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48 <strong>EDI</strong> Case Studies After scanning, the resultant data were transmitted to the rapid prototyping centre of Materialise, resulting in SurgiGuides with mucosal support for the flapless preparation of the implant sites to the appropriate diameters and lengths, as shown by the screenshot in Figure 25. The SurgiGuides (Figs. 26a to d) were first used in the laboratory for the fabrication of the abutments and the circular provisional denture; subsequently, they were used intraorally for the surgical procedure itself. 26a 26b 26c 26d Figs. 26a to d The SurgiGuides and the restorations fabricated prior to the actual surgical intervention. The SurgiGuides were placed on the master cast and permitted the preparation of implant sites identical to the intraoral implant beds. Based on laboratory analogues simulating the positions of the implants in the mouth, the corresponding abutments and a circular provisional denture were created in acrylic resin. Once the provisional denture had been completed, the patient was called in for the surgical appointment. At that time, eight weeks had passed since the extraction of the teeth, and the mucosal tissues exhibited excellent healing and epithelialization (Fig. 27a). The first 2-mm SurgiGuide was used to mark the tissues at the insertion sites and then served as a drilling stent for the pilot drill of the appropriate diameter, facilitating guided preparation of the implant bed (Figs. 27b to d). The preparation was successively enlarged and deepened using a sequence of three SurgiGuides and their corresponding drills until the projected depth of the implant beds was obtained (Figs. 28a to e). Fig. 25 List of the implant treatment stages as developed on-screen. 27a Fig. 27a View of the soft tissue, two months after tooth extraction. Note the excellent re-epithelialization and the pronounced keratinization of the tissues healed under the prosthetic load.
Figs. 27b to d Insertion of the SurgiGuide in the oral cavity followed by tissue markings and circular mucotomies. Figs. 28a to e Various steps of the guided surgical procedure, followed by implant insertion. 27b 27c 27d 28a 28b 28c 28d 28e <strong>EDI</strong> 49 Case Studies
Page 1 and 2: ISSN 1862-2879 Issue 1/2009 Vol. 5
Page 3 and 4: This March, the International Denta
Page 5 and 6: The Final Piece Of The Aesthetic Pu
Page 7 and 8: WHATEVER YOUR PATIENTS NEED etkon -
Page 9 and 10: Christian Berger of the fair, 24 Ma
Page 12 and 13: 12 EDI EDI News 1 2 3 4 implantolog
Page 14 and 15: 14 EDI EDI News CAD/CAM Only a few
Page 16 and 17: 16 EDI EDI News Implantology guide
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Page 34 and 35: 34 EDI EDI News 21 to 23 May in Pol
Page 36 and 37: 36 EDI EDI News Obituary Ernst-Helm
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