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implants the international C.E. magazine of oral implantology

12 I I C.E. article_ fixed and removable implant restorations implants 2_2016 Fig. 12a Figs.12a,12b_Fortherecordingof jawrelations,thelowerwaxrimwas designedtoseatovertheLocator attachments,whileascrew-downwax rimwascreatedfortheupper. Figs.13a,13b_Upperwaxrimwas screwedintoplacethroughthe temporarycylinderswhilelower waxrimwasseatedoverLocator impressioncaps. Fig.14_AVPSwashimpression wasmadeofthemandibulararch, capturingthepositionsoftheLocator attachmentsaswellasthegingival contoursandvestibules. Figs.15a–15c_Thelabproducedwax setupsfortry-in.Theupperincluded temporarycylinderssosetupcould beattachedtotheimplantsduring evaluation.Thelowersetupincluded recesswellssoitcouldbeseatedover theLocatorattachmentsandsofttissue. Figs.16a–16c_Theupperandlower waxsetupsweretriedintoevaluatefit, esthetics,occlusionandfunction. Figs.17a–17c_Individualsectionsof theimplantverificationjigwereseated andlutedtogetherbeforebeingpicked upintheopen-trayfinalimpression, whichwasmadeusingacustomtray andCaptureVPSmaterial (GlidewellDirect). Figs.18a,18b_Finallowerimplant overdenturewasdesignedtoseat overLocatorattachmentanalogs situatedinthemandibularcast.This wouldallowtheoverdenturecapsthat engagetheLocatorattachmentstobe pickedupchairside. Figs.19a,19b_CADsoftwarewas usedtodesignthedefinitiveprosthesis forthepatient’smaxillabasedonthe finalimpressionandapprovedwax setup.Accessholeswerecreatedinthe precisepositionsneededforpassivefit. Figs.20a,20b_Theprovisionalimplant prosthesiswasmilledandseatedon themastercasttoverifyaproperfitas wellastheinterocclusalrelationship withtheopposingimplantoverdenture. Fig. 12b Fig. 13a Fig. 13b Fig. 14 Fig. 15a Fig. 15b Fig. 15c Fig. 16a Fig. 16b Fig. 16c Fig. 17a Fig. 17b Fig. 17c Fig. 18a Fig. 18b Fig. 19a Fig. 19b Fig. 20a Fig. 20b

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