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Restoring Partially Edentulous Spaces and Maximizing Treatment Options Figure 27: The final implant-retained bridge was cemented into place. Figure 30: The final implant-retained bridge accommodates the patient’s high smile line. The patient was allowed to wear the transitional appliance up until the final bridge was placed and was minimally inconvenienced during the procedure. Conclusion Figure 28: Occlusal view of final implant-retained bridge. Success with dental implants is based on the need to achieve primary stabilization and secondary integration of the titanium fixtures, while maintaining hard and soft tissue contours, to create long-term function and esthetics. Achieving these standards is made easier by the customization and comprehensive approach of the Inclusive Tooth Replacement System, which allows for surgical predictability, terrific initial implant stability and reliable osseointegration. Simple preoperative prosthetic techniques made fabrication of the final implant-retained bridge in this case as easy as, or easier than, conventional crowns. Patients come to us looking for a better smile and improved function. As practitioners seeking to meet the needs of our patients, implant therapy has opened up a world of options. With modern dental technology, predictable restorative phases and custom components that transition cases toward patient acceptance of the final restoration, we can approach every case with confidence in achieving a successful and esthetic result. IM Figure 29: Digital periapical radiograph of fully integrated implant and the final restoration. The clinical flexibility, restorative phases and patient-specific components of the Inclusive Tooth Replacement System were key in making this treatment option a predictable success. 54 – www.inclusivemagazine.com –
Clinical Case Report Go online for in-depth content iTero ® Digital Scanning Technology and Tooth-Supported Surgical Guides by Perry E. Jones, DDS, MAGD and Zach Dalmau, R&D Project Manager echnologies such as digital intraoral scanning, CAD software and digital treatment planning are enhancing the precision of implant therapy while producing predictable restorative outcomes. Patient anatomy can be understood with remarkable detail through the digital collection of scanning data, and cases can be virtually planned using computer software. The following case exhibits the ability of these technologies to create a highly accurate tooth-supported surgical guide in a 100 percent digital environment, without the use of conventional modeling. Furthermore, the immediate placement of provisionals demonstrates the accuracy of computer-assisted implant placement because it requires the screw-retained abutments and temporary crowns to fit in all dimensions of space, including depth, in order to be delivered properly. Relining of the provisional crowns was not necessary to compensate for fit inaccuracy, further emphasizing the precision of these convergent technologies. Ultimately, this case demonstrates how digital technology can be used to capture data and design and fabricate tooth-supported surgical guides, temporary abutments, cement-retained provisional crowns and final zirconia restorations with the highest level of accuracy. Case Description A 78-year-old male patient presented with two missing maxillary right bicuspids (Fig. 1). The patient stated that he had success with past implants on the opposite side of his upper jaw and wished to have implants placed to restore the areas of missing dentition. The patient was concerned about provisionalization for his missing bicuspids. A comprehensive assessment was completed to evaluate his condition and provide treatment options. The patient’s medical history was noncontributory. He appeared to be a good candidate for implant placement and implant restoration, especially given his success on Figure 1: Occlusal view of the patient’s two missing bicuspids (#4 and #5). – iTero Digital Scanning Technology and Tooth-Supported Surgical Guides – 55
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Inclusive Restorative Driven Implan
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