Splinted Provisional

A 54-year-old woman has poor dentition (Fig.1).  The teeth #3 and 4 have had composite with crowns and/or RCT pending, while IRM has been placed at #31.  Since the temporary restoration is breaking down at #31, composite will be placed with Isolite.  Crown prep will be also done at #31, especially mesially, and splinted provisional will be fabricated at #30 and 31 immediate following #30 implant placement.  If the ridge at #30 is narrow, ridge reduction will be done with possible use of a 3.5x10 mm or 8.5 mm 1-piece implant (Tatum or IS, Fig.2).  Prepare implant positioner.  Under prepare the site because of low density bone.

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Xin Wei, DDS, PhD, MS 1st edition 11/22/2017, last revision 05/11/2018