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cerecdoctors.com
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2012
Treatment planning and surgical guide
fabrication were performed utilizing
a Galileos CBCT scan and the SICAT
workflow (Figs. 1-2). At the same time, it
was decided to also treat teeth #12 and
#13 —
which were lost due to a failed
fixed-partial denture — with Straumann
fixtures and the same SICAT surgical
guide. Due to the lack of esthetic compro-
mise in the premolar area, the patient
elected not to include them in the fabrica-
tion of the interim prosthesis.
As a preoperative esthetic solution,
both lateral incisor crowns were bonded
to their adjacent central and cuspids, and
the roots were retained until the day of
dental implants are becoming the
ideal restorative option for missing teeth,
but, oftentimes, immediate loading with
fixed restorations is inadvisable during the
healing phase of treatment. Therefore, it
is increasingly important for clinicians to
meet the patient’s esthetic and functional
demands by having at their disposal a
variety of options for interim restorations.
Frequently, traditional interim remov-
able prostheses are a major compro-
mise for patients, both esthetically and
functionally, and can lead to deleterious
effects on healing hard and soft tissues.
This article describes a technique to
provide patients with a fixed esthetic and
functional interim prosthesis that can be
fabricated in the office utilizing CEREC
SW 4.0.2 and VITA CAD-Temp, and
administered at the time of implant place-
ment. Utilizing this method allows the
patient to have a retrievable, functional
and esthetic prosthesis that can be used to
protect the healing surgical site, as well as
train and support gingival tissues during
the healing phases of implant therapy.
The patient in this case is a 60-year-old
Caucasian male with a history of obstruc-
tive sleep apnea and severe dental wear
that was corrected using full-mouth reha-
bilitation with lab-fabricated e.max press
restorations in 2007. He is currently being
treatedwith oxygen and an oral appliance.
He presented to the office in December,
2010
with crown and root fractures of
teeth #7 and #10. It was decided that
the remaining root structure would be
removed, followed by immediate place-
ment of dental implants
utilizing fully guided place-
ment of Straumann 3.3 mm x
12
mm Roxolid fixtures.
1
Using CEREC SW4.0.2 to Fabricate Esthetic Shell Temporaries
As an Alternative to Removable InterimProstheses
CEREC Creativity
C A S E S T U D Y
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b y rya n g . h a m i lto n , d . d . s .
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