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Management of Buccal Screw Access Hole Positioning for Implant Fixed Complete Dentures: A Report of Two Patients and a Proposed Decision Tree
Author(s) -
Fawaz Alzoubi
Publication year - 2021
Publication title -
case reports in dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.221
H-Index - 11
eISSN - 2090-6447
pISSN - 2090-6455
DOI - 10.1155/2021/4279764
Subject(s) - buccal administration , medicine , abutment , workflow , dentistry , implant , dentures , orthodontics , tree (set theory) , computer science , surgery , mathematics , engineering , database , mathematical analysis , civil engineering
The present report demonstrated the use of two methods to correct the positioning of buccal screw access holes in both implant- and abutment-level implant-supported fixed complete dentures in two patients. The report suggests that nonaxially tightened abutments (in this report, dynamic abutments), angled multi-unit abutments, and the use of a milled framework with individual crowns aid in masking buccal screw access holes while maintaining the benefits of a screw-retained design. A decision tree is also proposed to facilitate the workflow when faced with such clinical scenarios.

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