North Texas Dentistry Magazine, Volume 3 Issue 7 | Page 17

Laboratory Phase Utilizing a laboratory putty index, the screw-retained maxillary denture teeth arrangement was reproduced with GC resin, GC America, incorporating cast to abutment sleeves. Afterward, individual crown preparations were made on the pattern as well as a cut back of the gingival area. Utilizing a ceramogold alloy, the framework was cast in sections, and laser welded. Fourteen Monolithic emax crowns, Ivoclar, were fabricated in 2- and 3-unit sections. A customized Gradia, GC America, composite gingival veneer was applied to the framework. The emax splints were luted to the metal crown preparations with Mulitlink resin cement, lvoclar. A permanent cement was utilized because the crowns did not obstruct access to the screws retaining the metal framework. Bruce M. Barbash, DDS Bruce Barbash, D.D.S. has been in the private practice of prosthodontics, maxillofacial prosthetics and dental oncology for 25 years. He continues to serve as assistant clinical professor at both the University of Texas Southwestern Medical Center and TAMU Baylor College of Dentistry. He is a member of several major head and neck cancer treatment teams in the Dallas/Fort Worth area, and has maintained Diplomate status with the American Board of Prosthodontics. Results The maxillary prosthesis was screwed to place and the titanium fastening screws were torqued to 15 Newtons. Several months later, the mandibular posterior implants were restored with Atlantis, Dentsply, titanium custom abutments and ceramometal fixed partial dentures. Thus far, the patient has had a stable result that met her expectations. Center for Dental Solutions Offices in Dallas and Flower Mound (972) 241-7917 www.texasdentalsolutions.com www.nort