Orthopedic stages of dental implantation

This is a lengthy process involving the producing of construction and it’s "Maintenance." These steps can vary in complexity and some details, and might include more steps than presented below; however, the basic sequence is usually not changed.

Reprints are removed for the producing of diagnostic models. During removing process the print position of the implant can be determined focusing on the healing abutment position, but there is a specially designed impression coping, which is mounted directly to the head of the implant and provides a more precise impression. Removing the impression is performed using standard techniques bilayer spoon or two-step method when the elastic mass layer is placed in the preliminary and the impression spoon inserted into the mouth, or one-step when the weight applied to the elastic fabric prosthetic bed immediately prior to the introduction of the spoon to the main mass. At this stage alginate mass also can be used.

Choosing of abutment is possible during taking primary impression or after secondary one. Abutment can be both standard and manufactured individually for the patient depending on the clinical cases.

Secondary impressions are taking from the abutments or implants heads for transferring their location in the dental arch to the model and the relationship with the surrounding soft tissue. In both cases the impression coping. In the second case, it is sometimes called a transfer to the implant head . After this model is cast in plaster, and the soft tissue around the implant is made of special elastic material. This model can be used as an aid to the selection of the abutment, and then usually made additional working model.

When the number of teeth with occlusal relationships, not enough or the patient has no teeth , it is necessary to define the central value of the jaws.

Used to confirm or deny the accuracy of the selected location of artificial teeth , gums or artificial structures on the basis of the future permanent prosthesis . In fact, the layout is permanent prosthesis , but is made of cheap materials.

After doctor determines the arrangement of artificial teeth on the construction, he manufactures a metal frame and gives it for fitting. Usually metal frame is manufactured of gold alloy, but there are other manufacturing techniques such as laser melting titanium.

It verified the correctness of the design during the fitting of temporarily set artificial teeth.

Structure verified and installed permanently in the mouth.

Patient should visit a dentist through increasing time intervals for inspections of the construction. It includes X-ray study of bone tissue.