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            cerecdoctors.com
          
        
        
          
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            quarter 4
          
        
        
          
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            2012
          
        
        
          removed and the tissue architecture was
        
        
          ideal. Final impression was taken.
        
        
          The temporary crown in tooth #9 was
        
        
          removed, and final impression was made
        
        
          for the lab technician (Fig. 8). The lab
        
        
          order was to do custom abutments for
        
        
          teeth #11, #13, #14 and a four-unit bridge
        
        
          (
        
        
          either PFZ or a CadOn bridge), and a
        
        
          single e.max crown in #9. The case was
        
        
          sent to Jay Black, CDT, owner of Winter
        
        
          Spring Dental Lab in Winter Springs, Fla.
        
        
          After pouring the impression, with his
        
        
          inEOS Blue, Jay scanned the model with
        
        
          the scan bodies attached to the Tibase
        
        
          of each implant replica (Figs. 9-12). The
        
        
          inLab software 4.0.1 allowed the lab tech-
        
        
          nician to know exactly where the implants
        
        
          were located (Fig. 13), and also has a tool
        
        
          to remove the gingival mask and design
        
        
          the custom abutment for perfection and
        
        
          precision (Fig. 14). Incoris Mezo blocks
        
        
          were milled, adjusted and put through the
        
        
          sintering process (Figs. 15-16). The techni-
        
        
          cian double-scanned the case — now with
        
        
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            M e l e n d e z
          
        
        
          
            Fig 8: After six months of healing and
          
        
        
          
            excellent home care, the tissue was very
          
        
        
          
            healthy. Final impressions were taken.
          
        
        
          
            Fig 9: Case was poured and the titanium
          
        
        
          
            base placed in position. The scan bodies
          
        
        
          
            are located over the tibase of the implants,
          
        
        
          
            ready to be scanned with the in EOS Blue.
          
        
        
          
            Fig. 10: inLab 4.01 Administration Phase.
          
        
        
          
            Selecting the custom abutment position
          
        
        
          
            and the e.max crown to be milled.
          
        
        
          
            Fig. 11: Case already scanned with EOS Blue.
          
        
        
          
            Fig. 12: Precision of a great impression.
          
        
        
          
            Details for successful proposal.
          
        
        
          
            Fig. 13: Designing for custom abutments for
          
        
        
          
            implant in areas of #11, #13 and #14.
          
        
        
          
            Fig. 14: Design completed, ready to mill in
          
        
        
          
            a inCoris Mezo block.
          
        
        
          
            Fig. 15: All the custom abutments milled
          
        
        
          
            and ready for adjustment and sintering.
          
        
        
          
            Fig. 16: Customabutments finished and in
          
        
        
          
            position. Verifying interocclusal clearance.
          
        
        
          
            Fig. 17: The CDT sets the insertion axis for the
          
        
        
          
            design of the four-unit bridge framework.
          
        
        
          
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