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ePaper created 2015-09-29, 13:02:58 | version 1.38.0
case report _ computer-aided implant dentistry I and calculated so that the implant axes would be as straight as possible. Balance Base abutments (DENTSPLYImplants)wereselected,andtheSIMPLANT Guide (Fig. 12) was ordered. The Immediate Smile digital enabled further pro- cessing of the planning (Fig. 13) and fabrication of a temporary bridge (Figs. 14–16). While the SIMPLANT Guide was being fabricated, the laboratory used the Immediate Smile digital to mill a 3-D model that simulatesthepositionsofthegingivaandabutments (Fig.15).Thetemporaryprosthesis(Fig.16)wasfabri- cated on this model. To allow for immediate loading and ensure splinting of the implants, this temporary prosthesis consisted of a metal framework and was veneered with composite. Atthestartoftheprocedure,theSIMPLANTGuide was positioned on the gingiva and secured with four fixationscrews(Fig.17).TheeightANKYLOSimplants (all 3.5mm in diameter and either 8 or 11mm long) were placed according to the manufacturer’s recom- Fig. 17_Surgical guide in situ. Fig. 18_Inserted implants. Fig. 19_Placement heads on the implants. Fig. 20_View after removal of the placement heads. Fig. 21_Radiograph to check implant after insertion. Fig. 22_Planning the implant positions prior to insertion. Fig. 23_The temporary bridge in place in the mouth. Fig. 24_Vestibular view of the fitted temporary bridge. I 21cone beam3_2015 Fig. 17 Fig. 18 Fig. 19 Fig. 20 Fig. 21 Fig. 22 Fig. 23 Fig. 24