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The technique does not jeopardize the integrity of the restoration, screw, abutment, or implant.
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And I never underestimate the power of the Army Corps of Engineers, which remains in charge of the restoration, to screw up anything it touches.
Interim restorations were screwed in to guide tissue remodelling.
Theoretically, the combined use of pedicle screws and an interbody cage at the lumbosacral junction has the advantages of construct stabilization, lordosis restoration, and preventing screws breakage [ 21].
The provisional restoration was inserted, the screw holes were sealed, and the denture was adjusted on the occlusal plane.
Occlusal contact area, maximum bite force measurements, masticatory efficiency, and discriminating hardness assessments were performed on four occasions: (1) before implant surgery with the complete denture in situ, (2) 3 h after surgery, (3) 1–2 weeks, and (4) 3 months after insertion of the provisional screw-retained restoration.
The horizontal label axis was the time stage (1) before implant surgery with the complete denture in situ and (2) right after with provisional implant, (3) 1–2 weeks and (4) 3 months after insertion of the provisional screw-retained restoration, and the label to the vertical axis was contact area (mm2).
Moving the access hole to an occlusal or palatal/lingual zone would increase the indication of screw retained implant restoration.
During treatment, the patient was found to be intolerant of local anesthesia, prompting an alternative retrievable design from the screw-retained interim restoration.
Dental zirconia has excellent physical properties; however, care should be taken to prevent excessive stresses on the zirconia cylinders when a screw-retained zirconia restoration is planned as a definitive prosthesis.
Screw-retained implant restoration has also some disadvantages including the difficulty to get a right positioning of the access-hole compatible with a suitable aesthetic appearance and the aesthetic result of the access-hole restoration [16].
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com