Duration: 6 minutes, 38 seconds
Author: Dr. Giacomo Fabbri
Immediate Implant Temporization on 2 Upper Implants with a Shell PickUp Technique
Introduction
In the field of dentistry, immediate implant temporization has become an important technique to provide patients with functional and aesthetic temporary restorations after implant placement. Among the various techniques available, the shell pickup technique has gained popularity due to its simplicity and effectiveness. This article aims to explore the concept of immediate implant temporization using the shell pickup technique on two upper implants.
Understanding the Shell Pickup Technique
The shell pickup technique involves the creation of a provisional prosthesis that can be easily removed and reinserted during the healing process. The prosthesis is made from an acrylic shell that fits snugly over the implants, providing stability and support.
Fabricating an Acrylic Shell
The first step in the shell pickup technique is to fabricate an acrylic shell. This can be achieved by taking an impression of the patient’s upper arch and then pouring it with dental stone to create a cast. Using this cast as a reference, an acrylic shell is fabricated using a heat-cured acrylic resin. The shell should be accurately shaped and contoured to match the patient’s natural dentition.
Attaching the Shell to the Implants
Once the acrylic shell is fabricated, it is time to attach it to the implants. This is done by applying a small amount of dental adhesive or temporary cement to the inside of the shell and then carefully seating it onto the implants. The shell should fit snugly and securely to ensure stability during function.
Adjusting the Occlusion
The final step in the shell pickup technique is to adjust the occlusion of the prosthesis. This involves carefully evaluating the patient’s bite and making any necessary adjustments to ensure proper alignment and functionality. The occlusal contacts should be evenly distributed to prevent any excessive pressure on the implants.
Advantages of the Shell Pickup Technique
The shell pickup technique offers several advantages when it comes to immediate implant temporization on two upper implants.
Easy Retrieval for Cleaning and Maintenance
One of the main advantages of the shell pickup technique is that it allows for easy retrieval of the prosthesis for cleaning and maintenance. The acrylic shell can be easily removed by the dentist during follow-up visits, ensuring proper maintenance and oral hygiene for the patient.
Stability and Comfort during the Healing Period
Another advantage of the shell pickup technique is that it provides stability and comfort for the patient during the healing period. The snug fit of the acrylic shell ensures that the prosthesis remains securely in place, allowing the patient to speak and eat with confidence.
Conclusion
Overall, the shell pickup technique is a valuable method for immediate implant temporization on two upper implants. By utilizing an acrylic shell, this technique allows for easy removal and reinsertion of the provisional prosthesis, while providing stability and comfort for the patient. If executed properly, this technique can contribute to the successful outcome of the implant treatment.
Frequently Asked Questions
1. How long can the acrylic shell stay in place?
The acrylic shell can typically stay in place for several weeks to a few months, depending on the individual case. Regular follow-up visits with the dentist are essential to assess the prosthesis and make any necessary adjustments or replacements.
2. Is the shell pickup technique applicable for lower implants?
While the shell pickup technique is commonly used for upper implants, it can also be applied to lower implants with slight modifications. The same principles of fabrication and attachment apply, but the occlusal adjustments may vary due to the anatomical differences in the arches.
3. Can the shell pickup technique be used for immediate loading of implants?
Yes, the shell pickup technique can be used for immediate loading of implants, provided that the implants have achieved sufficient stability and osseointegration. It is important to consult with the implant surgeon to determine the appropriate timing for initiating immediate loading.
4. Are there any risks involved in using the shell pickup technique?
When performed by an experienced dental professional, the shell pickup technique is generally safe and predictable. However, there is a risk of mechanical complications, such as fractures or dislodgement of the prosthesis. Regular follow-up visits and proper maintenance can help minimize these risks.
5. Can the acrylic shell be used as a long-term prosthesis?
No, the acrylic shell used in the shell pickup technique is intended as a temporary prosthesis during the healing period. Once the implants have fully integrated and healed, a permanent prosthesis, such as a fixed dental bridge or implant-supported denture, should be fabricated.
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