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ePaper created 2017-04-05, 10:28:22 | version 1.38.0
implants 3_2016 C.E. article_ intraorally welded implants I I 09 with its cost, possible discomfort and potential complications are eliminated. Additionally, advantages include a restored physiological occlusion with improved mastica- tory efficiency results. _Technical procedures The Auriga technique consists of placing one piece of submerged screw implants in the right and left tuberosity regions. After four to six months, the patient’s remaining periodontaly involved teeth are extracted and replaced with implants. All of the implants are stabilized by means of intraoral welding to a titanium bar and a pro- visional prosthesis cemented with temporary cement. There is no need for a removable interim prosthesis. Thedefinitivefixedprosthesisisfabricatedand inserted after the implants’ integration. _Case report A healthy 63-year-old Caucasian woman pre- sented for treatment at the office of one of the co-authors (LDC) with a metal-ceramic fixed prosthesis supported by natural teeth on the up- per center right side and an implant-supported prosthesis on the left side. All of the teeth supporting the prosthesis had massive secondary decay and endo/perio problems. Patient’s remaining teeth were non- restorative. The first step of the Auriga technique involved theinsertionofendostealimplantsinrightmaxil- lary tuberosity region (Figs. 1, 2). After allowing for six month of healing, all remaining natural teeth were extracted along with the fixed prosthesis. Six root-form titanium implants were inserted immediately after extrac- tions (Figs. 3a, 3b) and welded with the existing implants to a titanium bar (Figs. 4a, 4b.). A provi- sional prosthesis was cemented with temporary cement (Fig. 5). Byinsertingaprosthesiswithadequatereten- tionandstabilitythesamedayasthesurgery,pa- tient complaints and discomfort can be avoided or substantially reduced. The instantaneous sta- Fig. 2_ Intraoral photograph showing implants placed in the upper right tuberosity region. Figs. 3a, 3b_Six new implants are placed immediately after extraction of the remaining teeth. Fig. 4a, 4b_New implants welded with the titanium bar to the existing implants. Fig. 5_A provisional fixed prosthesis is immediately cemented with temporary cement at the time of the surgery. Fig. 2 Fig. 3a Fig. 3b Fig. 4a Fig. 4b Fig. 5