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Implant bridge planning
Hi,
I am planning an implant bridge case, planning to place 2 implants, #18 area and #20 area. Creating a guide for this and was wondering if there is a rule about the ideal distance/space to leave for a future pontic on #19 area. Thank you!
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8 Replies
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Hi Safanah, thanks for your post. Do you have any x rays or pictures to share?
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Sure! Here is a picture of where I am so far
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So a molar is about 8 mm mesial distal. I would use opposing dentition to help determine tooth size. If you wanna go old school you can capture models and wax up some teeth. ????
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Thanks for your help!
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Hello Safanah! I typically don’t stick to one general number they can range from 7 to 9 mm or even greater but much of it depends on the patients occlusion and their existing dentition. Yes, you could go old-school like some mentioned and do a model and wax up or you can just do that digitally very similar to what you did and get it pretty good idea on the spacing that’s needed and giving your specific patient. One thing I would mention is the implants that you digitally placed I would make sure that they are slightly more sub Crestal as commonly, they are not sufficient deep and if you leave them at the bone level or slightly above, they can be more prone to bone loss and not adequate tissue thickness. hope this helps.
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Thank you for your help! I’ll make the advised adjustments 🙂
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I’m with @suredds, Old school wax ups are the best!
You can do a new school wax up just using blue sky bio. You can add a tooth within that software that somewhat matches the patient’s existing dentition. Do you know how to add teeth in the software?
8-9mm MD length sounds reasonable. It doesn’t have to be an exact textbook size, but it should fit harmoniously with the surrounding teeth.
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I use Galileos and a Cerec scan to kinda do a digital wax up then send for a guide.
Good to know there’s no specific exact distance required as long as it is within reasonable distance to fit the pt’s occlusion.
I appreciate all the responses this has been very helpful!
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