4 Immediate Loading Consensus Immediate/early loading of dental implants: A report from the Sociedad Espanola de Implantes World Congress consensus meeting in Barcelona, Spain, Aparicio C, Rangert B, Sennerby L.Clin Implant Dent Relat Res. 2003;5(1):57-60.The First Consensus Conference on IL made a distinction between “immediate occlusal (functional) loading,” and “immediate provisionalization” or “immediate nonocclusal (nonfunctional) loading.”
6 Acrylic provisional restorations comprising any sort of metal reinforcement Tarnow et al. 1997; Horiuchi et al. 2000; Chow et al. 2001; Ganeles et al ; Grunder 2001; Malo´ et al. 2003a, 2003b; Nikellis et al ; Testori et al. 2004; Degidi et al.2006a, 2006b
7 Entirely acrylic, metal-free restorations can be considered as an alternative Schnitman et al. 1990; Cooper et al. 2002; Kammeyer et al. 2002; Becker et al. 2003; Chee & Jivraj 2003; Wolfinger et al. 2003; Misch 2004; Balshi et al. 2005; Malo´ et al. 2006
9 AvaDent™ Digital Dentures It is a system by which impressions, interocclusal records, and tooth selection can be completed in one appointment and the dentures fabricated using CAD/CAM technology .
10 Technique Description 1. Maxillary and mandibular impressions using Avadent system.2.Fabrication of Avadent Digital Dentures.3.Fiduciary markers in the Avadent already milled dentures asrequired by the Nobel Guide Clinician protocol.4. Dual CBCT Scan. Avadent Digital Dentures and Patient wearing dentures.
11 Technique Description 5. Virtual Implant Treatment Plan using Nobel Clinician Software .6. Fabrication of the Nobel Clinician surgical guide.7. Guided Surgery8. Immediate Loading of Implants using Avadent Digital Dentures as provisional prosthesis.Transfer the coordinates of the implant planning software to AvaDent software and overlay the denture geometry with the implant placement guide. Calculate the extent of the posterior cantilever based on AP spread.
18 Anatomical Measuring Device used to adjust and hold OVD, serve as a gothic arch tracing device, and also provide upper lip support adjustmentBrass gothic arch tracing pin is adjustable using the side hex screw.
19 The maxillary lip support can be adjusted using the anterior hex screw
20 Three different sizes of clear plastic overlays are available to help identify the best size of the teeth
21 Adhesive and registration material applied to maxillary and mandibular AMDCompletion of a gothic arch tracing
22 An Occlusal Plane Orientation Ruler is Provided To Align The Occlusal Plane With The Interpupillary Line
23 Use the ruler to seat the maxillary AMD so it is aligned with the interpupillary line
24 The mandible is moved so the brass pin engages the dimple and holds that position while the registration material is expressed between the AMDs
25 Superimposing the laser scan of the AMD on the scan of the complete arch impression Laser scanning of the AMD impression
26 Locating the BordersSetting the teeth and forming the bases
27 Denture base morphology established Virtual tooth arrangement
47 It is possible to record all the clinical information for complete dentures in one appointment (1-2 hours) and have the dentures ready for the second appointment .Less clinical chair time provides the opportunity for a more cost-effective set of appropriately accurate complete dentures .
48 There is a repository of digital data that allows for more rapid fabrication of a replacement or spare dentureThe denture base fit is superior to that of conventionally processed basesResearch indicates some favorable properties of the PRE-polymerized resin