The ultimate dental prothetic for missing all your upper or lower teeth made from titanium with ceramic crowns

Fixed Procera Dental Implant Retained Bridge

The first step in creating this advanced Fixed Procera Implant Retained Bridge prosthetic is doing the engineering required to lay down the structural pillars of the foundation base, referred to as jaw anchors. These Jaw anchors need to be placed precisely over a past and future tooth location, so screw fasteners can be used in the final mounting of the prosthetic. In addition, the jaw anchor cannot interfere with one of the abutments, molded into the lightweight titanium frame, that will host the Nobel Biocare Procera Crown.

Below are pictures of a mold that has been made of the mouth and gum line. Several molds will be made, so that our dental engineers can make the best layout and plan possible, to achieve the highest quality results. After working with several different scenarios, our engineer has chosen this specific layout, for this particular installation. The uses of 6 jaw anchors have been calculated to attach the bridge prosthetic to the gum line. 6 is the minimum required to spread the pressure of chewing across the jawbone in an even manner.

This photo represents a mock-up of the gum line. First metal tubing is inserted into the proper locations that will represent where the jaw anchors will be installed. Next a wax molding agent is then used to build up the gum line to the proper representation of the original mold. This mock-up is now ready to accept Nobel Biocare temporary teeth.

The Nobel Biocare temporary teeth are now placed on top of the wax molding agent, to ensure the proper fit and alignment on top of the gum line.

Now holes will be machined into the temporary teeth, which are aligned to the jaw anchors. The holes will be used for special lightweight titanium screws that will fasten and retain the temporary teeth to the jaw anchor.

We will now build the appliance up, by inserting the lightweight titanium abutment frame and positioning it on to another copy of the mold. The Nobel Biocare Procera Abutment sleeves are now placed over each abutment. These sleeves provide and create the reflective surface, that light will bounce off of creating a translucent lighting effect, just like in real teeth.

As each abutment sleeve is place on the titanium base, the abutment will be tuned and adjusted to accept the sleeve with perfect alignment.

The resin copolymer gum has just be fabricated over the titanium frame. During this process, each Nobel Procera Crown will be placed on each abutment stud, and the synthetic gum material will be sculpted around each tooth to create the most realistic look possible. When the sculpting is complete, the crowns will be removed, and the gum material will be allowed to cure using UV light. The frame and gum is now ready for installation in the patient’s mouth.

Fixed Procera Dental Implant Retained Bridge

All of the components have now been checked for fit, detail and realism, and are ready to be installed into the patients mouth for final installation. Everthing has been taken apart in the lab, and all components have been labeled and packaged for final assembly.

The patient has arrived at our facility, and we are now ready to begin the installation process. We will start by removing the temporary Nobel Biocare bridge first. Then the lightweight titanium frame will now be aligned and screwed back in to the existing jaw anchors.

We will double check the fit and alignment by assembling all of the fabricated components together and performing a final check before cementing all the pieces back into place. Adjustments are now made by having the patient bite down, and making sure that all the teeth line up on the top and bottom. Then a visual check is performed, and a final check using feeler gauges will confirm the final fit and placement. If any adjustments are needed, small amounts of material will be removed from each component until the fit is perfect.

Now we place the cured resin copolymer gum assembly over the lightweight titanium frame. Next the abutment sleeves are cemented into place onto each abutment stud and once again check for fit. Finally each Nobel Procera Crown is placed onto each abutment sleeve, checked for fit and cemented into place. The cementing of the abutment sleeves, and crowns are what hold the entire assembly together in the mouth.

The lightweight titanium base plate has now been secured onto the gum line using screws and the jaw anchors that were installed earlier in the process.

The abutment sleeves that reflect light, and the Nobel Biocare Procera Crowns are now installed without cement, and checked and adjusted for perfect fit.

The gum line will now be created again, so that it represents the most accurate color and realism possible. Here we are using a pigment color gauge, and are selecting the proper pigment colors needed to get the closest match possible.

The colors have been selected and the new gum line will now be sculpted around each crown, and then cured by UV light.

The Noble Biocare Crowns have now been cemented back into place, and any excess cement has been scraped and trimmed off for a clean look.

Once again a fit check is made, and adjustments are made before the cement hardens permanently.

The installation is now complete, and the patient is ready to return back to a hard diet.

Fixed Procera Dental Implant Retained Bridge

Now that the Fixed Procera Implant Retainment Bridge is installed in the patient’s mouth, we will now take a look at additional pictures that will show different views and aspects of the final results.

Left Side View of the top and bottom

Right Side View of the top and bottom.

Center view of the bottom.

Center view of the top.

External view with small smile

External view with large bright smile