Maryland bridge with Tetric Cad
One of my favorite CEREC uses is making a Maryland bridge as a temporary on the day of implant surgery. I like to use a hybrid composite material for this because it mills quickly, polishes well and is easy to bond in and cut out after healing, but it's not a material option in administration if a bridge is selected. My Ivoclar rep gave me some Tetric Cad to try and one of the nice things about this material is that it's dimensionally the same as an emax 14 block. You can set up a bridge in administration, select emax, but place a Tetric Cad block in and it will mill perfectly. It mills super fast and looks nice as a temp.
22 year old with congenitally missing lateral. I needed to place a 3.0 Xive implant, so Atlantis will make the abutment.
That's EXACTLY what I was hoping for.... thank you Dan! Haven't tried the material yet, but anxious to....
Mark
I hope your patients know how lucky they are to have you as their dentist....great stuff as always Dan.
Awesome, great use of that. Dan, is that a scan abut for Atlantis? I'm still out of the loop of that...and did you bond the maryland bridge to #6 with a coverscrew/healing abutment under it? JJ
Hey JJ,
Yes, that's an Atlantis IO FLO scan body that's used to send cases to Atlantis. An hour after I sent that scan they send me an abutment to approve. That will show up in my office in 2 days and I'll mill the crown from the core file they send me.
Mark, I believe that's an A2 MT.
Here is the design for the abutment from Atlantis and the CEREC model and crown design. I'll mill a temp (Tetric Cad) for the abutment to develop the tissue, then a final crown in a few months.
Thanks guys. Robert, I permanently bond these in with etch, bond and flowable composite. I have to cut them out after healing, but with a composite block like Tetric Cad it's very quick and easy to do. That's why I try and image at implant placement so I don't have to cut them off just to image. If I don't, I just mill another right before the imaging appointment.
Looks great Dan! Mind sharing why you chose to use canine (#6) over the central (#8) as the abutment?
On 8/13/2018 at 3:20 pm, Petar Tofovic said... Looks great Dan! Mind sharing why you chose to use canine (#6) over the central (#8) as the abutment?
Thanks Petar. I usually turn on the opposing arch and look at it from the lingual. Whichever tooth allows me to make a bigger wing based on the occlusion from the opposing tooth wins, in this case I had more room on #6 lingual than #8.
