PDF Download - Glidewell Dental Labs

More documents

Recommendations

Info

Creating Surgical Guides Using CBCT and Intraoral Scanning Figure 9: Full-depth surgical drill placed in metal guide holes of the surgical guide Figure 10: Implant delivery tool on the handpiece Drills) to match the implant fixture shape (Fig. 9). These drills were used to precisely create the osteotomy in all dimensions of space, including depth. Both implant sites were drilled to the precise depth and shape for planned implant placement. An 8 mm long NobelReplace ® Tapered RP implant (Nobel Biocare) was placed at the site of tooth #29, and a 10 mm long NobelReplace Tapered RP implant was placed at the site of tooth #30. Using the guided implant mount, the two respective implant fixtures were carried with the implant driver (Fig. 10) and rotated to a position just short of full depth (Fig. 11). Using a manual torque wrench, the implants were rotated into place such that the shoulder of the implant holder mated with the surgical guide at a torque value of 35 Ncm (Figs. 12, 13). The guided mount and surgical guide were removed and 5 mm RP Healing Abutments (Nobel Biocare) were rotated into the NobelReplace Tapered RP implant (Figs. 14, 15). There were no complications, and in fact, the patient reported this was the easiest dental procedure performed on him to date. Figure 11: Placement of implant with the delivery tool with full depth held back approximately 1 mm Implant Restoration After four months of healing, the patient returned for restoration of the two implants. The healing abutments were removed (Fig. 16) and an Osstell ® ISQ implant stability meter with SmartPeg attachments (Osstell Inc. USA; Linthicum, Md.) was used to check the level of relative implant osseous integration (Fig. 17). A SmartPeg attachment was placed in each implant fixture and a reading of 85 was recorded for each implant. Further, a “reverse” torque test was performed using a manual torque wrench, with no movement at 35 Ncm. The implants were deemed satisfactory for restoration and functional occlusal loading. Figure 12: Manual torque wrench used for final seating of the implants to 35 Ncm 86 – www.inclusivemagazine.com –
Figure 13: Implants torqued to full-depth position with surgical guide in place Figure 16: Healing abutments removed with excellent tissue health four months post-op Figure 14: Soft tissue view immediately after implant placement Figure 17: Osstell ISQ with SmartPeg used to help gauge level of osseous integration Figure 15: Healing abutment in place. Note minimal tissue trauma. The merging of CBCT DICOM files with iTero STL files to create surgical guides provides clinicians a higher level of confidence when placing implants. – Creating Surgical Guides Using CBCT and Intraoral Scanning – 87
Page 1 and 2:
Inclusive Restorative Driven Implan
Page 3 and 4:
Contents 19 Restoring Mandibular Si
Page 6 and 7:
Publisher Jim Glidewell, CDT Editor
Page 8 and 9:
Contributors ■ Bradley C. Bockhor
Page 10 and 11:
Trends in Implant Dentistry Average
Page 13 and 14:
my first implant with Jack A. Hahn,
Page 15 and 16:
The House that Jack Built Inspired
Page 17 and 18:
Hygienist’s Corner A Probing Ques
Page 19 and 20:
Probe using only 0.15 Ncm of pressu
Page 21 and 22:
Restoring Mandibular Single Teeth w
Page 23 and 24:
Figure 4: Cross-sectional view of p
Page 25 and 26:
Figure 13: Seated provisional resto
Page 27 and 28:
Figures 26a, 26b: Acrylic abutment
Page 29 and 30:
IMPLANT POSITION IN THE ESTHETIC ZO
Page 31 and 32:
type of connection between implant,
Page 33 and 34:
SMALL DIAMETER implants Planning fr
Page 35:
Mandibular Spacing Maxillary Spacin
Page 38: used before the patient even presen
Page 42 and 43: BB: Sounds like it’s a truly inte
Page 44 and 45: Figure 6: Double-cord tissue retrac
Page 46: It’s a great time to be in dentis
Page 51 and 52: CLINICAL TIP Go online for in-depth
Page 53 and 54: 5a Figures 5a, 5b: A new bite regis
Page 55 and 56: Photo Essay: Immediate and Post-Pla
Page 57 and 58: 4a On the day of surgery, the risks
Page 59 and 60: With the implant securely hand-thre
Page 61: Case #2: Post-Placement Utilization
Page 65 and 66: 7a Once an appropriate osseointegra
Page 67 and 68: CLINICAL TIP When a Flapless Approa
Page 69 and 70: LAB SENSE Go online for in-depth co
Page 71 and 72: Digitally (CAD) Designed vs. Waxed
Page 73 and 74: mitigate the painful and disruptive
Page 77 and 78: Go online for in-depth content Trea
Page 79 and 80: BB: For the sake of our audience, c
Page 81 and 82: A lot of times, having the prosthes
Page 83 and 84: the time, and then I will prescribe
Page 85 and 86: Go online for in-depth content Crea
Page 87: Figure 3: In2Guide surgical guide c
Page 91 and 92: Figure 22: Teflon plumber’s tape
Page 93 and 94: “Rules of 10” Guidelines for Su
Page 95 and 96: Some added concern is focused on th
Page 97 and 98: The all-on-four concept generally r
show all

PDF Download - Glidewell Dental Labs

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?