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Reversed Restorative Rehabilitation. “Implants Eruption “. UL Molars
Posted on 08.24.2017 12:21 PM
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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4 Comments
Maurice Salama says on 09.20.2017 10:32 AM
Great video and treatment. Can you better explain the sequence step by step? thanks Dr. Salama
Anton Andrews says on 10.18.2017 11:15 PM
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
https://www.facebook.com/dentology.ce/
Ziad Eskandar says on 01.30.2018 11:52 PM
Dr. Andrews, what is RRR concept?
Anton Andrews says on 02.02.2018 10:29 PM
Ziad,
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.