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Fig 12: The definitive monolithic zirconia prosthesis reinforced by a Fig 13: The definitive prosthesis in situ.
metal bar. The metal bar is sunk about 1mm compared to zirconia to
avoid the creation of visible zirconia metal interfaces, which are difficult
to finish. The groove of about 1mm is filled with pink composite, which
allows any changes over time in relation to the ridge compared to a
visible metal bar.

Fig 14: The smile of the patient with the definitive prosthesis. Fig 15: Final control overview.

integrating the prosthetic structure directly with the primary portion of aBoUt tHe aUtHor
the implant template allowed for extremely precise and simplified occlusal
control. The use of one-piece implants with integrated MUAs simplified Carlo E. Poggio, DDS, MSD, PhD
the surgical phase, reduced procedure time, and minimized the risk of Mario Zangarini, MSD.
screw loosening over long-term follow-up. n
For a complete list of references, email : info@dental-practice.biz

MY TAKE longevity of the implants. Guided surgery in this article and is a great addition to
Dr. Ali Tunkiwala offers a good solution for perfect implant progressively working towards error-free
placements but the technique, as the author
implant placement. All implantologists must
in this article rightly pointed out, seems to embark on CE programs to learn and apply
Surgical procedures in be geared more towards cases in which any such treatment modalities that will help
Implant dentistry have under- there is abundant bone. These cases can enhance the quality of the work they do for
gone tremendous transfor- anyway be managed within acceptable their patients.
mations in the past decade levels by conventional techniques. For fully
thanks to the advances in biomaterials and edentulous patients the entire guided sur- Dr. Ali Tunkiwala has a Masters degree in
digital technology. The act of placing the im- gery discussion becomes more chaotic with Prosthetic Dentistry from Mumbai
plant in the correct, prosthetically relevant the myriad options available. Each with its University. He is a faculty at “Impart Edu-
position is paramount. Various tools and own steep learning curve and disadvantag- cation”, a Continuing Education initiative
stents are available for freehand placements es as rightly elaborated in this article. The to nurture and guide motivated clinicians
but they all come with minor inconveniences technique of making a stackable guide with towards predictable evidence based dental
and sometimes small errors in freehand a metal base to support the surgical guide practice. Maintains a dental practice at Khar
placement have detrimental effects on the and the prosthetic solution is well explained (West) in Mumbai since 25 years.

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