implants the journal of oral implantology United Kingdom Edition

37 case study _ Atrophic maxilla I 2. Try-In of the multi-Angled screw re- tained abutments with lab made posi- tional Jig to parallel the abutments 3. New impression of the multi-Angled abutments and X-ray verification of correct seating. Again these are linked using GC pattern resin and also a veri- fication jig made by the lab to verify accuracy of model prior to metal framework construction 4. The denture was relined again over the new abutments 5. Metal framework try-in - screw re- tained and checked for passive fit us- ing the Sheffield test. Re-verification of the midline, re-bite registration , a new face-bow record, intra-oral and extra oral photography to give the technician sufficient data to make the teeth and an idea of degree of soft tis- sue support required 6. A Hybrid Acrylic-Composite pros- thesis was then placed and checked intra-orally for aesthetics, lip support and bite. I had decided to provide a balanced articulation type of occlusal scheme 7. Final fixation of the prosthesis and detailed written and oral instruction given to the patient. One must con- sider cleanable spaces and your lab must understand this and allow for the patient to be able to clean the spaces underneath the area around the im- plant heads. We provide a waterpik and review the hygiene habits at three, six and 12 months post placement 8. The screw holes then filled with cot- ton wool followed by flowable com- posite 9. Post-operative follow ups at three, six and 12 months with regular dental checks on lower dentition and follow- up x-rays yearly to determine bone levels after baseline OPG taken_ implants2_2012 Dr Avik Dandapat qualified from Birmingham University then went on to complete his MFGDP(UK), the Diploma and Advanced certificate in dental Im- plantology from The Royal College of Surgeons of England in 2006 in Cohort three of the course.Avik has been an ADI mentor for the past eight years and a mentor for both Ankylos and DIO Implant systems.Avik actively lectures at the the FGDP(UK), ADI members forum, Ankylos Implant members fo- rum and is active ADI study club lecturer in dental implantology. At present Avik runs two practices in Reading, Berkshire and 121 Harley Street, London and his focus is solely on implant and reconstruc- tive dentistry. Currently Avik is studying toward his MSc in Implant dentistry from Manchester Universi- ty.Thanks to my Lab - Medimatch UK - www.Medi- match.co.uk and the Dental Implant Manufacturer: DIO Implants UK - www.Dentala.co.uk _author info implants Fig. 19