RESTORATIVE TREATMENT

A definitive impression was made of the Encode Healing Abutments. The abutments were removed and implant temporary cylinders were placed into the internal interface of the implants. The temporary cylinders were adjusted for interocclusal clearance and picked up inside the laboratory processed provisional FPD. Ideal emergence profiles were developed and the provisional FPD was secured with abutment screws torqued to 20Ncm. The provisional restoration had minimal occlusal contacts in centric occlusion. Lateral contacts were eliminated (Figures 6 and 7).

Figure 6	Figure 7
Figure 8

Osseointegration was evaluated by applying 32Ncm of reverse torque to the implants. The patient did not experience any discomfort with this procedure and macroscopic movement was not seen. The implants were considered to be osseointegrated. Impression copings were placed into the internal interface of the implants (Figure 9) and an implant level impression was made. New implant temporary cylinders were placed into the implants and a verification index was made with autopolymerizing acrylic resin (Figures 10 and 11). A new fixed provisional restoration was made with a PreFormance Temporary Cylinder to incorporate the implant in site #3 (Figure 12).

Figure 9	Figure 10
Figure 11
	Figure 12

Anatomic emergence profiles were developed in the laboratory with autopolymerizing acrylic resin (Figure 13). This prosthesis included natural teeth #’s 2 and 7 (Figures 14 and 15).

Figure 13	Figure 14
Figure 15