Brånemark Novum: prosthodontic and dental laboratory procedures for fabrication of a fixed prosthesis on the day of surgery

• Published in: The International journal of prosthodontics Vol. 14; no. 4; p. 303
• Main Authors: Engstrand, P, Nannmark, U, Mårtensson, L, Galéus, I, Brånemark, P I
• Format: Journal Article
• Language: English
• Published: United States 01.07.2001
• Subjects: Dental Implantation, Endosseous - instrumentation; Dental Implantation, Endosseous - methods; Dental Implants; Dental Prosthesis Design - economics; Dental Prosthesis Design - methods; Dental Prosthesis Retention - instrumentation; Dental Prosthesis, Implant-Supported; Denture, Complete, Immediate; Denture, Complete, Lower; Episode of Care; Humans; Jaw, Edentulous - rehabilitation; Mandible - surgery; Splints; Time Factors
• ISSN: 0893-2174

The purpose of this report is to describe a new technique to fabricate and deliver an implant-supported fixed prosthesis to the patient on the day of surgery, and to propose a protocol for the prosthodontic and dental laboratory procedures. The development of the Brånemark Novum prosthodontic protocol is reviewed, and clinical and dental laboratory assessments and methods are described. The total treatment time to fabricate a permanent implant-supported fixed prosthesis in the mandible can be reduced to 1 day with the Brånemark Novum technique. The new method includes a precise surgical technique using drilling templates for predetermined implant positions, a rigid splinting of the implants immediately after placement, the use of a prefabricated titanium framework, and elimination of implant impression procedures. With the technique described in this report, it is possible to provide patients with a permanent implant-supported fixed prosthesis in the mandible on the day of implant surgery. Patient benefits are obvious, with drastically reduced total treatment time, lower cost, and fewer clinical visits.