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Diagnostic Casts, surgical
templates, and provisionalization
Dr Hamide Norouzi ,Prosthodontist
Diagnostic Casts
Articulators
Articulator options
Diagnostic treatment
plan
partially edentulous
diagnostic wax-up
Fully edentulous
denture duplication
Diagnostic treatment
plan
Implant positioning
guideline
natural tooth-
implant distance
Implants placed too close to adjacent tooth
Implants placed more than 2 mm from the
adjacent tooth
Implant-Implant
Distance
A: Distance from Inferior Alveolar Nerve Canal or Mental
foramen
B: Distance from the Nasal cavity
Distance from the
maxillary sinus
(inferior border)
Implant angulation positioning
buccolingually(Y-Axis)- FP1&FP2
Implant angulation positioning
buccolingually(Y-Axis)- FP1&FP2
Implant angulation positioning
buccolingually(Y-Axis)- FP2&FP3
Implant angulation
positioning
Mesiodistally(X-Axis)
variations
Implant angulation positioning
apicocoronally(Z-Axis)- FP1
Implant angulation positioning
apicocoronally(Z-Axis)- FP1
Radiographic
Templates
Fabrication of radiographic templates
(scanning templates)
Radiopaque markers
Surgical Templates
Nonlimiting design
Partial-limiting
design
Complete-limiting
design
Freehand Technique
Transforming a
radiographic template
into a surgical guide
Computed
Tomography surgical
templates
Materialise(simPlant) :
surgiguide
Noble Biocare(nobel guide) :
surgical templates
Tooth-supported
guides
bone-supported
guides
Soft tissue-
supported guides
Stereolithographic
models
Provisional restorations : Immediate smiles
Provisional
restorations:
fixed prosthesis
Provisional restorations:
removable prosthesis
Essix appliance
Snap-on smile (Dent
Met)
Relining of prothesis
Hard reline
Soft reline
Tissue conditioner

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Diagnostic Casts,surgical templates and provisionalization