45632_Australasian_Dentist_Issue_111

CATEGORY 96 AUSTRALASIAN DENTIST CLINICAL Fig 23 Fig 26 Fig 29 Fig 32 Fig 24 Fig 27 Fig 30 Fig 33 Fig 25 Fig 28 Fig 31 Fig 34 also custom-designed and manufactured a surgical template and an immediateloading temporary restoration. Following implant placement, we proceeded with the rehabilitation of the overdenture in the upper jaw and a bridge in the lower jaw. The treatment workflow included: 1. Removal of the bridge and extraction of the hopeless teeth #17, #27, #34, and #37, followed by endodontic treatment in the lower jaw (Fig. 9). 2. Production of a complete upper denture to fulfill both esthetic and functional criteria, featuring radiopaque composite denture teeth (Fig. 10). 3. Denture secured in patient’s mouth with light-body impression material, followed by CT scanning; plaster model created and scanned with and without denture, scans aligned with CT data using radiopaque markers (Figs. 11-16). 4. Use of the Straumann® coDiagnostiX® software for prosthetically guided implant planning, selection of Straumann® Screw-retained abutments and design of a surgical template for an immediate-loading temporary restoration (Figs. 17-22). 5. Placement of four Straumann® BLT implants in the upper jaw and three in the lower jaw Position #14: Straumann® BLT implant ’ 3.3 mm NC, SLA® 14 mm Roxolid®. Position #12: Straumann® BLT implant ’ 3.3 mm NC, SLA® 10 mm Roxolid®. Position #22: Straumann® BLT implant ’ 3.3 mm NC, SLA® 10 mm Roxolid®. Position #24: Straumann® BLT implant ’ 3.3 mm NC, SLA® 12 mm Roxolid®. Position #34: Straumann® Standard ’ 4.1 mm, SLA® 8 mm Roxolid®. Position #36: Straumann® Standard ’ 4.1 mm, SLA® 10 mm Roxolid®. Position #37: Straumann® Standard Plus ’ 4.8 mm, SLA® 10 mm Roxolid®. 6. Installation of four angulated abutments for the provisional bridge in the upper jaw and healing abutments in the lower jaw. Position #14: Straumann® NC Screwretained abutment angled 30°, type A, ’ 4.6 mm, gingiva height 4.5 mm. Position #12: Straumann® NC Screwretained abutment angled 17°, type A, ’ 4.6 mm, gingiva height 3.5 mm. Position #22: Straumann® NC Screwretained abutment 17°, type A, ’ 4.6 mm, gingiva height 3.5 mm. Position #24: Straumann® NC Screwretained abutment angled 30°, type A, ’ 4.6 mm, gingiva height 4.5 mm. 7. Final prosthetic rehabilitation with a

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