hello everyone my name is dr taylor manolilly and today we are going to discuss
how i like to utilize monolithic zirconia when i'm restoring my full arch implant restorations
so once they're all situated in the mouth and you have a little space between each one
you're going to then go ahead and connect them you're going to connect the segments using either
a flowable composite is probably the easiest you can also use a salt and pepper acrylic
if you wish so something to connect those segments together you want to make sure they're connected
all the way under and completely through sometimes once they're connected i'll let
it set and then i unscrew the prosthesis look underneath make sure it's a solid one piece
okay so once that's all set you're gonna then take your custom tray that the lab is giving you
so this is lab provided it fits directly over the implant verification jig that they gave you
now we've kind of told the lab what we like and don't like of our initial try in
so before we send this back we have to take a bite registration this is where a lot of
people struggle and one of the reasons i like to eliminate the posterior teeth is because a lot of
times when we're taking bite registrations on people that have either benedentialis
or partially edentulous their bites are off right so they they're not 100 familiar with where
or comfortable with where they bite so once we're happy with our occlusal scheme we can send that
back to the lab and they are going to send us back a provisional restoration this is a very important
part of the process that allows us to test drive our prosthesis before getting to that final
so it's either going to be made out of or printed out of a microfilled hybrid resin or milled out
of polymethyl methacrylate puck another thing i like to do with this phase is review home care
so i like to go through either myself or my assistant will go through
make sure you're able to floss in between each implant and under the prosthesis
if you cannot do it as the dentist there is no way your patient is going to be able to get in there
so once it's seated you're going to go ahead i like to when i do this i think of it as kind
of like a tire whenever i'm tor uh placing a new tire on how i put screw in the lug nuts
similar fashion so you go from one side to the opposite side to the furthest away again and
so on i hand tighten them all once and then i'm going to go ahead with my torque wrench and then
go through and torque them into place again these are multi-unit prosthetic screws so they're going
to be torqued down to only 15 newton centimeters this is how i like to insert this teflon tape so i
i roll it up into little tubes and then i'm able to push it in with a composite plugger once it
once they're all in the channels then i'm going to leave about three four millimeters of space
for composite and then you fill it up and you can then a check and adjust your occlusion as so
so once the prosthesis is in again i'm using those two miller forceps to check
my bite check the occlusion and then i'm going to go ahead i start with those diamond burs for
any gross adjustments and finish up with those dye lapers to ensure that nice smooth polished finish
a high polish on all of your zirconia restorations is highly recommended
because it definitely limits the wear of the opposing dentition so if it's highly polished it's
actually one of the best things for natural enamel as far as dental prostheses go so thank you for
joining me today as we discussed how to utilize monolithic zirconia hope you will take into
consideration why we're utilizing zirconia any pre-surgical considerations that we discussed as
well as now understanding the full arch protocol when utilizing this material so thank you again
for joining us and keep smiling are you enjoying this instructional video i hope so if you'd like
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