P. Engstrand et al., Branernark Novum: Prosthodontic and dental laboratory procedures for fabrication of a fixed prosthesis on the day of surgery, INT J PROST, 14(4), 2001, pp. 303-309
Purpose: The purpose of this report is to describe a new technique to fabri
cate and deliver an implant-supported fixed prosthesis to the patient on th
e day of surgery, and to propose a protocol for the prosthodontic and denta
l laboratory procedures. Materials and Methods: The development of the Bran
emark Novum prosthodontic protocol is reviewed, and clinical and dental lab
oratory assessments and methods are described. Results: The total treatment
time to fabricate a permanent implant-supported fixed prosthesis in the ma
ndible can be reduced to 1 day with the Branemark Novum technique. The new
method includes a precise surgical technique using drilling templates for p
redetermined implant positions, a rigid splinting of the implants immediate
ly after placement, the use of a prefabricated titanium framework, and elim
ination of implant impression procedures. Conclusion: With the technique de
scribed in this report, it is possible to provide patients with a permanent
implant-supported fixed prosthesis in the mandible on the day of implant s
urgery. Patient benefits are obvious, with drastically reduced total treatm
ent time, lower cost, and fewer clinical visits.