Implant Laboratory Procedures

Carl Drago, DDS, MS, is the Director of Dental Research at Biomet 3i, Palm Beach Gardens, Florida. He is also Adjunct Prosthodontic Faculty at Nova SE University College of Dental Medicine in Ft. Lauderdale. Thomas Peterson, CDT, MDT, is President of North Shore Dental Laboratories in Lynn, Massachusetts.

Forward Preface Acknowledgments Notice to Readers Registered Trademarks Chapter 1: Introduction to Implant Dentistry Introduction Loading Protocols Traditional, Two-Stage, Unloaded Healing Single-Stage, Unloaded Healing Immediate Occlusal Loading Immediate Nonocclusal Loading Abutments Abutment Selection Surgical Guides Conventional Computer Generated Chapter 2: Mandibular Two-Implant Overdenture Introduction Clinical Patient Presentation Diagnosis Assessment Diagnostic Casts Custom Impression Trays Definitive Intraoral Impression Master Cast Record Bases Articulator Mounting Wax Dentures Processing Insertion Chapter 3: Immediate Occlusal Loading-Maxillary Hybrid Prosthesis with Cast Metal Framework (the Columbus Bridge Protocol) Introduction Clinical Patient Presentation Diagnoses Assessment Diagnostics Articulator Mounting Surgical Guide Surgery/Implant Placement Abutment Placement Abutment Impression Jaw Relation Records Master Cast Articulator Mounting Fabrication of Interim Screw-Retained Implant Prosthesis Construction of the Cast Metal Framework Construction of the Hybrid Prosthesis Insertion One-Week Post-Insertion Clinical Visit Chapter 4: Robot Analog Placement and CAD/CAM Abutments Introduction The Encode Complete Restorative System Clinical Patient Presentation Diagnosis Assessment Diagnostic Casts/Surgical Guide Implant Surgery Placement of Healing Abutment Placement of Encode Healing Abutment and Encode Healing Abutment Impression Master Cast Articulator Mounting Encode Complete Work Order Scanning Abutment Design/Milling Robotic Placement of Lab Analog Into Cast (Robocast) Fabrication of Porcelain-Fused-to-Metal Crown Clinical Insertion Chapter 5: Maxillary Implant-Retained Primary Bar (CAM StructSURE Precision Milled Copy Milled Bar Framework) with Secondary Casting Maxillary Overdenture; Mandibular CAM StructSURE Precision Milled Bar for Mandibular Hybrid Screw-Retained Prosthesis Introduction Clinical Patient Presentation Diagnoses Assessment Diagnostic Casts/Surgical Guide Implant Surgery Implant-Level Impression-Laboratory Procedures Master Cast Record Bases/Jaw Relation Records Articulator Mounting/Wax Dentures/Verification Index Overview of the Design/Construction of Cad/Cam Frameworks Maxillary Copy Milled Bar Electroformed Bar Sleeves Tertiary Casting Mandibular CAM StructSURE Precision Milled Bar Silicoating Denture Setup on Cad/Cam Frameworks Clinical Try-In Appointment Processing Insertion Chapter 6: Computed Tomography (CT)-Guided Surgery/Immediate Occlusal Loading with a Full-Arch Prosthesis in the Edentulous Mandible Immediate Occlusal Loading Tilted Implants Diagnostic Imaging Computed Tomography (CT) Interactive CT (ICT) Interactive Computer Software Surgical Guides Master Tubes Prosthetic Laboratory Kit-Implant Analog Mounts Surgical Kit Components Fabrication of Master Cast for Immediate, Fixed Provisional Prosthesis Abutment Selection for Fixed, Screw-Retained Provisional Prostheses Fabrication of a Screw-Retained Provisional Prosthesis Clinical Patient Presentation Radiographs Diagnosis Assessment Treatment Plan Construction of Wax Dentures Clinical Try-In of the Wax Dentures Fabrication of CT Scanning Appliance Intraoral CT Scan Fabrication of the Master Cast with Implant Analogs Laboratory Abutment Selection and Placement Framework Fabrication (Provisional Prosthesis) Provisional Prosthesis Surgical Implant Placement Clinical Abutment Placement Insertion of Provisional Prosthesis Postoperative Visit Chapter 7: Three-Unit Implant-Retained Porcelain-Fused-to-Metal Fixed Partial Denture with Premachined, Fixed Collar Height Titanium Abutments Introduction Clinical Patient Presentation Diagnosis Assessment Abutment Selection Diagnostics Surgery Abutment Impression Master Cast with Abutment Analogs Waxing Sleeves Definitive Prosthesis Insertion Aesthetic Evaluation Chapter 8: Multiple CAD/CAM Abutments with Implant-Retained Porcelain Metal Crowns (The Encode(r) Complete Protocol) Introduction The Encode(r) Complete Restorative System Clinical Patient Presentation Diagnosis Assessment Diagnostic Casts/Surgical Guide Implant Surgery Placement of Healing Abutments Placement of Encode Healing Abutments and Encode Healing Abutment Impression Master Cast Articulator Mounting Encode Complete Work Order Scanning Abutment Design/Milling Robotic Placement of Lab Analogs into Cast (Robocast) Fabrication of Porcelain-Fused-to-Metal Crowns Clinical Insertion Chapter 9: Single-Unit Implant-Retained Porcelain Crown with Computer-Aided Design/Computer-Aided Manufacturing (CAD/CAM) Ceramic Abutment (Encode Zirconia Abutment) Introduction CAD/CAM Protocol-The Encode(r) Complete Restorative System Clinical Patient Presentation Diagnosis Assessment Diagnostic Casts/Surgical Guide Implant Surgery Placement of Encode Healing Abutment Master Cast Articulator Mounting Encode Complete Work Order Scanning Robotic Placement of Lab Analog into Cast (Robocast) Abutment Design/Milling Fabrication of Porcelain Crown Clinical Insertion Chapter 10: Computed Tomography (CT)-Guided Surgery/Immediate Occlusal Loading with a Full-Arch Prosthesis in Edentulous Maxillae Introduction Tilted Implants Computed Tomography (CT) CBCT Interactive CT Accuracy in CT Treatment Planning Preoperative Planning Clinical Patient Presentation Radiographs Diagnosis Assessment Treatment Plan Construction of Maxillary Wax Denture Clinical Try-in of the Maxillary Wax Denture Fabrication of the Scanning Appliance Intraoral CT Scan Fabrication of the Master Cast With Implant Analogs Laboratory Abutment Selection and Placement Framework Fabrication (Provisional Prosthesis) Provisional Prosthesis Surgical Implant Placement Clinical Abutment Placement Insertion of Provisional Prosthesis Postoperative Visit Chapter 11: Replacement of Denture Teeth and Denture Base for a Preexisting Mandibular Fixed/Detachable Prosthesis Introduction Clinical Patient Presentation Diagnosis Assessment Appointment Sequence Diagnostic Casts Custom Maxillary Impression Tray and Definitive Maxillary Impression Maxillary Master Cast Maxillary Record Base and Wax Occlusion Rim Clinical Jaw Relation Records First Articulator Mounting Maxillary Wax Denture Mandibular Master Cast Second Articulator Mounting-Mandibular Master Cast Mandibular Wax Denture Silicoating Processing Insertion Index