All-on-six Branemark Implant system prosthesis case

                    Patient:male, 60 years old. upper jaw missing teeth.  Main request: To recovery the basic physiologic function and basic aesthetic requirements.Dentist’s design: All-on-six Branemark Implant system prosthesis

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                   Picture 1—pIcture 3, the dentist make the first level of conventional implant impression and make the plaster model on the clinic. At the same time the dentist make thecasting second  impression taking frame as the preparation for the second accurate impression taking.

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                 Picture 8- Picture10  Put the model on the average value of articulator and then do the teeth set up, containing the metal reinforcing bar in it, in order to prevent wax deformation and effect of judgment in fit place. (Because of the limited conditions,the implant of el15 and el25 towards of buccal surface, so the screw holes opened on the porcelain gum and buccal cusp )

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                       Picture11—Picture12 Upper fixed bridge, after clinical trials the dentist and patient are satisfied of dental arch radian, labial contour, size of tooth and occlusion relationship cover.

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Picture13—Picture17, analyse the direction of implant by use the  software , and do the digital break back at the same time

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Picture 18—Picture 19, Using CAM software to rank, calculate the cutter path and milling.

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  Picture20—Picture23 Titanium Screw-Retained milling bridge (Datron five axis precision cutting ), occlusion space is large, taking into account aesthetic requirements, design the gum porcelain on buccal surface, and design the metal band on palatal.

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Picture24  Titanium Screw-Retained milling bridge and temporary fixed bridge gingival surface view renderings  

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Picture 25 Titanium Screw-Retained milling bridge and temporary fixed bridge occlusion surface view renderings

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Picture 26 Titanium Screw-Retained milling bridge polymerization porcelain heap impression drawing

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Picture 27、Picture 28  end product Titanium Screw-Retained milling bridge side view renderings

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Picture 29、Picture 30 end product Titanium Screw-Retained milling bridge labial surface view renderings

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Picture 31、Picture 32  end product bridge mirror view

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Picture 33 – Picture 36  The occlusion surface view after put the teeth in the mouth, side view and labial surface view