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Volume 65, Issue 7, Supplement, Pages 47-52 (July 2007)


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Laboratory and Prosthetic Considerations in Computer-Guided Surgery and Immediate Loading

Edmond Bedrossian, DDS, FACD, FACOMSCorresponding Author Informationemail address

Refers to erratum:
Errata
Journal of Oral and Maxillofacial Surgery
October 2008 (Vol. 66, Issue 10, Pages 2195-2196)
Full Text | Full-Text PDF (34 KB)

Purpose

This article describes the laboratory and the prosthetic steps required for the fabrication of the provisional immediate load prosthesis used in guided surgical treatment protocols.

Materials and Methods

NobelGuide software (Nobel Biocare, Gothenburg, Sweden) was used to fabricate a surgical guide. The surgical guide in turn was used to develop a master model and fabricate the provisional bridge that will be secured to the implants immediately after their placement using the guided surgery template.

Results

Using this protocol, the fabrication of the provisional fixed prosthesis for immediate loading patients using the NobelGuide software was possible. The fit of the prosthesis to the implants required minimal adjustment. The patients were able to achieve a comfortable centric occlusion needing only minor adjustments following the securing of the prosthesis to the implants.

Conclusion

This protocol allows for the predictable fabrication of provisional immediate load prosthesis.

 Diplomate, American Board of Oral and Maxillofacial Surgery; Private Practice, San Francisco Osseointegration Center, San Francisco, CA; and Director, Implant Training, Oral and Maxillofacial Surgery Residency Program, University of the Pacific, San Francisco, CA.

Corresponding Author InformationAddress correspondence and reprint requests to Dr Bedrossian: San Francisco Osseointegration Center, 450 Sutter St, Suite 2439, San Francisco, CA 94108

PII: S0278-2391(07)00329-1

doi:10.1016/j.joms.2007.03.005


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