Dental Implants Denture Screw Retained Restorative Protocol
Dental Implants Denture Screw Retained Restorative Protocol
Dental Implants Denture Screw Retained Restorative Protocol
Screw-Retained Dentures offer a fixed implant solution for edentulous patients desiring a stable and esthetic
replacement for removable prostheses. Featuring a custom titanium framework produced using state-of-the-
art CAD/CAM technology, Screw-Retained Dentures improve chewing and speech function.
■■First Appointment
Preliminary Impression
■■Second Appointment
Jaw Relation Records and Shade Selection
You will receive from Glidewell Laboratories a bite block with two
screw-retained temporary cylinders (Fig. 4).
Figure 4: Bite block with temporary cylinders
Remove the healing abutments or appliance from the implants.
Screw-Retained Denture
Seat the bite block and gently tighten the screws by hand
(Fig. 5).
With the patient sitting up, use conventional denture
technique to achieve accurate jaw relation records.
Unscrew the cylinder screws and remove the bite block(s).
Replace the healing abutments or appliance.
Take an impression of the opposing dentition and an
impression of current denture for study model. Figure 5: Seat the bite block.
Select the shade and mold of the denture teeth. The study
model of the patient’s existing denture can be used as a
reference regarding the size and shape of the new teeth.
Note: We will match to VITA denture teeth unless
®
Setup Try-in
A wax setup is provided with temporary cylinders.
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Screw-Retained Denture
Verification Jig
To ensure a passive fit of your restoration, it is vital to obtain
an accurate final impression. A custom tray is provided along
Figure 8: Taking a new bite registration (if necessary).
with an implant verification jig (IVJ) that has been sectioned and
numbered on a working model. Each acrylic section contains a
titanium cylinder. This procedure should be followed to ensure
an accurate final impression.
Final Impression
Check the custom impression tray for proper fit (no contact
with the jig or cylinders).
Using a medium body VPS material, take the final impression
with an open-tray technique.
a. Inject VPS impression material under and around the jig Figure 12: Inject impression material under the implant
to capture the ridge and all anatomical landmarks as for verification jig.
a full denture including full vestibular extensions (Fig. 12).
Capture the complete palate for maxillary cases.
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Screw-Retained Denture
■■Reset Appointment Figure 14: Seat the final denture setup with titanium framework.
Reset Denture Try-in (if necessary)
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Screw-Retained Denture
■■Fifth Appointment
Delivery of Final Screw-Retained Denture
■■One Week Figure 18: Occlusal view of the final denture in place following
sealing of the screw access holes.
Follow-Up Check
Check occlusion.
Review oral hygiene instructions.
Set recall schedule.
■■Maintenance Appointments
How to Maintain Final Prosthesis
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Screw-Retained Denture
die work; analogs, set-ups, bite blocks, try-ins and verification jigs.
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Screw-Retained Denture
Quick Reference
Doctor Glidewell
7
Screw-Retained Denture
800-839-9755
glidewelldental.com
GL-1889-090517