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Dental Technique|Articles in Press

Use of polyvinyl siloxane to maintain peri-implant submucosal contours on removal of screw-retained implant-supported restorations

  • Alexis Pawlak
    Correspondence
    Corresponding author: Dr Alexis Pawlak, Norris Dental Science Center, 925 West 34th St DEN 102, Los Angeles, CA 90089-0641
    Affiliations
    Graduate Student, Advanced Education in Prosthodontics, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, Calif
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  • Winston W. Chee
    Affiliations
    Ralph & Jean Bleak Professor of Restorative Dentistry, Advanced Education in Prosthodontics, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, Calif
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  • Cheryl J. Park
    Affiliations
    Carl Rieder Professor of Restorative Dentistry, Director, Advanced Education in Prosthodontics, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, Calif
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      Abstract

      When submucosal screw-retained implant-supported restorations are removed for a short period, the soft-tissue contours collapse, which can affect treatment expediency and patient comfort when restorations are reinserted. This technique involves the fabrication of a polyvinyl siloxane submucosal template to help mitigate the soft-tissue collapse and its potential sequelae. This method of maintaining peri-implant soft-tissue contours is achieved through a quick succession of steps: removing the screw-retained implant prosthesis, drying the soft tissue thoroughly, injecting light-bodied fast-set polyvinyl siloxane directly into the implant fixture of the internal connection implants and the screw channel for external connection implants together with the remaining submucosal areas, allowing the polyvinyl siloxane submucosal template to polymerize undisturbed, and removing it when ready to replace the prosthesis.
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