A Customized Impression Technique for Highly Placed Mal-Aligned Implant for a Hybrid Over Denture Patient: A Case Report

Abstract

A hybrid implant denture is a fixed prosthesis over a metal framework and engaged by screws into the implant abutments. The anterior and posterior part of a mandibular hybrid denture is rigid on implants. Implant supported hybrid prosthesis provide satisfactory results on the mastication, esthetics and phonetics. This article describes a customized impression technique for highly mal aligned placed implants for hybrid implant denture. The total of five implants was present in the mandibular arch. Author advocates surveying of mal aligned implant analogue cast. The current technique depicts a customized resin impression tray with open border at two sites that concomitant at highly mal aligned implant position (canine region). Technique also uses the hard elastic chain for splinting of impression analogue. Final impression is recorded with single putty wash technique with polyvinyl siloxane elastomeric material. Although, technique is quite clinical sensitive. Asserting over this technique, it eliminates the use of transmucosal or multi unit abutments. This advocated technique is also economical for both clinician and patient. Impression was quite satisfactory.