"Simple - The way it was meant to be"

complex posterior rehabilitation

	This case calls for more control over the occlusion. The crowns are still separated- they are easier to fit and check like this - but because the upper and lower jaw are undergoing change, provisional crowns are a must. This first picture shows the tissues mostly healed around healing abutments placed at a second-stage surgery.
	The healing abutments have been removed
	Plastic impression posts and implant analogues are used in the preliminary impression . The model created from the impression is used to choose and prepare the appropriate abutments.
	Simple impressions of the abutments are made. A very easy way to make an accurate die.
	Copings for each die are made out of pattern resin.
	The pre-prepared abutments are aligned and seated using a lab-made provisional as a jig. Don't forget, you already have your individual die impressions.
	The pattern resin copings are seated carefully onto the abutments
	The full arch impression. Not so difficult like this.
	The lower arch is being completed with the upper jaw. A similar impression sequence is used but natural teeth are included in the bonded crownwork.
	A view of the completed upper crowns. Of course all the interproximal contacts are checked one by one and the occlusion on each crown is easy to determine with sections of the provisonal crowns still in place.
	The lower arch. A mix of natural teeth and implants.
	Crowns left side
	Right side
	Side view Geoffrey Pullen placed the implants, Brendan Grufferty is the prosthodontist and Simon Newbold supplied the technical work.