PMC6286778_01
The initial clinical case, occlusal view. Source: DOCEO-SC.
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fig1
Before the planning of the new prosthetic rehabilitation, a working protocol was established with diagnostic tools: initial photographic documentation (Figures 1-3) of the patient, work models mounted on a semiadjustable articulator (Figure 4), and evaluation of panoramic radiography (Figure 5).
The initial clinical case, lateral view, posterior left region. Source: DOCEO-SC.
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fig2
Before the planning of the new prosthetic rehabilitation, a working protocol was established with diagnostic tools: initial photographic documentation (Figures 1-3) of the patient, work models mounted on a semiadjustable articulator (Figure 4), and evaluation of panoramic radiography (Figure 5).
The initial clinical case, lateral view, posterior right region. Source: DOCEO-SC.
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fig3
Before the planning of the new prosthetic rehabilitation, a working protocol was established with diagnostic tools: initial photographic documentation (Figures 1-3) of the patient, work models mounted on a semiadjustable articulator (Figure 4), and evaluation of panoramic radiography (Figure 5).
Articulator mounting. Source: own authorship.
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fig4
Before the planning of the new prosthetic rehabilitation, a working protocol was established with diagnostic tools: initial photographic documentation (Figures 1-3) of the patient, work models mounted on a semiadjustable articulator (Figure 4), and evaluation of panoramic radiography (Figure 5).
Panoramic radiography. Source: DOCEO-SC.
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Before the planning of the new prosthetic rehabilitation, a working protocol was established with diagnostic tools: initial photographic documentation (Figures 1-3) of the patient, work models mounted on a semiadjustable articulator (Figure 4), and evaluation of panoramic radiography (Figure 5).
Minipillar installation in the left posterior region with burying of most posterior implant. Source: own authorship.
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It was not possible to maintain the most posterior implant of the left side in the planning of the new crowns since it was very vestibularized and outside the patient's dental arch, jeopardizing the hygiene of the new crowns so it was decided to bury it (Figure 6).
The mold obtained from regions 46 and 47. Source: own authorship.
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The model obtained from regions 46 and 47 can be seen in Figure 7 and the model obtained from regions 35 and 36 can be seen in Figure 8.
The mold obtained from regions 35 and 36. Source: own authorship.
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The model obtained from regions 46 and 47 can be seen in Figure 7 and the model obtained from regions 35 and 36 can be seen in Figure 8.
Conference of positioning of implants in the arch. Source: Dental Design Laboratory.
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Waxing of the right posterior region according to the occlusal plane (Monson's plaque). Source: Dental Design Laboratory.
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Waxing of the left posterior region according to the occlusal plane (Monson's plaque). Source: Dental Design Laboratory.
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Predicting hygiene. Source: Dental Design Laboratory.
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Metal structure waxing predicting the insertion of the key. Source: Dental Design Laboratory.
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The proposal to perform cemented-retained and screw-retained crowns in multiple prostheses began by making a waxing of the future alloy primary structure framework (Figure 13), predicting the insertion of the key.
Alloy framework (cobalt-chromium) casted according to the primary structure waxing. Source: Dental Design Laboratory.
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Then the alloy framework (cobalt-chromium) was casted according to the waxing (Figure 14).
New waxing of the crowns and gingiva. Source: Dental Design Laboratory.
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New waxing of the crowns and gingiva was performed (Figures 15 and 16).