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Obtaining a Great Bite Registration on Implants

4/15/2014

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Do you find bites to be more of a problem with implant cases than traditional crown and bridge? We sure do! This is due to a few factors. First, when taking a bite registration that utilizes the soft tissue or ridge as a stop, the inaccuracy can be quite large. This is caused by compression of the ridge during the impression procedure. This can displace the tissue by a millimeter or more. As a result, subsequent bite registrations do not fit the casts adequately.
In comparison, when taking a crown and bridge bite registration the registration and mounting is performed with bite material placed between the opposing teeth and the tooth preps. NO SOFT TISSUE CONTACT.  As a result, the problems of proper vertical are reduced. 
A  friend of mine, Dene LeBeau, has developed the Implant Bite Post (IBP). The IBP is available in a long and short version and is compatible with many of the most common implant interfaces. This small but insightful innovation has dramatically reduced the problem of obtaining proper vertical for implant supported restorations. In addition, the IBP reduces the need to fabricate base plates and bite rims that require patients to return for an additional appointment just to obtain a bite registration (that is likely not as accurate). The bite procedure can routinely be accomplished on the same visit as the final impression. As a result of all the many advantages of the IBP, CAP now has a complete inventory of Implant Bite Posts for anyone looking to solve the common problems of bite registrations on implants.
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You can see both maxillary and mandibular implants have been placed and there is no way to articulate this cases by hand.
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Shows IBP’s in place. and the patient mandible in centric occlusion


Jet Bite from Coltene has been dispensed around the bite IBPs and the material cures. Use a soft pliable polyvynlsiloxane such as Jet Bite from Coltene. Never use hard, rigid, crumble prone bite material because the undercut of the bite post will cause the bite registration to break
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Final case can be fabricated with a very predictable occlusal result
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Regular
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Long





All interfaces IBP's are available in regular and long
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© 2015 Advanced Dental Technologies
  • About Us
    • Who We Are
    • Our Team
    • Holiday Schedule
  • Products
    • Custom Abutments
    • Izir: Screw-Retained Restorations >
      • Izir Crowns
      • Izir Bridges >
        • What's Needed
        • Indications & Contraindications
        • Obtaining Centric Registration
    • Full Zirconia >
      • ADT Multi-Layered FZ
      • Ultra Translucent FZ
    • Porcelain Fused to Zirconia
    • e.max & Empress
    • Porcelain Fused to Metal
    • Cast Gold Restorations
    • Provisionals
    • Removables
    • Before & After
  • Digital Technologies
    • CAD CAM Equipment
    • IOS Digital Impressions
    • Model-Free Restorations
  • Send us a Case
  • Contact Us
  • Resources
    • Rx Form
    • Shade Appointments
    • Cement Recommendations
    • Screw Torque Requirements
    • Prep Guide
    • Manufacturers
    • Remake Policy
    • ADA Codes - 2017
  • Case Evaluation
  • Jobs