Fabricating a stable record base for completely edentulous patients treated with osseointegrated implants using healing abutments
Identifieur interne : 006841 ( Istex/Corpus ); précédent : 006840; suivant : 006842Fabricating a stable record base for completely edentulous patients treated with osseointegrated implants using healing abutments
Auteurs : Kitichai Rungcharassaeng ; Joseph Y. K. KanSource :
- The Journal of Prosthetic Dentistry [ 0022-3913 ] ; 1999.
English descriptors
- KwdEn :
- Abutment, Arch form, Articulator, Dentistry, Dentsply, Denture, Denture teeth, Edentulous, Edentulous patients, Gold cylinders, Healing, Healing abutments, Implant, Implant analogs, Implant prosthodontics, Impression copings, Interocclusal, Interocclusal record, Interocclusal record procedure, Lingual surfaces, Loma, Mandibular, Mandibular occlusion, Master cast, Matrix, Maxillary, Maxillary cast, Maxillary occlusion, Metal frameworks, Necessary adjustments, Negative impression, Next appointment, Occlusal, Occlusal plane, Occlusion, Occlusion rims, Osseointegrated implants, Posterior tooth, Prosthet, Prosthet dent, Prosthetic, Prosthetic dentistry, Record base, Respective positions, Restorative dentistry, Rungcharassaeng, Stable record base, Trial denture, Trial dentures.
- Teeft :
- Abutment, Arch form, Articulator, Dentistry, Dentsply, Denture, Denture teeth, Edentulous, Edentulous patients, Gold cylinders, Healing, Healing abutments, Implant, Implant analogs, Implant prosthodontics, Impression copings, Interocclusal, Interocclusal record, Interocclusal record procedure, Lingual surfaces, Loma, Mandibular, Mandibular occlusion, Master cast, Matrix, Maxillary, Maxillary cast, Maxillary occlusion, Metal frameworks, Necessary adjustments, Negative impression, Next appointment, Occlusal, Occlusal plane, Occlusion, Occlusion rims, Osseointegrated implants, Posterior tooth, Prosthet, Prosthet dent, Prosthetic, Prosthetic dentistry, Record base, Respective positions, Restorative dentistry, Rungcharassaeng, Stable record base, Trial denture, Trial dentures.
Abstract
Abstract: A stable record base is essential for accurate interocclusal centric relation records in a completely edentulous patient. In implant prosthodontics, several procedures have been suggested for the fabrication of a stable record base. However, these procedures necessitate removal of the healing abutments during the interocclusal record procedure and the trial denture placement, which makes the procedures tedious and time-consuming. When the implant-prosthesis interface is subgingival, the patient may also experience discomfort during these procedures. This article describes a procedure for fabricating a stable record base that uses the healing abutments, which eliminates the necessity of the healing abutment removal and its consequences. Advantages and disadvantages of this procedure are also discussed. (J Prosthet Dent 1999;81:224-7.)
Url:
DOI: 10.1016/S0022-3913(99)70253-2
Links to Exploration step
ISTEX:D20DAD561A9CFF61A2399020B05737B8D841E2A6Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Fabricating a stable record base for completely edentulous patients treated with osseointegrated implants using healing abutments</title><author><name sortKey="Rungcharassaeng, Kitichai" sort="Rungcharassaeng, Kitichai" uniqKey="Rungcharassaeng K" first="Kitichai" last="Rungcharassaeng">Kitichai Rungcharassaeng</name><affiliation><mods:affiliation>Loma Linda University School of Dentistry, Loma Linda, Calif.; Assistant Professor, Department of Restorative Dentistry</mods:affiliation></affiliation></author><author><name sortKey="Kan, Joseph Y K" sort="Kan, Joseph Y K" uniqKey="Kan J" first="Joseph Y. K." last="Kan">Joseph Y. K. Kan</name><affiliation><mods:affiliation>Assistant Professor, Department of Restorative Dentistry</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:D20DAD561A9CFF61A2399020B05737B8D841E2A6</idno><date when="1999" year="1999">1999</date><idno type="doi">10.1016/S0022-3913(99)70253-2</idno><idno type="url">https://api.istex.fr/document/D20DAD561A9CFF61A2399020B05737B8D841E2A6/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">006841</idno><idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">006841</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Fabricating a stable record base for completely edentulous patients treated with osseointegrated implants using healing abutments</title><author><name sortKey="Rungcharassaeng, Kitichai" sort="Rungcharassaeng, Kitichai" uniqKey="Rungcharassaeng K" first="Kitichai" last="Rungcharassaeng">Kitichai Rungcharassaeng</name><affiliation><mods:affiliation>Loma Linda University School of Dentistry, Loma Linda, Calif.; Assistant Professor, Department of Restorative Dentistry</mods:affiliation></affiliation></author><author><name sortKey="Kan, Joseph Y K" sort="Kan, Joseph Y K" uniqKey="Kan J" first="Joseph Y. 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Kan</name><affiliation><mods:affiliation>Assistant Professor, Department of Restorative Dentistry</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">The Journal of Prosthetic Dentistry</title><title level="j" type="abbrev">YMPR</title><idno type="ISSN">0022-3913</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1999">1999</date><biblScope unit="volume">81</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="224">224</biblScope><biblScope unit="page" to="227">227</biblScope></imprint><idno type="ISSN">0022-3913</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-3913</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abutment</term><term>Arch form</term><term>Articulator</term><term>Dentistry</term><term>Dentsply</term><term>Denture</term><term>Denture teeth</term><term>Edentulous</term><term>Edentulous patients</term><term>Gold cylinders</term><term>Healing</term><term>Healing abutments</term><term>Implant</term><term>Implant analogs</term><term>Implant prosthodontics</term><term>Impression copings</term><term>Interocclusal</term><term>Interocclusal record</term><term>Interocclusal record procedure</term><term>Lingual surfaces</term><term>Loma</term><term>Mandibular</term><term>Mandibular occlusion</term><term>Master cast</term><term>Matrix</term><term>Maxillary</term><term>Maxillary cast</term><term>Maxillary occlusion</term><term>Metal frameworks</term><term>Necessary adjustments</term><term>Negative impression</term><term>Next appointment</term><term>Occlusal</term><term>Occlusal plane</term><term>Occlusion</term><term>Occlusion rims</term><term>Osseointegrated implants</term><term>Posterior tooth</term><term>Prosthet</term><term>Prosthet dent</term><term>Prosthetic</term><term>Prosthetic dentistry</term><term>Record base</term><term>Respective positions</term><term>Restorative dentistry</term><term>Rungcharassaeng</term><term>Stable record base</term><term>Trial denture</term><term>Trial dentures</term></keywords><keywords scheme="Teeft" xml:lang="en"><term>Abutment</term><term>Arch form</term><term>Articulator</term><term>Dentistry</term><term>Dentsply</term><term>Denture</term><term>Denture teeth</term><term>Edentulous</term><term>Edentulous patients</term><term>Gold cylinders</term><term>Healing</term><term>Healing abutments</term><term>Implant</term><term>Implant analogs</term><term>Implant prosthodontics</term><term>Impression copings</term><term>Interocclusal</term><term>Interocclusal record</term><term>Interocclusal record procedure</term><term>Lingual surfaces</term><term>Loma</term><term>Mandibular</term><term>Mandibular occlusion</term><term>Master cast</term><term>Matrix</term><term>Maxillary</term><term>Maxillary cast</term><term>Maxillary occlusion</term><term>Metal frameworks</term><term>Necessary adjustments</term><term>Negative impression</term><term>Next appointment</term><term>Occlusal</term><term>Occlusal plane</term><term>Occlusion</term><term>Occlusion rims</term><term>Osseointegrated implants</term><term>Posterior tooth</term><term>Prosthet</term><term>Prosthet dent</term><term>Prosthetic</term><term>Prosthetic dentistry</term><term>Record base</term><term>Respective positions</term><term>Restorative dentistry</term><term>Rungcharassaeng</term><term>Stable record base</term><term>Trial denture</term><term>Trial dentures</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Abstract: A stable record base is essential for accurate interocclusal centric relation records in a completely edentulous patient. In implant prosthodontics, several procedures have been suggested for the fabrication of a stable record base. However, these procedures necessitate removal of the healing abutments during the interocclusal record procedure and the trial denture placement, which makes the procedures tedious and time-consuming. When the implant-prosthesis interface is subgingival, the patient may also experience discomfort during these procedures. This article describes a procedure for fabricating a stable record base that uses the healing abutments, which eliminates the necessity of the healing abutment removal and its consequences. Advantages and disadvantages of this procedure are also discussed. 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Kan DDS</name><affiliations><json:string>Assistant Professor, Department of Restorative Dentistry</json:string></affiliations></json:item></author><arkIstex>ark:/67375/6H6-76NDMP8F-7</arkIstex><language><json:string>eng</json:string></language><originalGenre><json:string>Full-length article</json:string></originalGenre><abstract>Abstract: A stable record base is essential for accurate interocclusal centric relation records in a completely edentulous patient. In implant prosthodontics, several procedures have been suggested for the fabrication of a stable record base. However, these procedures necessitate removal of the healing abutments during the interocclusal record procedure and the trial denture placement, which makes the procedures tedious and time-consuming. When the implant-prosthesis interface is subgingival, the patient may also experience discomfort during these procedures. This article describes a procedure for fabricating a stable record base that uses the healing abutments, which eliminates the necessity of the healing abutment removal and its consequences. Advantages and disadvantages of this procedure are also discussed. (J Prosthet Dent 1999;81:224-7.)</abstract><qualityIndicators><score>5.027</score><pdfWordCount>1635</pdfWordCount><pdfCharCount>10315</pdfCharCount><pdfVersion>1.3</pdfVersion><pdfPageCount>4</pdfPageCount><pdfPageSize>612 x 792 pts (letter)</pdfPageSize><refBibsNative>true</refBibsNative><abstractWordCount>116</abstractWordCount><abstractCharCount>855</abstractCharCount><keywordCount>0</keywordCount></qualityIndicators><title>Fabricating a stable record base for completely edentulous patients treated with osseointegrated implants using healing abutments</title><pmid><json:string>9922438</json:string></pmid><pii><json:string>S0022-3913(99)70253-2</json:string></pii><genre><json:string>research-article</json:string></genre><host><title>The Journal of Prosthetic Dentistry</title><language><json:string>unknown</json:string></language><publicationDate>1999</publicationDate><issn><json:string>0022-3913</json:string></issn><pii><json:string>S0022-3913(05)X7061-5</json:string></pii><volume>81</volume><issue>2</issue><pages><first>224</first><last>227</last></pages><genre><json:string>journal</json:string></genre></host><namedEntities><unitex><date><json:string>1998</json:string><json:string>1999</json:string></date><geogName></geogName><orgName><json:string>Denar Corporation, Anaheim</json:string><json:string>Whaledent Inc.</json:string><json:string>Heraeus Kulzer Inc.</json:string><json:string>Dentsply International Inc.</json:string><json:string>Ultradent Products Inc.</json:string><json:string>Jordan, Utah</json:string><json:string>Denar Corp.</json:string><json:string>Dentsply International, York</json:string><json:string>Department of Restorative Dentistry</json:string><json:string>Whip Mix Corp., Louisville</json:string></orgName><orgName_funder></orgName_funder><orgName_provider></orgName_provider><persName><json:string>Prima Rock</json:string><json:string>E. 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In implant prosthodontics, several procedures have been suggested for the fabrication of a stable record base. However, these procedures necessitate removal of the healing abutments during the interocclusal record procedure and the trial denture placement, which makes the procedures tedious and time-consuming. When the implant-prosthesis interface is subgingival, the patient may also experience discomfort during these procedures. This article describes a procedure for fabricating a stable record base that uses the healing abutments, which eliminates the necessity of the healing abutment removal and its consequences. Advantages and disadvantages of this procedure are also discussed. (J Prosthet Dent 1999;81:224-7.)</p></abstract></profileDesc><revisionDesc><change when="1999">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/document/D20DAD561A9CFF61A2399020B05737B8D841E2A6/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier doc found" wicri:toSee="Elsevier, no converted or simple article"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 5.0.1//EN//XML" URI="art501.dtd" name="istex:docType"><istex:entity SYSTEM="gr1" NDATA="IMAGE" name="gr1"></istex:entity><istex:entity SYSTEM="gr2" NDATA="IMAGE" name="gr2"></istex:entity><istex:entity SYSTEM="gr3" NDATA="IMAGE" name="gr3"></istex:entity><istex:entity SYSTEM="gr4" NDATA="IMAGE" name="gr4"></istex:entity><istex:entity SYSTEM="gr5" NDATA="IMAGE" name="gr5"></istex:entity><istex:entity SYSTEM="gr6" NDATA="IMAGE" name="gr6"></istex:entity><istex:entity SYSTEM="gr7" NDATA="IMAGE" name="gr7"></istex:entity><istex:entity SYSTEM="gr8" NDATA="IMAGE" name="gr8"></istex:entity></istex:docType><istex:document><article docsubtype="fla" xml:lang="en"><item-info><jid>YMPR</jid><aid>94385</aid><ce:pii>S0022-3913(99)70253-2</ce:pii><ce:doi>10.1016/S0022-3913(99)70253-2</ce:doi><ce:copyright type="other" year="1999">Editorial Council of The Journal of Prosthetic Dentistry.</ce:copyright></item-info><head><ce:article-footnote><ce:label>☆</ce:label><ce:note-para>Reprint requests to:DR KITICHAI RUNGCHARASSAENG,SCHOOL OF DENTISTRY,LOMA LINDA UNIVERSITY,LOMA LINDA, CA 92350</ce:note-para></ce:article-footnote><ce:article-footnote><ce:label>☆☆</ce:label><ce:note-para>0022-3913/99/$8.00 + 0. <ce:bold>10/1/94385</ce:bold></ce:note-para></ce:article-footnote><ce:title>Fabricating a stable record base for completely edentulous patients treated with osseointegrated implants using healing abutments</ce:title><ce:author-group><ce:author><ce:given-name>Kitichai</ce:given-name><ce:surname>Rungcharassaeng</ce:surname><ce:degrees>DDS, MS</ce:degrees><ce:cross-ref refid="aff2"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Joseph Y.K.</ce:given-name><ce:surname>Kan</ce:surname><ce:degrees>DDS</ce:degrees><ce:cross-ref refid="aff3"><ce:sup>b</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="aff2"><ce:label>a</ce:label><ce:textfn>Loma Linda University School of Dentistry, Loma Linda, Calif.; Assistant Professor, Department of Restorative Dentistry</ce:textfn></ce:affiliation><ce:affiliation id="aff3"><ce:label>b</ce:label><ce:textfn>Assistant Professor, Department of Restorative Dentistry</ce:textfn></ce:affiliation></ce:author-group><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para>A stable record base is essential for accurate interocclusal centric relation records in a completely edentulous patient. In implant prosthodontics, several procedures have been suggested for the fabrication of a stable record base. However, these procedures necessitate removal of the healing abutments during the interocclusal record procedure and the trial denture placement, which makes the procedures tedious and time-consuming. When the implant-prosthesis interface is subgingival, the patient may also experience discomfort during these procedures. This article describes a procedure for fabricating a stable record base that uses the healing abutments, which eliminates the necessity of the healing abutment removal and its consequences. Advantages and disadvantages of this procedure are also discussed. (J Prosthet Dent 1999;81:224-7.)</ce:simple-para></ce:abstract-sec></ce:abstract></head><body><ce:sections><ce:para>The prosthodontic protocol for the treatment of completely edentulous patients who are receiving osseointegrated implants follows the principles of fabricating conventional complete dentures. After an accurate impression is made, a record base and occlusion rim are needed to establish the level of occlusal plane, the arch form, and the maxillomandibular relation record. The record base must be rigid, accurate, and stable to perform the intended functions.<ce:cross-ref refid="bib1"><ce:sup>1</ce:sup></ce:cross-ref> In implant prosthodontics, the stability of the record base can be improved by attaching it to the gold cylinders that will be screwed into the implants during the interocclusal record procedure and the trial denture placement.<ce:cross-refs refid="bib2 bib3 bib4"><ce:sup>2-4</ce:sup></ce:cross-refs> However, these procedures can be time-consuming because the healing abutments need to be removed for the placement of the record base. Furthermore, when the implant-prosthesis interface is subgingival, the gingival tissue may collapse, creating difficulties in seating the gold cylinders and resulting in discomfort to the patient.</ce:para><ce:para>The purpose of this article is to present a procedure that establishes a stable record base without the necessity of removing the healing abutments. The procedure does not require the removal of the abutments to register the interocclusal record. The implant components used to illustrate this article are from the Steri-Oss component system (Steri-Oss, Yorba Linda, Calif.), but the procedure can be used with comparable components from another implant system.</ce:para><ce:section><ce:section-title>PROCEDURE</ce:section-title><ce:para><ce:list><ce:list-item><ce:label>•</ce:label><ce:para>1. At the time of stage II surgery (uncovering), place titanium healing abutments (Steri-Oss) of appropriate heights in the patient’s mouth to prevent the soft tissue from closing over the implant and record the height and position of each healing abutment. Healing abutments are available in 3, 5, and 7 mm heights (Fig. 1).</ce:para></ce:list-item></ce:list><ce:display><ce:figure><ce:label>Fig. 1</ce:label><ce:caption><ce:simple-para>Steri-Oss healing abutments of different heights. Left; 3 mm; center, 5 mm; right, 7 mm.</ce:simple-para></ce:caption> <ce:link locator="gr1"></ce:link></ce:figure></ce:display><ce:list><ce:list-item><ce:label>•</ce:label><ce:para>2. When the surgical site is completely healed (Fig. 2), remove the healing abutments and replace them with impression copings (No. 3550, Steri-Oss).</ce:para></ce:list-item></ce:list><ce:display><ce:figure><ce:label>Fig. 2</ce:label><ce:caption><ce:simple-para>Healing abutments of varying heights in completely healed surgical sites. Locations and heights were recorded.</ce:simple-para></ce:caption> <ce:link locator="gr2"></ce:link></ce:figure></ce:display><ce:list><ce:list-item><ce:label>•</ce:label><ce:para>3. Make an impression in a closed stock tray with polyvinyl siloxane impression material (Reprosil, Dentsply International, York, Pa.).</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>4. Remove the impression copings from the patient’s mouth and connect implant analogs (No. 2241, Steri-Oss) to them, then replace the copings with the analogs attached in their respective positions in the impression.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>5. Replace the healing abutments in their respective positions in the patient’s mouth.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>6. Inject a mix of polyvinyl siloxane soft tissue simulating material (Gi-Mask, Coltene/Whaledent Inc., Mahwah, N.J.) around the implant analogs in the impression and allow the material to polymerize.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>7. Pour a mix of type V dental stone (Prima Rock, Whip Mix Corp., Louisville, Ky.) into the impression to form a cast.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>8. Remove the impression copings and seat another set of healing abutments, heights recorded at the time of stage II surgery, in their respective positions in the master cast (Fig. 3).</ce:para></ce:list-item></ce:list><ce:display><ce:figure><ce:label>Fig. 3</ce:label><ce:caption><ce:simple-para>Healing abutments with recorded heights in their respective positions in master cast and surrounding soft tissue simulating material.</ce:simple-para></ce:caption> <ce:link locator="gr3"></ce:link></ce:figure></ce:display><ce:list><ce:list-item><ce:label>•</ce:label><ce:para>9. Block-out undercuts around the healing abutments with blockout putty (Ultradent Products Inc., S. Jordan, Utah) or baseplate wax (Truwax, Dentsply International Inc.) and apply a lubricant (White Petrolatum USP, E. Fougera & Co., Melville, N.Y.) to the cast.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>10. Make a record base by using light-activated resin material (Triad VLC, Dentsply International Inc.) to extend 5 to 8 mm facially and lingually, respectively, to the healing abutments of the cast and as far distally as the most posterior tooth. (The record base should be snug when being removed from the cast after it has been processed in a light-curing unit [Triad 2000, Dentsply International Inc.] [Fig. 4, <ce:italic>A</ce:italic> and <ce:italic>B</ce:italic> ].</ce:para></ce:list-item></ce:list><ce:display><ce:figure><ce:label>Fig. 4</ce:label><ce:caption><ce:simple-para><ce:bold>A</ce:bold> , Record base made of light-curing resin. Base extends 5 to 8 mm facially and lingually, respectively, to implant healing abutments and as far distally as most posterior tooth. <ce:bold>B</ce:bold> , Internal surface of base shows negative impression of healing abutments. Shiny appearances of negative impression are result of close adaptation between record base material (Triad VLC) and highly polished metal healing abutments.</ce:simple-para></ce:caption> <ce:link locator="gr4"></ce:link></ce:figure></ce:display>)
<ce:list><ce:list-item><ce:label>•</ce:label><ce:para>11. Smooth the periphery of the record base and build a baseplate wax occlusion rim on it.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>12. Examine the record bases for stability and adaptation in the patient’s mouth without removing the healing abutments, and adjust the occlusion rims to establish the proper vertical dimension of occlusion, level of the occlusal plane, arch form, midline, high lip line, and canine eminences.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>13. Make notches on the occlusal surfaces of both occlusion rims to be used as indices.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>14. Attach the bitefork of the face-bow unit (Denar Corporation, Anaheim, Calif.) to the maxillary occlusion rim and make a face-bow transfer of the maxillary cast to the upper bow of the articulator (Denar Mark II, Denar Corp.).</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>15. Separate the bitefork from the rim, then clean and smooth the occlusion rim and enhance the marks placed on it in step no. 12.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>16. Place the mandibular occlusion rim in the patient’s mouth, inject a mix of polyvinyl siloxane material (Exabite, GC America, Alsip, Ill.) onto the occlusal surface of the maxillary occlusion rim, place it in the mouth, guide the patient into centric occlusion, and allow the material to polymerize.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>17. Remove the record, seat the lower cast in the mandibular occlusion rim, place the assembly on the maxillary cast mounted in the articulator (step no. 14), and mount the mandibular cast in the articulator (Fig. 5).</ce:para></ce:list-item></ce:list><ce:display><ce:figure><ce:label>Fig. 5</ce:label><ce:caption><ce:simple-para>Centric relation record and casts mounted in articulator.</ce:simple-para></ce:caption> <ce:link locator="gr5"></ce:link></ce:figure></ce:display><ce:list><ce:list-item><ce:label>•</ce:label><ce:para>18. Arrange the teeth in wax and make the wax-up ready for try-in.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>19. At the next appointment, examine the trial denture in the mouth and make any necessary adjustments to improve esthetics and occlusal contours (Fig. 6). (Adjustments can be made conveniently and comfortable for the patient because it is not necessary to remove the healing abutments for the try-in. The patient may even be permitted to take the trial dentures home for evaluation of the esthetics and speech by the family and friends. However, the patient is instructed not to eat or sleep with the trial dentures in the mouth.)</ce:para></ce:list-item></ce:list><ce:display><ce:figure><ce:label>Fig. 6</ce:label><ce:caption><ce:simple-para>Maxillary trial denture with minimal tissue coverage and improved stability in place in mouth.</ce:simple-para></ce:caption> <ce:link locator="gr6"></ce:link></ce:figure></ce:display><ce:list><ce:list-item><ce:label>•</ce:label><ce:para>20. When both the dentist and the patient are satisfied with the trial dentures, make facial silicone matrices (Lab-Putty, Coltene/Whaledent Inc.) of the trial dentures on the master casts. (These matrices will be used later to align the framework pattern with the denture teeth and to adjust them as necessary.)</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>21. Remove the teeth from the trial dentures and clean them by removing any wax. Place the cleaned denture teeth in the silicone matrices and anchor them with a small amount of wax if necessary.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>22. Make the metal framework accordingly, using the matrices as a guide.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>23. After the frameworks are finished and polished, fit them in the patient’s mouth. Verify the fit both visually and radiographically (Fig. 7).</ce:para></ce:list-item></ce:list><ce:display><ce:figure><ce:label>Fig. 7</ce:label><ce:caption><ce:simple-para>Metal frameworks being evaluated in patient’s mouth.</ce:simple-para></ce:caption> <ce:link locator="gr7"></ce:link></ce:figure></ce:display><ce:list><ce:list-item><ce:label>•</ce:label><ce:para>24. Remove the frameworks from the mouth and fasten them to the casts.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>25. Place the matrices with the denture teeth in them on the master cast. Adjust the necks and lingual surfaces of the denture teeth as necessary to permit the matrix to seat properly on the master cast.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>26. Wax the denture teeth in position on the metal frameworks and contour and smooth the lingual surfaces. Remove the matrices and complete the waxing of the labial surfaces.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>27. At the next appointment, complete the final wax trial placement and make necessary adjustments.</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>28. Silicoat the metal frameworks (Silicoater MD, Heraeus Kulzer Inc., Irvine, Calif.) and process the dentures in heat-curing acrylic resin (Lucitone 199, Dentsply International Inc.)</ce:para></ce:list-item><ce:list-item><ce:label>•</ce:label><ce:para>29. At the next appointment, adjust the completed dentures (Fig. 8) in the patient’s mouth and review oral hygiene and maintenance instructions with the patient.</ce:para></ce:list-item></ce:list><ce:display><ce:figure><ce:label>Fig. 8</ce:label><ce:caption><ce:simple-para>Complete prostheses in patient’s mouth.</ce:simple-para></ce:caption> <ce:link locator="gr8"></ce:link></ce:figure></ce:display><ce:list><ce:list-item><ce:label>•</ce:label><ce:para>30. Make appointments for a postinsertion checkup and routine recalls every 3 months, then dismiss the patient.</ce:para></ce:list-item></ce:list></ce:para></ce:section><ce:section><ce:section-title>DISCUSSION</ce:section-title><ce:para>A stable record base is essential for accurate interocclusal records in completely edentulous patients. Record base stability can be improved considerably by attaching it to the gold cylinders<ce:cross-refs refid="bib2 bib3 bib4"><ce:sup>2-4</ce:sup></ce:cross-refs> or to the plastic healing caps<ce:cross-ref refid="bib5"><ce:sup>5</ce:sup></ce:cross-ref> or by using the supragingival portion of the abutments to provide retention.<ce:cross-ref refid="bib6"><ce:sup>6</ce:sup></ce:cross-ref> However, all these procedures require removal of the healing abutments while making the interocclusal record. This procedure establishes a stable record base without the necessity of removing the healing abutments.</ce:para><ce:para>This procedure has several advantages. It reduces the chair time and minimizes patient discomfort because the removal of the healing abutments and placement of the gold cylinders are eliminated. Clinical and laboratory procedures are simplified. It is applicable to subgingival and supragingival situations. The stable minimal coverage at the try-in phase gives the patient the feeling of the final prosthesis. The patient can take the trial denture home to verify the esthetics with the family, even before the castings are completed because the trial denture is itself removable and stable. The only disadvantage of this procedure is the additional cost for the healing abutments on the master cast. However, they may be reused after they are sterilized with other patients’ master casts.</ce:para></ce:section></ce:sections></body><tail><ce:bibliography><ce:section-title>References</ce:section-title><ce:bibliography-sec><ce:bib-reference id="bib1"><ce:label>1</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>GA</ce:given-name><ce:surname>Zarb</ce:surname></sb:author><sb:author><ce:given-name>CL</ce:given-name><ce:surname>Bolender</ce:surname></sb:author><sb:author><ce:given-name>GE</ce:given-name><ce:surname>Carlsson</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Boucher’s prosthodontic treatment for edentulous patients</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:edition>11th ed</sb:edition><sb:date>1997</sb:date><sb:publisher><sb:name>Mosby–Year Book</sb:name><sb:location>St Louis</sb:location></sb:publisher></sb:edited-book><sb:pages><sb:first-page>183</sb:first-page><sb:last-page>196</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib2"><ce:label>2</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>PI</ce:given-name><ce:surname>Branemark</ce:surname></sb:author><sb:author><ce:given-name>GA</ce:given-name><ce:surname>Zarb</ce:surname></sb:author><sb:author><ce:given-name>T</ce:given-name><ce:surname>Albrektsson</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Tissue-integrated prostheses</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:edition>5th ed</sb:edition><sb:date>1985</sb:date><sb:publisher><sb:name>Quintessence</sb:name><sb:location>Chicago</sb:location></sb:publisher></sb:edited-book><sb:pages><sb:first-page>257</sb:first-page><sb:last-page>260</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib3"><ce:label>3</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>LG</ce:given-name><ce:surname>Loos</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>A fixed prosthodontic technique for mandibular osseointegrated titanium implants</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Prosthet Dent</sb:maintitle></sb:title><sb:volume-nr>55</sb:volume-nr></sb:series><sb:date>1986</sb:date></sb:issue><sb:pages><sb:first-page>232</sb:first-page><sb:last-page>242</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib4"><ce:label>4</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>S</ce:given-name><ce:surname>Hobo</ce:surname></sb:author><sb:author><ce:given-name>E</ce:given-name><ce:surname>Ichida</ce:surname></sb:author><sb:author><ce:given-name>LT</ce:given-name><ce:surname>Garcia</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Osseointegration and occlusal rehabilitation</sb:maintitle></sb:title></sb:contribution><sb:host><sb:edited-book><sb:date>1989</sb:date><sb:publisher><sb:name>Quintessence</sb:name><sb:location>Chicago</sb:location></sb:publisher></sb:edited-book><sb:pages><sb:first-page>159</sb:first-page><sb:last-page>162</sb:last-page></sb:pages></sb:host><sb:comment>171-3</sb:comment></sb:reference></ce:bib-reference><ce:bib-reference id="bib5"><ce:label>5</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>SE</ce:given-name><ce:surname>Keith</ce:surname></sb:author><sb:author><ce:given-name>GE</ce:given-name><ce:surname>Guillen</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Enhanced stability for implant-supported overdenture record bases</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Prosthet Dent</sb:maintitle></sb:title><sb:volume-nr>79</sb:volume-nr></sb:series><sb:date>1998</sb:date></sb:issue><sb:pages><sb:first-page>359</sb:first-page><sb:last-page>360</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference><ce:bib-reference id="bib6"><ce:label>6</ce:label><sb:reference><sb:contribution><sb:authors><sb:author><ce:given-name>S</ce:given-name><ce:surname>Axinn</ce:surname></sb:author><sb:author><ce:given-name>LJ</ce:given-name><ce:surname>Boucher</ce:surname></sb:author></sb:authors><sb:title><sb:maintitle>Use of a stabilized record base in osseointegration</sb:maintitle></sb:title></sb:contribution><sb:host><sb:issue><sb:series><sb:title><sb:maintitle>J Prosthet Dent</sb:maintitle></sb:title><sb:volume-nr>59</sb:volume-nr></sb:series><sb:date>1988</sb:date></sb:issue><sb:pages><sb:first-page>637</sb:first-page><sb:last-page>638</sb:last-page></sb:pages></sb:host></sb:reference></ce:bib-reference></ce:bibliography-sec></ce:bibliography></tail></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Fabricating a stable record base for completely edentulous patients treated with osseointegrated implants using healing abutments</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Fabricating a stable record base for completely edentulous patients treated with osseointegrated implants using healing abutments</title></titleInfo><name type="personal"><namePart type="given">Kitichai</namePart><namePart type="family">Rungcharassaeng</namePart><namePart type="termsOfAddress">DDS, MS</namePart><affiliation>Loma Linda University School of Dentistry, Loma Linda, Calif.; Assistant Professor, Department of Restorative Dentistry</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Joseph Y.K.</namePart><namePart type="family">Kan</namePart><namePart type="termsOfAddress">DDS</namePart><affiliation>Assistant Professor, Department of Restorative Dentistry</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-1JC4F85T-7">research-article</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1999</dateIssued><copyrightDate encoding="w3cdtf">1999</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><abstract lang="en">Abstract: A stable record base is essential for accurate interocclusal centric relation records in a completely edentulous patient. In implant prosthodontics, several procedures have been suggested for the fabrication of a stable record base. However, these procedures necessitate removal of the healing abutments during the interocclusal record procedure and the trial denture placement, which makes the procedures tedious and time-consuming. When the implant-prosthesis interface is subgingival, the patient may also experience discomfort during these procedures. This article describes a procedure for fabricating a stable record base that uses the healing abutments, which eliminates the necessity of the healing abutment removal and its consequences. Advantages and disadvantages of this procedure are also discussed. (J Prosthet Dent 1999;81:224-7.)</abstract><note>Reprint requests to:DR KITICHAI RUNGCHARASSAENG,SCHOOL OF DENTISTRY,LOMA LINDA UNIVERSITY,LOMA LINDA, CA 92350</note><note>0022-3913/99/$8.00 + 0. 10/1/94385</note><relatedItem type="host"><titleInfo><title>The Journal of Prosthetic Dentistry</title></titleInfo><titleInfo type="abbreviated"><title>YMPR</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">199902</dateIssued></originInfo><identifier type="ISSN">0022-3913</identifier><identifier type="PII">S0022-3913(05)X7061-5</identifier><part><date>199902</date><detail type="volume"><number>81</number><caption>vol.</caption></detail><detail type="issue"><number>2</number><caption>no.</caption></detail><extent unit="issue-pages"><start>129</start><end>250</end></extent><extent unit="issue-pages"><start>A1</start></extent><extent unit="pages"><start>224</start><end>227</end></extent></part></relatedItem><identifier type="istex">D20DAD561A9CFF61A2399020B05737B8D841E2A6</identifier><identifier type="ark">ark:/67375/6H6-76NDMP8F-7</identifier><identifier type="DOI">10.1016/S0022-3913(99)70253-2</identifier><identifier type="PII">S0022-3913(99)70253-2</identifier><accessCondition type="use and reproduction" contentType="copyright">©1999 Editorial Council of The Journal of Prosthetic Dentistry.</accessCondition><recordInfo><recordContentSource authority="ISTEX" authorityURI="https://loaded-corpus.data.istex.fr" valueURI="https://loaded-corpus.data.istex.fr/ark:/67375/XBH-HKKZVM7B-M">elsevier</recordContentSource><recordOrigin>Editorial Council of The Journal of Prosthetic Dentistry., ©1999</recordOrigin></recordInfo></mods><json:item><extension>json</extension><original>false</original><mimetype>application/json</mimetype><uri>https://api.istex.fr/document/D20DAD561A9CFF61A2399020B05737B8D841E2A6/metadata/json</uri></json:item></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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