Subperiosteal implants 553

closed (Fig. 12-52) . Linkow now prefers using Imput for the fabrication of the tray and impression.

Suturing is done in the same manner as for the completely edentulous implant patient. Sometimes an intraoral bandage is used over the sutured tissues to protect them from movements of the tongue, cheeks, and lips.

A surgical wax bite of the exposed mandible in relation to the opposing complement of teeth is also taken.

The master stone model is poured. From this model both the metallic implant and the temporary acrylic splint, if one is to be used, are fabricated (Fig. 12-53) . The temporary splint fits over both

A

B

Fig. 12-53. A, The unilateral subperiosteal implant is seen next to the stone cast showing the duplicate bone area with the lingual notches. B, The implant fitted snugly over the model.

A

B

Fig. 12-54. A, The implant just prior to its insertion over the exposed bone during the second surgical stage procedure. B, The implant should accurately fit over the exposed bone. C, Lingually, the fingers fit snugly into the previously prepared grooves.