Temporary bridge fabrication technique using Bisacryl in Immediate placement implants

1. Immediate temporary bridge on
immediate placement implants
Dr.K.Varsha Rao

2. Patient came to the clinic for replacement of missing central
incisors.
After discussing all possible replacement options,patient
decided to go for Implant supported prosthesis.
She refused grafting options because of financial limitations
and fear of second surgical site morbidity.
It was decided to extract periodontally compromised lateral
incisors and give her a implant supported bridge.
Her only request was she wanted a temporary bridge when
she walks out of the clinic.
After atraumatic extraction, spiral bodied implants at
45ncm were placed in the lateral incisor sites.
Following which a series of steps were followed to give her
an immediate temporary bridge.

3. Preop view

4. Gingival former placed after implant placement
to avoid collapse of tissue during prepartion of
abutments

5. Stock abutments milled after checking
on the implants

6. Holes made in sterile piece of latex
with rubber dam punch

7. Surgical sites protected with latex

8. Vaccupressed tray made earlier with
waxup checked in patients mouth

9. Holes made in the tray at abutment
sites

10. Bisacryl used to make the temp bridge with
wedges in place for open screw access
holes

11. Fixed temp Bridge in place (immediate
post op)