Cervical view of
a heavy duty metal frame with embrasures
for a correct hygienical design.The
frame is especially reinforced to withstand
occlusal forces over the area of distal
extension.
Occlusial
view of a typical Highwater design.
A proven prosthesis with all the shock
absorbing factors needed for the long
term success of osseo-integration.
Highwater
Design with primary substructure
This
design will allow you a proper correction
of implant angulation in its resorbed
maxillary ridge and prevents screw holes
in aesthetic areas.
A restoration
of this type is constructed with a primary
bar that is secured to the implant,
and a secondary casting that fits over
the primary bar. The secondary casting
is retained by lingual screws.
Angulation
problem
Correction
through primary bar
One
of the lingual holes for retaining screw
on the secondary casting.
Threaded
screw hole on the bar
Primary
and secondary together
Primary
and secondary
(internal surface)
Finished case
This
design has been unpopular among the
dentists because of the difficulties
of handling custom slotted screws from
the palatal surface in the mouth.
Solution
Thanks
to Dr. Davidoff we have a solution to
this problem. Today we have standardized
screws for both primary and secondary
frames. These screws are all hexed.
They can be inserted and removed easily
in the mouth. For more information refer
to Dr. Davidoff
Dental Seminars at: