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1 Surgery CAMLOG Compendium

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Provisional Solution<br />

Preparing the Temporary Abutment<br />

Provisional Crown/Bridge<br />

A prefabricated crown or a previously<br />

prepared crown can be adapted to the<br />

situation by lining it with acrylic.<br />

The insertion direction of the crown,<br />

indicated by the adjacent teeth, rarely<br />

matches the orientation of the implant<br />

tube. Because of this, bridge structures<br />

should not be fabricated in one piece<br />

with the temporary abutment. Work on<br />

this must be performed extra-orally. All<br />

other procedures in the fabrication of<br />

temporary solutions are similar to those<br />

used in crown and bridge restoration.<br />

Inserting the Temporary Abutment<br />

Disinfect and sterilize the prosthetic<br />

components prior to insertion. Clean the<br />

inside of the implant with water spray,<br />

check for residues, and allow to dry.<br />

Insert the temporary abutment into the<br />

implant and rotate it until the cams<br />

engage with the implant grooves. Handtighten<br />

the abutment screw and seal the<br />

screw channel with easily removable<br />

material. Do not use composite since<br />

drilling it out would be required in order<br />

to remove the screw. Make sure that the<br />

screw channel is not overfilled; the surface<br />

should be concave. Remove all<br />

cement residues.<br />

Reference<br />

Sofortimplantation und Sofortbelastung.<br />

Das Einzelzahn-Sofortimplantat mit<br />

provisorischer Versorgung.<br />

Nagel, Rainer; Ackermann, Karl-Ludwig;<br />

Kirsch, Axel<br />

ZMK 17, 1-2/2000<br />

150

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