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Published on 06 August 2011
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Written by Thierry SUPPLIE
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Embedded partially edentulous
The temporary prosthesis is fixed the solution of choice in this case of tooth loss and will be considered further. The indication of the temporary denture we think ought to be reserved for very extensive edentulous (four or more teeth) when a fixed solution compromises the future of teeth intact pillars used as transient (Fig. 2a-2 / 7).
Tooth Missing
The indication of a temporary prosthesis in this type of tooth loss is only aesthetic, and the use of temporary partial denture should be exceptional. The hindrance caused to the patient by the size of the prosthesis, the need not to wear the prosthesis after surgery and the cost of monitoring because it requires limiting the use of dentures for him to prefer a temporary fixed prosthesis .
Temporary fixed prosthesis
In most cases treated in prosthetic implant range, recently edentulous patients wish to return a set of teeth as complete as possible, through artificial roots partially or totally replacing natural teeth lost. The idea of the harbor, even temporarily, of a removable prosthesis is often experienced as trauma, accentuated by the fact that during the 10 to 15 days after surgery, the temporary prosthesis is removed. Thus, a large number of patients want a fixed temporary prosthesis while waiting for an implant bridge carried. According to restore the edentulous, the use of temporary prosthesis will be fixed more or less easy, and sometimes involve a change in treatment plan with a significant lengthening of the duration.
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| Fig. 2 - On the day of suture removal. |
Fig. 2b -... the prosthesis is reported in the mouth after the recess bottom surface. |
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Fig. 2c - a silicone fluid (VL Xantopren9 above) is placed in the denture, which is carried in the mouth, keeping the patient's teeth until the taking of the material. |
Fig. 2d - The prosthesis is removed and examined its underside. Areas of support are marked with a pencil ... |
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| Fig. Second -... and silicon is removed easily since there is no adhesive in the denture. Areas of support identified in pencil are perfectly visible and can, by grinding, to even very precisely the desired spacing between the prosthesis and the ridge. |
Fig. 2f - Several tests are usually needed to control the spacing. Verification of three prints for judging the effectiveness of the previous editor and regular spacing. |
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Fig. 2g - Resin delay (Viscoget) is then applied to the underside and the prosthesis is reported in the mouth. The patient maintains pressure during curing of the product. |
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| Fig. 2h - After half an hour, the prosthesis can be removed and the excess material is removed. |
Fig. 2f - Three days later, it is necessary to control the prosthesis, ... |
| Fig. 2d -... the surface of the resin delay, which is satisfactory in this case ... |
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| Fig. 2k-... and scarring of the ridge, which has a defect in the posterior part of the intervention area. In this case, it is necessary to monitor very carefully the patient (twice weekly), eliminating any intrusion of relining material in the absence of scarring and eliminating excessive support of the material in this fragile area. |
Fig. 2l - It may be noted improved healing 4 weeks after surgery. Rigorous monitoring of the resin delay avoids problems operculisation of the mucosa over the implant. |
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Fig. 2m - Five months after implant placement, healing abutments are in place, ... |
Fig. 2n -... and the prosthesis is again touched up to avoid contact with one of the pillars which would lead to uncontrolled loading of the implant in question. |