Post on 22-Mar-2016
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New technologies for complete edentulous with O.I. implants�
alejandro kleinman
associate professor implant dentistry
loma linda university
FIXED COMPLETE DENTURE
Traditional FC traditional FCD (hybbrid)
a new method of producing frameworks for implant supported prostheses
CAD/CAM technology
Procera® Implant Bridge
Applications Procera System
Procera AllCeram
Procera AllTitan
Procera AllZircon
Procera Custom Abutment
Single Crowns
Veneers Fixed Prosthesis
Single Crowns
Fixed Partial Denture Fixed Complete Denture
Copings for Single Units
Fixed prosthesis
Titanium
Zirconia AKS
CAD/CAM FCD
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Prosthesis misfit and marginal bone loss in edentulous implant patients Jemt T, Book K.
Int J Oral Maxillofac Implants 1996;11:620-5
Stresses introduced at the time of prostheses placement may remain after several years of functioning
Strategies to achieve fit in implant prosthodontics: a review of the literarture Wee AG. et al.
Int J Oral Prosthodont 1999 Mar-Apr;12(2):167-78
Multiple factors preclude that the concept of “passive fit” can be achieved in implant prosthodontics,even with the use of advanced strategies
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Parel 1989 Thoupos 1995 Rubeling 1999 Wat 2000 Iglesia 2001 Jemt 2002 Luk 2004
soldering, modified casting techniques, “cast to” technique, spark-erosion, lasser welding, cementation, double casting technique have been advocate to minimize the problem
The single-piece milled titanium implant bridge Parel SM.
Dent Today, 2003 Feb;22(2):90-9
this new technology offers the possibility of a consistently excellent passive fit compare with conventional casting techniques
CAD/CAM FCD
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Fit of implant frameworks: an in vitro comparision between two fabrication techniques Takahashi T, Gunne J.
J Prsthet Dent Today, 2003 Mar;89(3):2569-60
19 frameworks, 14 Procera, 5 cast gold-alloy
A total of 95 implants, 70 in the Procera and 25 cast frameworks were evaluated
The total mean value for Procera frameworks was 26.9 micr. (SD 9.3), and for conventional was 46.8 micr. (8.8)
CAD/CAM FCD
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ü precision fit
ü biocompatible material ü strong - One piece
ü high, uniform quality
Advantages
CAD/CAM FCD
Procera® Implant Bridge
Ti-Porcelain Wrap aroundnd Traditional
acrylic Individualidual
Procera Crowns
Ti-Porcelainrcelain
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Ti-Porcelain all Zi Procera crowns
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PIB wrap-around
ü profitable ü faster lab procedure ü lower framework price
ü shorter turnaround time (3 days) ü precision-fit ü biocompatible
why wrap-around?
Procera® Implant Bridge
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PIB wrap-around
what is wrap-around? § Lab Procedure ü Standard verified soft
tissue master model
Procera® Implant Bridge
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PIB wrap-around
what is wrap-around? § Lab Procedure ü Standard framework fabrication of resin framework ü Designed as a bar with cylinders
Procera® Implant Bridge
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PIB wrap-around
what is wrap-around?
Procera® Implant Bridge
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Procera® Implant Bridge
PIB wrap-around
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Procera® Implant Bridge
PIB wrap-around
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Procera® Implant Bridge
PIB wrap-around
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Procera® Implant Bridge
PIB wrap-around
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Procera® Implant Bridge
PIB wrap-around
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Procera® Implant Bridge
PIB wrap-around
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Procera® Implant Bridge
PIB wrap-around
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Procera® Implant Bridge
PIB wrap-around
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Procera® Implant Bridge
PIB wrap-around
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Procera® Implant Bridge
PIB wrap-around
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Procera® Implant Bridge
PIB wrap-around
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Procera® Implant Bridge
PIB wrap-around
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Traditional PIB
Procera® Implant Bridge
Procera® Implant Bridge Ti PIB
Procera® Implant Bridge Ti PIB
Procera® Implant Bridge
Ti PIB
Procera® Implant Bridge
Ti PIB
Procera® Implant Bridge Ti PIB
Procera® Implant Bridge � Ti PIB
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Procera® Implant Bridge
PIB all ceramic crowns
Pract Proced Aesthet Dent 2008;20(3):185-191
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PIB all ceramic crowns
Procera® Implant Bridge
Pract Proced Aesthet Dent 2008;20(3):185-191
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Procera® Implant Bridge
PIB all ceramic crowns
Pract Proced Aesthet Dent 2008;20(3):185-191
Procera® Implant Bridge
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PIB all ceramic crowns
Pract Proced Aesthet Dent 2008;20(3):185-191
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Procera® Implant Bridge PIB all ceramic crowns
Pract Proced Aesthet Dent 2008;20(3):185-191
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Procera® Implant Bridge PIB all ceramic crowns
Pract Proced Aesthet Dent 2008;20(3):185-191
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Procera® Implant Bridge PIB all ceramic crowns
Pract Proced Aesthet Dent 2008;20(3):185-191
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PIB all ceramic crowns
Procera® Implant Bridge
Pract Proced Aesthet Dent 2008;20(3):185-191
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Procera® Implant Bridge PIB all ceramic crowns
Pract Proced Aesthet Dent 2008;20(3):185-191
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Procera® Implant Bridge PIB all ceramic crowns
Pract Proced Aesthet Dent 2008;20(3):185-191
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PIB all ceramic crowns
Procera® Implant Bridge
Pract Proced Aesthet Dent 2008;20(3):185-191
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Procera® Implant Bridge PIB all ceramic crowns
Pract Proced Aesthet Dent 2008;20(3):185-191
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PIB all ceramic crowns
Procera® Implant Bridge
Pract Proced Aesthet Dent 2008;20(3):185-191
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PIB all ceramic crowns
Procera® Implant Bridge
Pract Proced Aesthet Dent 2008;20(3):185-191
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PIB all ceramic crowns
Procera® Implant Bridge
Pract Proced Aesthet Dent 2008;20(3):185-191
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Procera® Implant Bridge PIB all ceramic crowns
Pract Proced Aesthet Dent 2008;20(3):185-191
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Procera® Implant Bridge PIB all ceramic crowns
Pract Proced Aesthet Dent 2008;20(3):185-191
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PIB all ceramic crowns
Procera® Implant Bridge
Pract Proced Aesthet Dent 2008;20(3):185-191
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PIB all ceramic crowns
Procera® Implant Bridge
Pract Proced Aesthet Dent 2008;20(3):185-191
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Procera® Implant Bridge
PIB all ceramic crowns
Pract Proced Aesthet Dent 2008;20(3):185-191
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Verification jig
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Verification jig
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Verification jig
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Resin superstructure
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Silicone guide
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Zi superstructure
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Zi superstructure
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Zi superstructure try-in
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Final PIB
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Final PIB
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Final PIB
Procera® Implant Bridge �
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PIB all zirconio
One-piece
Final PIB
CAM/3i �fixed complete denture
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CAM/3i �fixed complete denture
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CAM/3i �fixed complete denture
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CAM/3i �fixed complete denture
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CAM/3i �fixed complete denture
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thank you for your attention akleinman@llu.edu