Implant superstructures

Open tray impression technique

Un-splinted
Open tray impression technique
b) Splinted Open tray impression technique
Splinted Open tray impression technique
Advantages of splinting over Un-Splinting
According to studies
“Assif et al and Naconey et al & Others”
Closed Tray Techniques
Traditional (Closed Tray)
Technique
• Removal of healing collar using screw driver
• Place the transfer coping onto the fixture and ensure the
two pieces are fully engaged and hand tighten the screw
• Verify fit of tray
• Place light to medium body impression material around the
transfer coping and record a full-arch impression with medium
body material,
Once impression material is fully set, remove tray.
• Replace the transfer coping to its position in the impression
guided by its marks
Advantages of Closed Tray Impression Technique
Indications
Contraindications
Disadvantages
Snap on Impression Technique
snap-on impression cap
Steps of Snap On Technique:
Advantages of Snap On Technique
Simple comparison between direct
&indirect tech.
v
Digital impression
Types of scanners :
In 2015 japan prosthodontics society published by Elsevier,
Advantages of Digital Impression
Implant superstructures
Definition
Indications/ contraindications
Indications/ contraindications
Indications/ contraindications
Accessibility
Angulation
Retrievability
Retention
Retention
Retention
Passive fit
Passive fit
When the screw is threaded into position, the superstructure may
distort, the implant may move within the bone, or the abutment
screw may distort

The distortion of the superstructure may reach a level such that a 500-ì
original gap may not be detectable.
The more passive fit on the implant abutment for screw retention and
the more controlled the occlusal forces.

The repeated compressive and tensile forces from nonpassive castings

under occlusal loads cause vibration and loosening of the screw
components.
Factors Influencing the Fabrication of
Passive Casting Materials
Progressive bone loading
Progressive bone loading
Progressive bone loading
Progressive bone loading
Progressive bone loading
Progressive bone loading
Progressive loading
Occlusion
Esthetics
Oral hygiene/ gingival response
Cost/ chair-time
ILO’S
Technical complications
Biological complications
ILO’S
Summary Comparison between screw and cement retainer