The procedure is as follows :

Technique #1:

The anterior teeth are prepared for full crown restorations and impressions are taken for the fabrication of a completed fixed bridge (1) . Extending distally from the last abutment on each side is a cantilevered pontic large enough to create a "figure eight" lock inside of it (2). If one prefers a telescoping effect, then extending from the last abutment on each side can be a smooth surface pontic with a horizontal hole that extends from the buccal surface to the lingual surface to accept a horizontal transfixation pin (3). How-ever, it has been the author's experience to use telescopic copings, without the locking mechanism. The bridge is fitted into place and checked for marginal adaptations, overall fit, contour and occlusion. Originally it was then sent back to the laboratory and direct wax ups were made inside the female figure eight locks, or a wax up was made over the cantilevered pontic, and a casting of either the male figure eight attachment or the telescopic coping with the extension arm and ramus blade (4-5) was cast. Today, however, with my prefabricated hollow tubes, the technique becomes simplified. A casting is made to fit over the cantilevered pontic and is soldered to one of the prefabricated hollow tubes (6) . The properly sized ramus implant (1-5) is then used to engage the ramus groove and anterior hollow tube component (7).

The technique is as follows :

The anterior bridge is cemented over the anterior abutments (8). The tissues covering the superior anterior surface of the ramus on one side of the arch is incised on its buccal portion, and reflected and the groove is made in the same manner as when

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