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Clinical Assessment of “All in One” Framework for Partial Implant - Supported Prosthesis

Authors
Publisher
School of Dental Medicine, University of Zagreb, Croatian Dental Society - Croatian Medical Association
Publication Date
Disciplines
  • Design

Abstract

INTRODUCTION: Restoration by implant-supported prosthesis seems to be a current option in the treatment of partially edentulous patients. Its success depends on the passive fit of the framework. Searching for new manufacturing materials and techniques to solve these problems, dental companies, combining clinical and experimental research, offer different solutions, such as Nobel Biocare, the “all in one” system, which is a framework designed by CAD/CAM. AIM OF PRESENTATION: Clinical and radiographical assessment of the passive fit of the titanium framework computer designed for partially edentulous patients.The case presented is that of an adult patient, partially edentulous.The definite impression taking was carried out, using the IRStechnique (Implant Reposition Splint), to obtain the working cast. The dental laboratory performed the setting of artificial teeth in wax and acrylic framework. Placed inside the patient's mouth for verification, and computer scanned to digitize its design. After data processing, titanium milling was performed. The passive fit was checked clinically by the Sheffield test. Subsequently, radiographs were taken with the parallel technique to check the adjustment. Using the patient's subjective assessment any type of pain or symptoms indicating the existence of tension between the framework and implants is recorded. The procedure ended with the application of a ceramic coating of Triceram. CONCLUSION: Good results of such frameworks are predictable at functional level, but more investigations are necessary to ensure that their use is a guideline for building partial frameworks.

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