Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
The Milled PMMA Prototype: The Key, To A Successful Milled Zirconia Implant Bridge

Description:
This presentation will demonstrate design and creation steps leading to a milled PMMA Prototype Bridge which is the key to the success of the final Milled Zirconia Implant Bridge. Full Arch Implant prosthesis vary from bars wrapped in acrylic to milled zirconia. All the types of prosthesis have a unique set of procedures to achieve the end result. With the advent of digital technology, and new high strength materials amazing results can be achieved. New challenges for the Restorative Dentist and Ceramist involve design of the smile, capturing an accurate replica of what is in the mouth, and creating a prosthesis that is functional and aesthetic with a goal to mimic nature in terms of the “Pink and the White”. Facial Aesthetics, Smile Design, Removable ,Fixed and Implant Prosthetics are all disciplines that require their respective skill sets to be merged to reach the final result.

Date Added:
9/18/2015

Author(s):

John Heimke, DMD, MPH, FAGD John Heimke, DMD, MPH, FAGD
John Heimke DMD, MPH, FAGD | Oral Design - Cleveland is an accomplished Cosmetic - Implant Dentist with over 30 years of experience. Dr Heimke is in private s...
[read more]






Online Videos / Surgery / Implant / The Milled PMMA Prototype: The Key, To A Successful Milled Zirconia Implant Bridge




Questions & Comments
John Heimke - (9/17/2015 9:47 AM)

Maurice, Thank You a privilege to share what we have been doing. As far as long term concerns, I would say is to make sure to monitor the times the prosthesis is removed for inspection. I would change to fresh screws, say every 6 cycles. and always check torgue on the screws, Nobel prosthetic screws 15ncm for example. Hygiene still must be maintained by the patient, water pick, brushing the interface ceramic to the gingiva. Case planning very important and surgeon should strive for a nice flat contour so final prosthesis can adapt well to the tissue and food can can flow away easily and not be trapped. Maintenance is greatly simplified with milled monolithic zirconia, to hopefully just screw changes. Hygiene is as stated above. I would also monitor with a pano every 3-5yrs to eval bone around implants.

Maurice Salama - (9/17/2015 7:55 AM)

John; Congrats. Nice presentation. What are some of your Long term concerns or maintenance issues with these restorations? Please expand on some of your pearls through experience. regards Maurice

John Heimke - (9/16/2015 10:32 PM)

Thank you, Brian and Michael Glad to share the knowledge on this topic.

Brian O'Neill78 - (9/16/2015 7:50 PM)

Very nicely done John!

michael morgan - (9/16/2015 10:43 AM)

Nicely done - shows the beauty and strengths of the restoration!

Related Videos
Site Preservation of Tissue (SPOT): The Synergy of Partial Extration Therapy & Osseodensification Premium Member Content

Site Preservation of Tissue (SPOT): The Synergy of Partial Extration Therapy & Osseodensification
Tooth extraction leads to loss of bundle bone and soft tissue. This is a possible limitation for immediate or delayed implant placement. As a result, it is often necessary to performed extensive augmentation procedures to facilitate implant placement. Partial Extraction Therapy preserves bundle bone and soft tissue while Osseodensification improves primary implant stability through preservation of and autografting of trabecular bone. This presentation outlines the biological rational and benefits of tissue preservation to optimize oral reconstruction with dental implants. S.P.O.T is a comprehensive treatment methodologies based upon preservation of nature. The objective is to emphasize how the use of innovative diagnostics, surgical techniques, and instrumentation can preserve or enhance treatment outcomes.

Presented By:: Charles Schwimer, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
The Wonderful Bone Regeneration Story: Revolution, Evolution & Evaluation Premium Member Content

The Wonderful Bone Regeneration Story: Revolution, Evolution & Evaluation
With a personal approach, this lecture will take into consideration the developments of the last thirty years. Several clinical cases and new concepts like "Place, Press and Close" will be presented. After Revolutions and Evolutions, isn't it time for Evaluation of our techniques to improve Predictability and Quality of Life of our Patients?

Presented By:: Bernard Dahan, DDS, DCD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Platform Switching Research and Clinical Decisions in Implant Therapy – Part 2 Premium Member Content

Platform Switching Research and Clinical Decisions in Implant Therapy – Part 2
Dr. Tord Lundgren presents his research on the effectiveness of the abutment-implant connection of the Ankylos system to prevent bacterial leakage.

Presented By:: Dr. Tord Lundgren
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
The Milled PMMA Prototype: The Key, To A Successful Milled Zirconia Implant Bridge Premium Member Content

The Milled PMMA Prototype: The Key, To A Successful Milled Zirconia Implant Bridge
This presentation will demonstrate design and creation steps leading to a milled PMMA Prototype Bridge which is the key to the success of the final Milled Zirconia Implant Bridge. Full Arch Implant prosthesis vary from bars wrapped in acrylic to milled zirconia. All the types of prosthesis have a unique set of procedures to achieve the end result. With the advent of digital technology, and new high strength materials amazing results can be achieved. New challenges for the Restorative Dentist and Ceramist involve design of the smile, capturing an accurate replica of what is in the mouth, and creating a prosthesis that is functional and aesthetic with a goal to mimic nature in terms of the “Pink and the White”. Facial Aesthetics, Smile Design, Removable ,Fixed and Implant Prosthetics are all disciplines that require their respective skill sets to be merged to reach the final result.

Presented By:: John Heimke, DMD, MPH, FAGD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit
Watch Now>>
The Prettau Zirconia Implant Bridge: Rationalization & Multiple Case Examples Premium Member Content

The Prettau Zirconia Implant Bridge: Rationalization & Multiple Case Examples
In this presentation Dr Tischler will review the rationalization of the Prettau Zirconia Implant Bridge from Zirkonzahn and demonstrate it's success with multiple case examples. In 2012 Dr Tischler's practice and Tischler Dental Laboratory was prolific in providing the Prettau Implant Bridge for patients and clients of the lab. Through case examples he will show the parameters of success with this ideal implant prosthetic product. Both surgical and prosthetic steps will be shown.

Presented By:: Michael Tischler, DDS, FAGD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Digital Workflow for Fully Guided Full-Arch Implant Reconstruction - Part 1 Premium Member Content

Digital Workflow for Fully Guided Full-Arch Implant Reconstruction - Part 1
A large portion of the US population today is edentulous. It is estimated that over 23 million individuals are completely edentulous and 12 million are edentulous in one arch. In addition to that, we have a growing population with terminal dentition conditions. Traditionally, these patients were treated with staged implant placement and delayed loading. Such traditional approach requires multiple surgeries and longer treatment time. Consequently, the traditional treatment approach is associated with increased morbidity and longer healing periods. Utilizing this Digital workflow for implant reconstruction to treat patients with terminal dentition and those who are fully edentulous will significantly increase predictability, precision, and reduce treatment chair side time which overall increases patient satisfaction.

Presented By:: Tarek Assi, DMD, FAAID, DICOI, DABOI
Presentation Style: Online Self-Study Course
CE Hours: 1
Watch Now>>
Full Mouth Rehabilitation: Clinical Overview a Systematic Approach Premium Member Content

Full Mouth Rehabilitation: Clinical Overview a Systematic Approach
Full mouth rehabilitation is a complex subject that requires the clinician to resurrect broken and mutilated dentitions. Armed with a thorough understanding of the disease process to enable an accurate diagnosis and risk assessment that will enable a conservative treatment approach is the need of the hour. This presentation aims to take the audience through a systematic approach towards this subject and empower them with a vision that will enable them to set up the case to end it well with accurate form, predictable function and superior esthetics!

Presented By:: Ali Tunkiwala, MDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Eduication Credit)
Watch Now>>
Related Articles
Dental Cone Beam Computed Tomography Analyses of Postoperative Labial Bone Thickness in Maxillary Anterior Implants - Comparing Immediate and Delayed Implant Placement

Dental Cone Beam Computed Tomography Analyses of Postoperative Labial Bone Thickness in Maxillary Anterior Implants - Comparing Immediate and Delayed Implant Placement
This study aimed to evaluate the influence of labial alveolar bone thickness and the corresponding vertical bone loss on postoperative gingival recessions around anterior maxillary dental implants.

Author(s): Yasukazu Miyamoto, DDS;Tadakazu Obama, DDS
View Article>>
CT Scan Technology

CT Scan Technology
Implant dentistry, one of the most predictable treatment alternatives offered to patients who are missing teeth can be enhanced by thorough pre-surgical diagnosis and treatment planning efforts by all members of the implant team. Conventional radiologic techniques including periapical and panoramic radiographs are limited by the two dimensional interpretation of existing hard and soft tissue. The inherent distortion factor can misrepresent bone topography in critical areas associated with vital anatomy or potential implant sites. Advances in diagnostic radiological techniques improved with the introduction of CT scan technology for dental applications. The enhanced diagnostic range of this evolving technology empowers the clinician with necessary tools to avoid potential complications associated with implant dentistry.

Author(s): Scott D. Ganz, DMD
View Article>>
Prosthetic Management of Implants with Different Osseous Levels

Prosthetic Management of Implants with Different Osseous Levels
The osseointegrated implant has become a standard treatment with a high degree of predictability for patients missing one or more teeth. It is especially recommended when the patient has a clear medical history and normal bone levels in both width and height in the edentulous areas. In constant search for improvement, clinicians find themselves looking into every element relating to the replacement of a missing tooth or teeth: existing bone structure, surgical technique, implant placement, implant…

Author(s): Sergio Rubinstein, DDS;Alan J. Nidetz, DDS, Leslie B. Heffez, DMD, MS, Fujiki Toshi, RDT, Fujiki Toshi, RDT
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2023

Preferred Language: English Flag
Contact Us · Login · Register