Fig. 24 Fig. 25 and thus strength. The case shown in Figs. 23-26 shows a missing lateral incisor site (#10) restored with a mini implant and a porcelain-to-zirconia crown. The patient is happy at this time with the result and may never opt for a root form implant as a definitive treatment option. Many times the lines become blurred between what is considered provisional treatment and what is considered permanent treatment. There are many ways to provisionalize missing teeth in a post-orthodontic case. The main focus in this article was to share with you a case in which TADs were used as provisional abutments for provisional e.max E4D gener-ated porcelain crowns. In Part 3 of this series, I will describe how I surgically increased the labial-lingual dimension (width) of the deficient bone in the maxillary lateral incisor sites with guided bone regeneration, which provided adequate platform width for eventual root form implant placement. References 1. 3M MDI Standard O-Ball and Collar mini-implant. https://multimedia.3m.com/mws/media/669937O/3m -espe-mdi-catalog-us.pdf Table 1 Technique Flipper Positives & Negatives of Techniques to Provisionalize Missing Anterior Teeth Fixed + Durability Esthetic Removable – Prepping of Surrounding Teeth No+, Yes – Not Bulky + Bulky – Economical Helps Preserve Existing Bone in Pontic Site – – + (teeth may – break off) – + (if designed properly) + – –? – + – – – + Partial Denture – Maryland Bridge + + (bonding (metal may come wings may loose) change the shade of the abut-ment teeth) – + – + – – Encore Bridge + + – – + + – (same as Maryland Bridge) + (Better Than A Maryland Bridge) – + + + + + + + + + – + + + – – – – – ? Ribbond Bridge Snap On Smile Essix Matrix TAD or Mini Implant Used as Provisional Abutments ? ? ? + + ? + + 38 Fall 2017 JAOS
Journal of the American Orthodontic Society Fall 2017: Page 38
