immediate loading, screw retained provisional with peek ... · immediate loading, crew etained...

Immediate loading, Screw Retained Provisional withPEEK abutmentCase Study

Advance Sental Solutions Ltd.2

Immediate loading, Screw Retained Provisional with PEEK abutment

● 56 year old healthy male● Full occlusion, failing bridge 14XX17● Tooth 14 supporting 14XX17 diagnosed as hopeless



- Site 14 has diminished coronal bone- Sites 15,16 have Good Initial Bone Support- Bicortical fixation is plausible



- Extraction & immediate implantation of 14- Implants with bi cortical fixation 15,16- Immediate Provisional



A Simplified procedure Planning:- Creation of a Multipurpose Provisional/Guide.- Preparation of tooth 17 and making sure the P/G has good retention



● Initial drill through Provisional/Guide● Removal of guide● Raising Flap● Extraction of 14



● Flap Raised● Implants Under Preparation● Parallel Pins checked● X-Ray



● Rotatory insertion of implants up to 55Ncm● Hand Torqueing of implants 15,16. gained high initial stability.● Notice the buccal gap around 14Implant types PalTop:14: 13X3.715: 13X3.716: 10X4.2



Implant 14 gained medium torque and has a buccal gap● This implant will not support immediate loading● Filling of Buccal bone to implant gap with bone particles and membrane



Peek Abutments to support provisionalConnection to provisional using flowable compositeRemoval for Contouring



Final Contour of Peek Abutments to support provisional



Final Screw Retained Provisional



l PEEK (Polyetheretherketone) is a high-grade thermoplastic polymer, characterized by a superiorl strength, elasticity and resilience. High esthetic results due to its design and off-white colorl PEEK polymer allows easy and quick chair-side modificationl Provides adequate strength to the provisional restorationl Very good biological compatibilityl Excellent mechanical properties such as stiffness, toughness, and durabilityl Prevents thermal conductionl High resistance to repetitive mastication forcesl Less forces transmitted through polymerl High chemical resistancel Can be sterilized without degradation in mechanical properties or biocompatibilityl X-ray/CT compatible

Temporization:l Choosing the correct anatomic peek abutmentl Choose the correct inclinationl If the implant is ortho-inclined then create a screw-retained provisionall If the implant is bucally-inclined than you must create a cement retained provisional.

Peek Abutment



Final Screw Retained ProvisionalVertical Mattress Sutures for papillae inducement.



Final Impressions

immediate loading, screw retained provisional with peek ... · immediate loading, crew etained...

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