Dentaltown August 2015 - (Page 22)

prosthodontics message board The Chasolen Effect An in-depth look at how a Townie treated a patient with implants and a fixed restoration after attending the Chasolen Study Club Dentaltown.com > Message Boards > Prosthodontics > Fixed Prosthodontics > The Chasolen Effect JasonL Member Since: 04/13/00 Posts: 1-8 & 15 of 58 Related Message Boards The Chasolen Quint Chasolen Quint The Chasolen and Strupp Special -The Perfect Core! Chasolen and Strupp Introduction: I brought this case to the Chasolen Study Club in 2007 (was it that long ago?). This gentleman has been struggling with an upper partial for many years. In addition, his remaining teeth have gradually been failing, requiring extraction, additions to his partial, and more despair for him. We discussed a full denture, implants, and everything in between a few years ago and he didn't feel he should spend that kind of money on himself. I was also a little unsure about how to phase him through any treatment since we were getting awfully close to not having anything stable to hold onto. I went to the Chasolen Study Club with the photos and ideas. The case discussion ended up being longer than I anticipated, with treatment options ranging from telescopes on teeth to locators, bars, fi xed on implants and sinus surgery. I came home, reviewed everything and presented it all to the patient with his wife. They finally decided to move forward with extractions, implants, and a fi xed restoration. Here is that story. Fig. 1 Fig. 2 Smile (Fig. 1) Occlusal view (Fig. 2) Fig. 3 Fig. 4 Retracted view with partial in place (Fig. 3) A model of the wax up used to make the provisional (Fig. 4). Conclusion: I sent him for a CT scan and it came back that we would need significant sinus augmentation. Given his lower dentition we decided we didn't need to restore molar-molar. He was very nervous about having his teeth come out during the healing so we decided to do an immediate fi xed restoration: The teeth were in good alignment so I used them as a guide and Fig. 5 sequentially placed an implant and removed a tooth. The implants at #4 and 13 were normal placement and #6, 8, 11 were immediates. All implants are BioHorizons Internal Tapered. PEEK abutments were prepared extraorally (Fig. 5). Luxatemp provisional cemented with UltraTemp (Fig. 6). Fig. 6 Well, #8 failed. So, I removed the implant, grafted it with Grafton and a DynaMatrix membrane and remade the provisional with Ribbond. Needless to say, I then spent a lot of time babysitting the provisional as it kept coming loose ... luckily it came loose and the implants didn't. 22 Continued on p. 24 AUGUST 2015 // dentaltown.com http://www.Dentaltown.com http://www.dentaltown.com/MessageBoard/thread.aspx?a=11&s=2&f=216&t=76950&g=1 http://www.dentaltown.com/MessageBoard/thread.aspx?a=11&s=2&f=216&t=138704&g=1 http://www.dentaltown.com

Table of Contents for the Digital Edition of Dentaltown August 2015

On Dentaltown.com
HOWARD SPEAKS: Do You Need to Retire Your Views on Retirement?
PROFESSIONAL COURTESY: Product Perfection is Not Guaranteed
Continuing Education Update
The Chasolen Effect
Poll
5 Strategies for Maximizing New-Patient Referrals
Pediatric Dentistry, Parents, and Spoiled Kids
Finding the Hidden Treasure: Prevention = Treatment + Motivation + Compliance
The Three Dimensions of Endodontic CBCT: Treatment Planning, Patient Understanding and Referral Relationships
Implant Drivers and Driver Tips for Single-Torque Wrenches
Are the Top 1 Percent Safe?
Debt-Repayment Basics for Dentists
A Creative Approach to Retirement Funding
Diode Use in Orthodontic-Related Procedures
Thin Implants
Stick With It: A Systematic Approach for Bonding CAD/CAM Restorations
Product Profile: Uncomplicate Business
Establishing an Accounts Receivable System
Yoga for Dentists
Practice Solutions: Ivoclar Vivadent
Ad Index
Why Dentists Need to Be Mobile-Ready
Rehabilitation Case with CAD/CAM Design and Excellent Results
Industry News
Product Profi le: LocalMed
Dentally Incorrect

Dentaltown August 2015