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Department of Fixed Prosthodontics and Dental Materials Tuscan School of Dental Medicine University of Siena, Italy Dean: Prof. Dr. Marco Ferrari, MD, DDS, Ph D, FADM How digital workflow can help making proper abutments (when two fixtures are placed close each other)
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Department of Fixed Prosthodontics and Dental Materials Tuscan School of Dental MedicineUniversity of Siena, ItalyDean: Prof. Dr. Marco Ferrari, MD, DDS, Ph D, FADM
How digital workflow can help making proper abutments (when two fixtures are placed close each other)
Treatment Planning 1. Visit, study models, face bow, articulator and Wax up 2. Radiographic guides 3. CBCT Scan 4. Treatment planning and surgical guides 5. Placement of fixtures prosthodontically guided (perio surgery if needed)
6. (Re-opening), impression, temporarization, Selection of abutments and type of prosthesis
7. Abutments (CAD-CAM) 8. Final prosthesis and 9. Esthetic expectations
Two types of abutments 1. Traditional pre-made abutments !
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2. Digitally customized abutments !
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Before............and............after extraction of upper bycuspid
Tradional impression and scanner+milling center
Yellow: contact Blue: non contact Red: pressure
The position of the fixtures also influence the type of final prosthesis (screw vs cemented)
