper communication of the desired gingival architecture, a laboratory technician must rely on model manipulation and guesswork when designing a patient’s final implant restoration. Such techniques tend to be less predictable and may compromise the esthetic outcome. Custom temporary components designed and milled using proven CAD/CAM techniques enable clinicians to guide soft tissue contours during the healing phase, and a matching custom impression coping serves to accurately preserve and capture these contours during the impression procedure. The overall result of this custom temporary solution is a clear translation of the desired gingival anatomy to the lab technician for use in designing the optimal emergence profile, greatly increasing the esthetic predictability of the final restorative result. IM Custom temporary components ... enable clinicians to guide soft tissue contours during the healing phase, and a matching custom impression coping serves to accurately preserve and capture these contours during the impression procedure. Figure 13: Inclusive Tooth Replacement Solution custom temporary components Figure 14: Inclusive Tapered Implant with surgical drills – Lab Sense: Virtual Design of Inclusive Custom Temporary Components – 21
Page 1 and 2: Inclusive Restorative Driven Implan
Page 3: Contents ALSO IN THIS ISSUE 14 Clin
Page 6 and 7: Publisher Jim Glidewell, CDT Editor
Page 8 and 9: Clinical Benefits of the Inclusive
Page 10 and 11: Inclusive Tooth Replacement Solutio
Page 12 and 13: Healing Phase As with any implant t
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Page 24 and 25: Building a Referral Network Through
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Page 55 and 56: teeth, placement of a 3.7 mm diamet
Page 57 and 58: Congratulations, Inclusive Image C

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