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BEYOND  HEROIC  DETISTRY Alex Shvartsman, DDS, FAGD And  Dr. Edward Brant
Third most common dental emergency
 
 
 
Cause of failure?
NO FERRULE! ,[object Object],[object Object],[object Object],[object Object]
What to do?
Restorative options ,[object Object],[object Object],[object Object],[object Object],[object Object]
Post and crown without a 2mm ferrule on sound tooth structure ,[object Object],[object Object],[object Object],[object Object]
Post, crown with 2mm ferrule! ,[object Object],[object Object],[object Object]
Crown lengthening dilemmas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
Super-eruption dilemmas ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
5 weeks later,  3 months stabilization
 
 
PARADIGM SHIFT
EXTRACTION ,[object Object],[object Object],[object Object],[object Object]
Total tooth replacement DENTAL IMPLANT ,[object Object],[object Object],[object Object],[object Object]
Implant time line options ,[object Object],[object Object],[object Object]
Immediate implant temporization options ,[object Object],[object Object],[object Object]
Cement vs. screw retained
Advantages of screw retained temp. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Steps for  screw retained  temp.
Vaccuformed stent, temporary abutment, a little improv.
Rough temp
Fill in the gaps
Polish and seal
Screw in, seal access with wax and Fermit/composite
Can’t temporize implant? ,[object Object],[object Object],[object Object]
Non-implant borne temporaries.
Transitional RPD “The  Flipper” ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Removable Transitional RPD Essix with tooth ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
Fixed Transitional  The   modified winged pontic ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Design ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Ability to modify pontic and support soft tissue profile
 
 
 
What would you do?
What will you do?
What will you do?
Steel & Sunshine  for the tooth Titanium and piece of mind for you and the patient
Single  tooth  Implant Restoration options ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Town and Country Simpl abutment system
Simpl Steps: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Thank you  Questions?

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