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56 | cerecdoctors.com | quarter 3 | 2013
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Fig. 38: Immediate provisional with
glaze and pink composite fabricated
chairside
Fig. 39: Immediate load provisional
same day as surgery
Fig. 40: Post-operative X-ray implants
#25 and #27
Fig. 41: Post-operative X-ray implants
#24 and #25
Fig. 42: Lab-fabricated prosthetics on
master model (cement retained)
Fig. 43: Lab-fabricated titanium
abutments
Fig. 44: Final bridge
Fig. 45: Abutments torqued and screw
access hole protected with sterile Teflon
Fig. 46: Abutments seated
Fig. 47: Confirmed seating of abutments
Fig. 48: Image of prosthesis on day of
seat. Note tissue inflammation from
temporary and poor hygiene
Fig. 49: Smile in repose
Fig. 50: X-ray post-cementation to
confirm cement removal
prosthesis with the tissue. Although we
would routinely obtain a fixture-level
impression for the restorative phase, it
was important that we expedite treatment
for the patient for external reasons.
The fact is that the combination of
both CBCT and CAD/CAM allowed us
to provide the treatment in streamlined
protocol with a high level of accuracy
and predictability. Without the help of
the SAC guideline, I would have felt less
comfortable understanding the chal-
lenges of this case. The SAC online tool
helped facilitate communication with the
patient and supported the treatment deci-
sions that were made to accomplish the
treatment as requested by the patient.
For questions and more information,
Dr. Patel can be reached at
neal@cerecdoctors.com.
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