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Digital Manufacturing Process The process by which <strong>Glidewell</strong> Laboratories designs and mills its custom temporary components is much the same as that it uses to produce its Inclusive ® Custom Implant Abutments. Using this proven CAD/CAM technology, our laboratory has successfully manufactured more than 160,000 custom abutments. •Step 1: Model Scan For conventional cases, the process begins with articulated, presurgical study models, in which the proposed implant location is indexed with the aid of the prosthetic guide. A scanning abutment is then placed in the proposed implant site. The purpose of the scanning abutment is to capture the implant’s angulation, its location relative to the adjacent dentition, and the abutment connection orientation, all of which is translated to the design software when the model undergoes three-dimensional optical scanning (Fig. 1). •Step 2: Design of Custom Components Once a virtual model is created (Fig. 2), complete with a virtual analog demonstrating the proposed implant location (Fig. 3), the custom temporary abutment, custom BioTemps crown, custom healing abutment and custom impression coping are Figure 1: Model placed into optical scanner Figure 2: Scanned model with opposing Figure 3: Virtual analog placement 18 – www.inclusivemagazine.com –
designed using a proprietary add-on software module developed for the <strong>Dental</strong>Designer system from 3Shape (New Providence, N.J.). The computer software allows the digital technician to manipulate the size and shape of the component using precise measurements (Figs. 4–7). Such precision is critical in implant cases, where contacts and occlusion help to determine the functional load to be placed on the implant. To allow for discrepancies in implant placement following surgery, the BioTemps provisional is designed with extra relief space within the cement space (Fig. 8), providing an internal offset in the area between the temporary crown and custom temporary abutment. Figure 4: Custom healing abutment designed Figure 5: Custom impression coping designed Figure 6: Custom temporary abutment designed Figure 7: BioTemps crown designed Figure 8: BioTemps crown designed with internal relief space – Lab Sense: Virtual Design of Inclusive Custom Temporary Components – 19
Page 1 and 2: Inclusive Restorative Driven Implan
Page 3: Contents ALSO IN THIS ISSUE 14 Clin
Page 6 and 7: Publisher Jim Glidewell, CDT Editor
Page 8 and 9: Clinical Benefits of the Inclusive
Page 10 and 11: Inclusive Tooth Replacement Solutio
Page 12 and 13: Healing Phase As with any implant t
Page 14: Figure 21: BruxZir crown cemented i
Page 17: Case 1: Tissue Punch Figure 4: Tiss
Page 22 and 23: •Step 3: Milling of Custom Compon
Page 24 and 25: Building a Referral Network Through
Page 26: Figure 4: A custom impression copin
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Page 39 and 40: as all patient-specific temporary c
Page 42 and 43: Clinical Tip: Placing Custom Healin
Page 45 and 46: Restorative Driven Implant Solution
Page 47 and 48: the laboratory in the creation of a
Page 49 and 50: a b Figures 11a, 11b: Digital radio
Page 51 and 52: Figure 5: A surgical guide was then
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Page 55 and 56: teeth, placement of a 3.7 mm diamet
Page 57 and 58: Congratulations, Inclusive Image C

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