Theories and Techniques of Oral Implantology (vol.2) (published 1970)   Dr. Leonard I. Linkow

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Atypical implant situations 637

Fig. 15-22. The patient before treatment closed in this position—a Class III relationship.

Fig. 15-23. Upon further observation, the incisal edges of the anterior upper and lower teeth almost met when the lower jaw was retruded.

Fig. 15-24. Posterior gold veneer crown castings and Duralay anterior acrylic transfer copings are seated.

Fig. 15-25. The intermaxillary space was posteriorly divided equally by first lengthening the maxillary castings to one-half the distance.

Fig. 15-26. The completed maxillary prosthesis included two posterior quadrants constructed of gold occlusal acrylic veneers and the anterior quadrant, which consisted of porcelain fused to metal. The posterior quadrants engaged with the anterior quadrant with gold dovetail interlocks. The interocclusal space between the new bridgework and the old lower restorations will then be closed by lengthening the lower restorations.

1 Class III relationship closed position before intervention
2 Incisal edges of anterior upper, lower teeth when lower jaw retruded
3 Upper gold crown castings, Duralay acrylic transfer copings
4 Lengthening of maxillary castings to one-half the distance
5 Maxillary prosthesis with gold acrylic veneer, porcelain fused to metal



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