CLIKSS technique for Toronto Bridge with conometric coping technique and intraoral splinting with Dynamic Navigation

Abstract

The aim of the technique is installing implants and providing fixed teeth with immediate loading thanks to digital design and the use of Navident. It foresees the use of fixtures with cone-morse prosthetic connection connected to conometric abutments of different heights with relative caps; the latter are activated by friction with the walls of the abutment which have a variable angle between 3 and 5 °. The implants are distributed along the entire arch seeking parallelism by limiting the cantilevers as much as possible (6-7 upper implants and 5-6 lower implants). The Navident helps a lot to have perfect parallelism between the implants. A silicone impression on the coupled in situ caps is taken at the end of the surgery, once the flaps have been sutured for the technician. The next day, the technician makes a DEFINITIVE Toronto Bridge prosthesis with Peek or other reinforced thermosetting resin technopolymer. The work is finished by filling the space between the cap and the prosthesis previously excavated by the technician with composite resin, closing the patient's teeth. There were 43 cases between upper jaws and lower jaws; 26 higher cases and 17 lower cases; No complications, 4 implant failures in upper jaws. CLIKSS technique provides intraoral passive fit, simple manufacturing and easy-removable prosthesis for the benefit of the patients