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have been created by Dr. Jeffrey Dorfman, Director of The Center for Special Dentistry
fixed-removable dental crown bridge over dental implants, hybrids
Click on the small photos below to enlarge.
Retrofitting a new telescopic coping under a porcelain-metal bridge that is supported by dental implants and teeth. This repair will save the patient from having to replace a 12 tooth fixed removable dental bridge.
Telescopic Copings. They can be placed over teeth or dental implants to create parallelism. They can also be used to create a fixed removable dental crown bridge over teeth. The dental coping is cemented to the teeth with permanent dental cement. The dental crown bridge prosthesis may then be cemented over it with a temporary dental cement. This allows a fixed-removable dental prosthesis without the possibility of recurrent tooth decay.
Telescopic Copings in Implant Dentistry. Telescopes may be used to create parallelism among dental implants when fabricating the porcelain dental crown bridge. Read Yalisove & Dietz's textbook on telescopic prosthetic dentistry.
Eight dental implants were placed in the mandible lower jaw. In the top four pictures, the implants and dental implant prosthesis are shown. The screws attach the dental crown bridge to the dental implants. The final four pictures show the final x-ray of the implants along with the final result of the teeth bridge in place.
Four dental implants in the maxillary upper jaw connected with a meso bar. The tissue side of this fixed removable prosthesis is shown to demonstrate the clipping mechanism. This is an excellent way to provide dental implant teeth because the dentist always has easy access to the dental implants.
Second stage dental implant abutment connections. The six dental implants in this maxillary jaw have already healed and are just below the gum. (Part 1 of 4: Dental Implant Abutment connection). 1) A healing cap is being removed with a screwdriver. 2) A screwdriver is pushing a screw through the second stage abutment. 3) The second stage dental implant abutment is being connected to the first stage tooth implant. 4) The second stage abutment is now connected to the implant. How to pictures.
Second stage dental implant abutment connections. The six dental implants in this jaw have already healed and are just below the gum. (Part 2 of 4: Abutment parallelism). 1) Note the dental implants are not parallel. 2) A dental implant screwdriver is used to hold a second stage abutment. Notice the angle prepared extra-orally to create the parallelism. 3) and 4) You can see how the preparation in 2) is becoming parallel but there is still more drilling to be done. It is better to do the majority of this drilling extra-orally because of heat generation. You will need to keep track of the orientation of each second stage dental implant abutment when they are individually removed and replaced. Minor preparation may be accomplished intra-orally with light pressure and lots of water irrigation.
Second stage dental implant abutment connections. The six dental implants in this maxillary jaw have already healed and are just below the gum. (Part 3 of 4: Lab work). 1) The working model. 2) A very light but strong titanium frame for the dental crown bridge. 3) & 4) The wax-up of the anterior six teeth on the titanium frame of the dental bridge. Note in 4) that occlusal openings in the titanium will allow easy access to the second stage dental implant screws if necessary. How to Pictures.
Second stage dental implant abutment connections. The six dental implants in this upper jaw have already healed and are just below the gum. (Part 4 of 4: The final dental bridge). The final dental bridge is acrylic fused to titanium. Note in 2) that occlusal openings in the titanium will allow easy access to the dental implant second stage screws if necessary. 3) The inserted dental crown prosthesis with the upper lip pulled back. 4) The inserted tooth crown prosthesis with a normal lip position. How to Pictures.
How to Pictures for Intramucosal Implants - Snapinserts. Intramucosal Insert Dental Implants are a simple and effective means to retain a maxillary complete or partial denture. These mushroom-shaped titanium implants are embedded into the acrylic underside of an implant denture. Special dental burs create soft tissue receptor sites in the palatal gum tissue that retains these implants. The technique is described in the Dental Articles section located above.