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implants international magazine of oral implantology No. 4, 2016

| case report 16 implants 4 2016 plastersilicone.Figure14depictsthejacketingofthe modelimplantanaloguesandimpressionpostswith gingivalmaskmaterial:theimplantimpressionafter injectionofthegingiva-­mask.Thematerialshouldbe bubble free and clean when applied. We use Shera-Gingival® for the gingival masks. This material is pressed from a mixing tip with a fine syringeandhasanaturalappearance.Beforecasting with plaster, the gingiva must be removed from the impression to eliminate all banners and undercuts, thus easy removal and more importantly—a safe re- positioning is ensured. To take the gingival mask from the model, the model implants should be un- screwed before, so that the impression copings are not changed in their position. This work must be ­carried out very carefully and cautiously. Figure 15 shows the gingival mask after preparation. The edges are smoothened with abrasive belts and ­ rubber. In the plaster, the implants remain safe and there are neither flags nor undercuts which would make it difficult to reposition. Thegingivalmasksandtheplasterformcleantran- sitions(Fig.16).Theclearedgesbetweengypsumand gingival mask are ­ crucial for the clean repositioning afterremovaloftheimplantmaskduringprocessing. The casting technique was applied in manufacturing the bridge with burnout-able plastic auxiliary parts. Preventing sharp edges on the PEEK-facing side is Fig. 15 Fig. 14 Fig. 17 Fig. 16 Fig. 14: Jacketing of the model–­ implants and impression-­ posts with gingival mask material. Fig. 15: Gingival mask after preparation. Fig. 16: The gingival masks and the plaster form clean transitions. Fig. 17: The metal bar on the model with the gingival mask. Fig. 18: The bar-body extends far into the vestibular area for static support among the teeth. Figs. 19 & 20: The PEEK framework before completion. Fig. 21: PEEK-frame when placed on the milled bar. Fig. 19 Fig. 21 Fig. 18 Fig. 20 42016

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