文章：Triceram生物瓷和螺钉固位的结合应用-Screws-retained.pdf

Screws-retained Hybrid Artwork with Triceram Bassam Haddad, CDT 40 Spectrum dialogue – Vol. 12 No. 9 – November/December 2013 ost laboratories receive implant cases which As you can see here we have a central #11 and a Mhave aesthetic difficulties that they have to lateral #12 that were both replaced by implants solve: the parallelism, difficult types of and were placed too high and very close to the implants, at the same time implant’s depth in the nose due to bone loss. If we take a look from the gum and implants position. What I have noticed occlusal view we can clearly see the concavity of most often is the bone loss in most cases; even the bone in relation to the gum above teeth #21 after a bone graft, a few months later you would and #22. (Fig. 1) notice that this artificial bone has moved from its original position or has resorbed. This causes The first step the lab must take is to design a defective lip support, incorrect tooth position, wax-up. We used temporary abutments on those 2 disharmony in the smile and muscles of the face implants to produce our wax-up, creating the which will not act or move in the same manner. bone and gum loss labially and lingually and placing teeth #11, #12 in their original position, A lab technician must create an esthetic but also verifying parallelism by making an prosthesis which passively fits in the same implant guide. At the try-in consultation the position as the original dentition without patient felt very comfortable and the thickness of thinking about the implant’s position. In my the bone made his upper lip look symmetrical. personal opinion I always start from the