PDF Download - Glidewell Dental Labs

1Prosthetic guide in situ
Because the prosthetic guide is
based on a study model generated
by a diagnostic wax-up of the
planned restoration, it functions
simply as a reference tool — without
consideration of the soft or
hard tissue of the area, anatomical
landmarks or structures, adjacent
roots, or contraindications. Therefore,
it is imperative that the clinician
utilizes the prosthetic guide in
conjunction with appropriate radiography,
CBCT scans, and other
diagnostic information available.
Doing this will enable the surgeon
to optimize the placement of the
implant, as well as the functionality
and esthetics of the other components of the package, including the custom
temporary abutment and BioTemps ® provisional crown. However, because of this
limitation, it is often the case that the prosthetic guide’s proposed location and
angulation of the implant will need to be modified at the discretion of the clinician
who is placing the implant. Consequently, the experience and acumen of the
surgeon must be brought to bear on every case to determine what adjustments,
if any, are required. If changes are made to the prosthetic guide, the additional
Inclusive Tooth Replacement Solution components likely will need to be adjusted
and modified to accommodate the altered implant location or angulation.
2Lance drill through prosthetic
guide
Once the ideal dimensions have been established for implant placement, the
prosthetic guide is seated in the mouth (Fig. 1), and the lance drill is used to drill
through the pilot hole (Fig. 2). The prosthetic guide is then removed, and the
angulation and location of the lance drill verified with a PA. Once any necessary
adjustments are made to the osteotomy pilot hole, the osteotomy is completed
freehand in the usual and customary surgical manner.
The Inclusive Tooth Replacement Solution prosthetic guide can be a useful tool
for selecting the location of a planned implant, but it should not be regarded
as a standalone resource. The suggested osteotomy site of the prosthetic guide
must be viewed within the larger context of the case, taking into consideration
adjacent teeth and root dilacerations, proximity to vital anatomic structures, and
hard and soft tissue contours. When necessary, the prosthetic guide should be
adjusted to secure the ideal surgical and prosthetic outcome. IM
It is imperative that the clinician utilizes the prosthetic
guide in conjunction with appropriate radiography ...
and other diagnostic information available.
– Clinical Tip: Using the Inclusive Tooth Replacement Solution Prosthetic Guide – 29