Bränemark® Highwater Design
Bränemark® Highwater Design
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:
  www.dental.com
www.dds-online.com

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