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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 General Dentistry is an accomplished Cosmetic/Implant Dentist with over 26 years of experience. Dr. Heimke is known for his excepti...
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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!

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