The Implant Bar Challenge
In this article, we will discover the step by step documentation of Christian von Bukowski, DT on his implant bar case involving a Double Structure and a Wrap-Around for a 63-year old female patient.
The patient
The patient is a 63-year-old female who has been wearing dentures for many years. She was tired of having constant problems with ill-fitting dentures. She had 5 implants placed in the upper arch and 4 implants in the lower arch. She has good oral hygiene so a compromise between fixed and removable was decided for this patient. Patient has requested a natural looking appearance.
Implant bars
The upper dental implant bar is a Double Structure milled implant bar. Incorporating MK1 and CM Loc attachments offering the patient a combination of fixed and removable prosthesis. The case will be done on 5 Zimmer ACTR implants. The lower is a fixed Wrap-Around milled implant bar. The case will be done on 4 NobelBiocare Multi-Unit RP implants.
Bite registration
A bite registration is received from the dentist, allowing us to assign the upper jaw and lower jaw in their relation. In addition, it also provides us with the following base measurement data: The canine line, smile line, midline and the occlusal plane.
Teeth line-up