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26 | CERECDOCTORS.COM | QUARTER 1 | 2014
| | | A G A RWA L
11 12
13 14
15 16
18
19
20
17
Fig. 11: Uncovering implant
Fig. 12: Titanium impression post
Fig. 13: Radiograph verification
Fig. 14: Digital scan cap
Fig. 15: Implant restoration proposal
Fig. 16: Mill stage
Figs. 17-18: Components
Fig. 19: Restoration in place
Fig. 20: Radiograph of restoration
expose the implant (Fig. 11). The implant
is fitted with the titanium impression
post (Fig. 12), and a verification radio-
graph is taken to ensure proper seating
(Fig. 13). A digital scan cap is then placed
(Fig. 14), and the final digital implant
impression is taken.
From this digital impression, a full-
contour final restoration is designed to
idealized implant occlusion (implants
do require a different occlusal scheme
than traditional restorations), and ideal-
ized peri-implant support (Fig. 15). The
final design is now ready for chairside
milling as a full-contour, screw-retained
abutment-crown e.max restoration (Fig.
16). The restoration is then stained,
glazed, crystallized and extraorally
cemented to the TiBase (Figs. 17-18).
The result is a single-visit, custom
screw-retained abutment-crown that
properly supports the implant occlu-
sion and the peri-implant architecture
(Figs. 19-20).
FINAL THOUGHTS
I hope you can put the pieces together
and realize that we were able to achieve
an ideal plan, ideal placement and ideal
restoration — all without any compro-
mise — in three simple visits! Also, note
that all this was achieved without the
use of fancy biologics or any complex
surgical techniques. And, the best part is,
our investment in technology increases
case acceptance, ensures excellent clin-
ical outcomes and allows us to deliver all
this in a conservative manner.
I encourage you to give serious consid-
eration to looking closer at Cone Beam
technology, and investing in the educa-
tion and knowledge to totally integrate
and expand CEREC in your practice!
You’re patients will be happier, and you’ll
be happier (and more profitable).
For questions and more information,
Dr. Agarwal can be reached at
dra@raleighdentalarts.com.