Dentaltown January 2022 - 32

message board
Upper All-on-4: Fast Track Workfl ow
A helpful Townie shares a fully-documented, implant-supported
denture case and sticks around to answer treatment questions
mhd2013
Member Since: 01/20/14
Post: 1 of 47
The fi nal restoration on this case was completed today, and it's a good example of how easy
the workfl ow is for these cases when things run smoothly. At the time of surgery, two denture
pickups are completed. One is made into the conversion appliance/temp bridge. The second is
used to pour the master model on the day of surgery and then this pickup denture is used to do a
wash impression at three months. If aesthetics of temp looks good, then case goes straight to the
milling center for a bar and then the lab for the fi nal teeth. No impression. No wax rim. Straight
to fi nal prosthetic in literally one appointment after the surgery.
This nice lady was a challenging but smooth case: atrophic premaxilla, relatively demanding
expectations, eight years of oral bisphosphonates, son is a surgeon at local hospital.
Overview of implant plan. Kind of backwards from your normal case. Signifi cant atrophy of
anterior maxilla makes normal placement in laterals not an option. But she has tons of posterior bone
so we can avoid angled implants and move posterior implants further back while placing anterior
implants in canine/fi rst bi positions. Patient is doing upper jaw this year and lower jaw next year.
Different view showing the challenge of putting implants more anterior. I easily could have
put an implant in the ANS, but I reserved that as a " backup " in case I got lower than ideal torque
on one of the canine implants. Ended up not needing it.
Here is the patient's preop smile. Shows quite a bit of gum tissue at high smile, so need
adequate reduction for sure.
32 JANUARY 2022 // dentaltown.com

https://www.dentaltown.com/messageboard/thread.aspx?s=2&f=123&t=359212&g=1 http://www.dentaltown.com

Dentaltown January 2022

Table of Contents for the Digital Edition of Dentaltown January 2022

Howard Speaks: Coach Your Team To Success
Professional Courtesy: Losing It Is Just The Beginning
Continuing Education Update
Industry News
Poll: Sleep Dentistry
Message Board: Crown Lengthening or Not
Message Board: Fixing a Natural Open Contact
Message Board: Golden Handcuffs/How to Retain an Associate Long Term
Message Board: Upper All-on-4 - Fast Track Workflow
Office Visit: Dr. Eric Steinbach
Autogenous Soft Tissue Grafting — Dr. David Paulson
Taking It In-House — Dr. Joe Westbury
Ad Index
Turning On the Dental Overhead Light — Dr. Claudia Le
Earn Trust, Then Compliance — Jay Geier
A Team Wins Playing 1-On-1 — Dr. Tim Goodheart
Dentally Incorrect
Dentaltown January 2022 - 1
Dentaltown January 2022 - Cover1
Dentaltown January 2022 - Cover2
Dentaltown January 2022 - 1
Dentaltown January 2022 - 2
Dentaltown January 2022 - 3
Dentaltown January 2022 - 4
Dentaltown January 2022 - 5
Dentaltown January 2022 - 6
Dentaltown January 2022 - 7
Dentaltown January 2022 - 8
Dentaltown January 2022 - 9
Dentaltown January 2022 - 10
Dentaltown January 2022 - 11
Dentaltown January 2022 - Howard Speaks: Coach Your Team To Success
Dentaltown January 2022 - 13
Dentaltown January 2022 - Professional Courtesy: Losing It Is Just The Beginning
Dentaltown January 2022 - 15
Dentaltown January 2022 - Continuing Education Update
Dentaltown January 2022 - 17
Dentaltown January 2022 - Industry News
Dentaltown January 2022 - 19
Dentaltown January 2022 - Poll: Sleep Dentistry
Dentaltown January 2022 - 21
Dentaltown January 2022 - Message Board: Crown Lengthening or Not
Dentaltown January 2022 - 23
Dentaltown January 2022 - 24
Dentaltown January 2022 - 25
Dentaltown January 2022 - Message Board: Fixing a Natural Open Contact
Dentaltown January 2022 - 27
Dentaltown January 2022 - Message Board: Golden Handcuffs/How to Retain an Associate Long Term
Dentaltown January 2022 - 29
Dentaltown January 2022 - 30
Dentaltown January 2022 - 31
Dentaltown January 2022 - Message Board: Upper All-on-4 - Fast Track Workflow
Dentaltown January 2022 - 33
Dentaltown January 2022 - 34
Dentaltown January 2022 - 35
Dentaltown January 2022 - 36
Dentaltown January 2022 - 37
Dentaltown January 2022 - 38
Dentaltown January 2022 - 39
Dentaltown January 2022 - Office Visit: Dr. Eric Steinbach
Dentaltown January 2022 - 41
Dentaltown January 2022 - 42
Dentaltown January 2022 - 43
Dentaltown January 2022 - 44
Dentaltown January 2022 - 45
Dentaltown January 2022 - 46
Dentaltown January 2022 - 47
Dentaltown January 2022 - 48
Dentaltown January 2022 - 49
Dentaltown January 2022 - Autogenous Soft Tissue Grafting — Dr. David Paulson
Dentaltown January 2022 - 51
Dentaltown January 2022 - 52
Dentaltown January 2022 - 53
Dentaltown January 2022 - 54
Dentaltown January 2022 - 55
Dentaltown January 2022 - Taking It In-House — Dr. Joe Westbury
Dentaltown January 2022 - 57
Dentaltown January 2022 - 58
Dentaltown January 2022 - 59
Dentaltown January 2022 - 60
Dentaltown January 2022 - 61
Dentaltown January 2022 - 62
Dentaltown January 2022 - 63
Dentaltown January 2022 - 64
Dentaltown January 2022 - Ad Index
Dentaltown January 2022 - Turning On the Dental Overhead Light — Dr. Claudia Le
Dentaltown January 2022 - 67
Dentaltown January 2022 - 68
Dentaltown January 2022 - 69
Dentaltown January 2022 - Earn Trust, Then Compliance — Jay Geier
Dentaltown January 2022 - 71
Dentaltown January 2022 - 72
Dentaltown January 2022 - 73
Dentaltown January 2022 - A Team Wins Playing 1-On-1 — Dr. Tim Goodheart
Dentaltown January 2022 - 75
Dentaltown January 2022 - 76
Dentaltown January 2022 - 77
Dentaltown January 2022 - 78
Dentaltown January 2022 - 79
Dentaltown January 2022 - Dentally Incorrect
Dentaltown January 2022 - Cover3
Dentaltown January 2022 - Cover4
Dentaltown January 2022 - 86
Dentaltown January 2022 - 87
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