Reversed Restorative Rehabilitation. “Implants Eruption “. UL Molars

123 Rating(s).

Posted on By Anton Andrews In Implants

Reversed Restorative Rehabilitation is the universal CAD/CAM workflow. Gingiva adapts around final restorations. It mimics natural tooth eruption process. #ModelLess, precise and predictable.
BSB max 7X6 implants with conical Nobel active NP platform.


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Great video and treatment. Can you better explain the sequence step by step? thanks Dr. Salama


Thank you Maurice for compliments.
The sequence was the following:
CBCT with guided placement planning

#14 extraction, crestal SL with HPISE and Densah.
placement of 2 7X6 BSB MAX implants

Then uncovery with healing abutments , 2 weeks later - scan with TRIOS
CAD/CAM with Reversed Restorative Rehabilitation

Delivery of 2 screw-retained FCZ crowns

Since 2008 when I came up with RRR concept, hundreds of cases had been done.

RRR is not about "searching for"Z", it is, rather, about following the "original design"

More info could be found here

immediately before delivery of the final restorations


Dr. Andrews, what is RRR concept?


Reversed Restorative Rehabilitation Is a biomimetic, hybrid (surgical and prosthodontics) technique.
RRR is based on the natural tooth eruption process.
With RRR an “implant eruption “ occurs with soft tissues taking shape around a final restoration.
Thus the Restorative workflow direction is Reversed compared to the “classic “ path, when gingiva is formed by a healing abutment or a customized temporary and then a final restoration inherits the same emergence profile.
Utilization of RRR also allows to deliver a final restoration during an implant uncovery visit. I called it the 2-visit Tooth Replacement Protocol. From a tooth extraction to the final restoration - in two appointments .
Other advantages and possible uses are :
-enhancement of soft tissues with “displaced volume” which allow to avoid FGG or CTG in many cases.
-Intrusion via Hyperocclusion of supererupted antagonists

“Reversing” pathology back to the “original” state and “Rehabilitating” a given clinical condition to the norm.


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