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Clinical


Fig 10 Prosthesis and lip repositioning


Fig 11 Completed smile


Fig 12 A very happy patient


the teeth and an idea of degree of soft tissue support required.


6. A hybrid acrylic-composite prosthesis was then placed and checked intraorally for aesthetics, lip support and bite. I had decided to provide a balanced articula- tion type of occlusal scheme.


7. Final fixation of the pros- thesis and detailed written and oral instruction given to the patient. One must consider cleanable spaces and your lab must under- stand this and allow for the


patient to be able to clean the spaces underneath the area around the implant heads. We provide a Waterpik and review the hygiene habits at three, six and ı2 months post placement.


8. The screw holes then filled with cotton wool followed by flowable composite.


9. Post operative follow ups at three, six and ı2 months with regular dental checks on lower dentition and follow- up X-rays yearly to determine bone levels after baseline OPG taken.


ABOUT THE AUTHOR


Dr Avik Jonathan Dandapat qualified from Birmingham University and went on to complete his MFGDP(UK), the Diploma and Advanced certificate in dental Implantology from The Royal College of Surgeons of England in 2006 in Cohort 3 of the course. Avik has been an ADI mentor for the past eight years and a mentor for both DIO Implant and Ankylos. Avik actively lectures at the FGDP(UK), internationally for DIO Implants, ADI members forum, Ankylos Implant members forum and is active ADI study club lecturer in dental implantology.


At present, Avik runs two practices in Reading, Berk- shire and 121 Harley Street, London. His focus is solely on implant and reconstructive dentistry. Currently, Avik is studying toward his MSc in Implant dentistry from Manchester University.


Avik would like to thank his Lab – Medimatch UK (www.medimatch.co.uk) and the dental implant manufacturer – DIO Implants (www.diouk.com).


Ireland’s Dental magazine 27


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