Technique for Indexing an Immediate Loading Implant Position for a Provisional Restoration
The transfer of an intraoral implant position to the cast for an immediate loading implant is an important step and may be difficult to achieve with commonly used transfer and impression methods. Thus, the purpose of this report is to describe a technique for the use of a surgical template to transfer the implant position for fabrication of a provisional restoration. This technique simplifies the procedure, eliminates the need for taking an impression, avoids surgical site contamination, and maintains an adequate emergence profile during fabrication of the definitive restoration. An indexing technique for transferring the position of the implant from the treated surface after extraction is described.Abstract
Figure 1. Arrangement of teeth and the deciduous molar before surgery (254 × 169 mm). Figure 2. Occlusal view of the surgical template with opening on the implant trajectory (254 × 169 mm). Figure 3. Tracking transfer is attached to the surgical template with autopolymerizing acrylic resin (254 × 169 mm). Figure 4. Surgical template is connected to the tracking transfer after removal from the mouth (254 × 169 mm).
Figure 5. The analog is fitted onto the transfer and is adapted into the cast opening with a surgical template (254 × 169 mm). Figure 6. Occlusal view of the altered cast after dental stone has been poured in and around the analog position to secure the correct position (254 × 169 mm). Figure 7. Provisional restoration with a satisfactory emergence profile (254 × 169 mm). Figure 8. Provisional crown in place. With no occlusal contacts, an ideal nonocclusal protocol for the immediate loading implant case (254 × 169 mm).
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