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The ABCs of Implant Prosthodontics: A Step by Step Idiot’s
                                                   Guide
                  For A Successful Restorative Outcome
Surgical Guides
Surgical Splint Fabrication

Model-based
   Advantages
       Low cost
       Easy to fabricate
       Can simulate what the final prosthesis will look like to the patient
   Disadvantages
       Position is an estimate
       No depth control
       Impressions and lab materials needed

Computer designed
  Stereo lithography
  Print-based
  CAD milled
Model-Based Surgical Splint Fabrication

Wax-up missing teeth to contour

Use denture teeth to contour

Various surgical Jigs
    CEREC
    Others

Use of Omni Vac, Dufomat, Biostar to form plastic sheet for an “Essix” type of
   surgical guide

Use of acrylic to fabricate surgical guide
Model-Based Surgical Stent Fabrication Exercise

              The reason to buy the iPhone
The ABCs of Implant Prosthodontics 3
The ABCs of Implant Prosthodontics 3
The ABCs of Implant Prosthodontics 3
The ABCs of Implant Prosthodontics 3
Photos step by step
Photos step by step
The ABCs of Implant Prosthodontics 3
Zest Anchor Locator Attachments
Zest Anchor Locators


Low profile

Adjustable retention

Internal pivoting up to 9 degrees increases resiliency

Path of insertion up to 20 degree divergence

Easily replaceable inserts

Self centering
The ABCs of Implant Prosthodontics 3
The ABCs of Implant Prosthodontics 3
The ABCs of Implant Prosthodontics 3
Implant Angulation and Retention


Al-Ghafli S, Michalakis K, Hirayama H, Kang K.
In vitro effect of different implant angulations and cyclic dislodgement on the
retentive properties of an overdenture attachment system
J Prosthet Dent 2009; 102:140-147
Effect of Wear and Retention


Rutkunas V, Mizutani H, Takahashi N, Iwasaki N
Wear simulation effects on overdenture stud attachments
Dent Mater J . 2011; 30(6): 845-853
The ABCs of Implant Prosthodontics 3

The ABCs of Implant Prosthodontics 3
The ABCs of Implant Prosthodontics 3
Angulation Difficulties and Work Arounds
The ABCs of Implant Prosthodontics 3
The ABCs of Implant Prosthodontics 3
The ABCs of Implant Prosthodontics 3
The ABCs of Implant Prosthodontics 3
The ABCs of Implant Prosthodontics 3
The ABCs of Implant Prosthodontics 3
The ABCs of Implant Prosthodontics 3
It just takes a little ingenuity

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The ABCs of Implant Prosthodontics 3

  • 1. The ABCs of Implant Prosthodontics: A Step by Step Idiot’s Guide For A Successful Restorative Outcome
  • 3. Surgical Splint Fabrication Model-based Advantages Low cost Easy to fabricate Can simulate what the final prosthesis will look like to the patient Disadvantages Position is an estimate No depth control Impressions and lab materials needed Computer designed Stereo lithography Print-based CAD milled
  • 4. Model-Based Surgical Splint Fabrication Wax-up missing teeth to contour Use denture teeth to contour Various surgical Jigs CEREC Others Use of Omni Vac, Dufomat, Biostar to form plastic sheet for an “Essix” type of surgical guide Use of acrylic to fabricate surgical guide
  • 5. Model-Based Surgical Stent Fabrication Exercise The reason to buy the iPhone
  • 13. Zest Anchor Locator Attachments
  • 14. Zest Anchor Locators Low profile Adjustable retention Internal pivoting up to 9 degrees increases resiliency Path of insertion up to 20 degree divergence Easily replaceable inserts Self centering
  • 18. Implant Angulation and Retention Al-Ghafli S, Michalakis K, Hirayama H, Kang K. In vitro effect of different implant angulations and cyclic dislodgement on the retentive properties of an overdenture attachment system J Prosthet Dent 2009; 102:140-147
  • 19. Effect of Wear and Retention Rutkunas V, Mizutani H, Takahashi N, Iwasaki N Wear simulation effects on overdenture stud attachments Dent Mater J . 2011; 30(6): 845-853
  • 21.
  • 32. It just takes a little ingenuity

Notes de l'éditeur

  1. Healing abutment stage is necessary so that an accurate height measurement can be taken