Page 56 - CEREC Q3|2013

54 | cerecdoctors.com | quarter 3 | 2013
27
28 29
30 31
32 33
34
36
using the MCXL and using the standard
CEREC Guide protocol.
With the help of CBCT and Chairside
CEREC Guide technologies, the patient
was able tohave surgery on the initial visit.
The patient was anesthetized and a mid-
crestal incision was provided for surgical
access to remove the root tip of #26. The
CEREC Guides were seated, and guided
osteotomies were provided. Once the
fixtures were placed, an impression was
obtained to aid in the fabrication of the
temporary and final lab-fabricated pros-
thesis. Temporary abutments were seated
and the exposed threads (accounted for
in the diagnostic planning phase) were
subsequently grafted with particulate and
a resorbable membrane. Primary closure
was obtained using plain chromic gut
and interrupted sutures. A putty matrix
of the denture tooth set up on the diag-
nostic cast was fabricated to help with
chairside immediate load temporization
with bisacryl. The implants integrated
over the course of three months. On the
patient’s second appointment, we were
able to seat the final prosthesis and use
additional pink composite to blend the
| | | pat e l
26
37
35
Fig. 26: Full thickness flap
Fig. 27: Flap reflection and identification
of retained root tip
Fig. 28: Guided osteotomies provided
using CEREC Guides
Fig. 29: Implant fixtures placed
Fig. 30: Implant fixtures placed
Fig. 31: Placement X-ray
Fig. 32: Implants placed according to plan
with facial threads exposed
Fig. 33: Temporary healing abutments
attached
Fig. 34: Particulate graft used with
resorbable membrane
Fig. 35: Closure with chromic gut and
interrupted sutures
Fig. 36: Temporary abutments
Fig. 37: Bisacrylic temporary fabricated
with putty matrix of original denture
tooth setup on model