Dental Asia March/April 2022

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BEHIND THE SCENES Fig. 2 comprehensive library types for drill kits, sleeves and anchor pins. Here the goal is also to support as many different options as possible. The workflows specified by the implant manufacturers, from guided pilot drilling to the fully guided insertion of implants, are available for different bone densities (Fig. 2). Innovative, manufacturer-specific solutions, such as multi-guide workflows, are also included. In Guide Creator, users can select the drill protocol and the type of guided surgery even when designing the surgical guide, while taking the bone density into account. How are users guided through these complex libraries? Schüttler: The wizard workflow guides users through the selection process step by step. The software automatically suggests the drills, sleeves, drill protocols and other components to match the chosen implant, facilitating the selection process. How are the prosthetic components integrated? Schüttler: Users can select and place the matching prosthetic components directly in the exoplan software, and then send the saved situation to the laboratory. Comprehensive prosthetics libraries, including libraries from compatible third-party providers, are available in the download portal “Implant libraries for CAD” on the exocad website. To enable the software to automatically display the matching components in each case, exocad validates prosthetic components in relation to the implant interface. The result is a seamless transition from exoplan to the DentalCAD software. Users can then continue with the design of the prosthetics directly in DentalCAD. DA * exoplan 3.0 Galway is available in the EU and other selected markets ** numbers are subject to change on a daily basis ABOUT THE AUTHOR As the system integration manager at exocad, Akira Schüttler has overseen technical system integration at exocad since 2015. In this role, he focuses on the integration of hardware components from exocad’s technological partners in the areas of dental materials, prosthetic components, implants, implantological instruments, tooth models, 3D printers, scanners and milling machines. His team is the link between the technological partners, who supply the hardware, production systems and components, and other exocad departments. 60 DENTAL ASIA MARCH / APRIL 2022
IN DEPTH WITH Achieve gentle and effective treatment of periodontitis and periimplantitis with the Vector system General ailments of the parodontium and in particular therapeutic indications of periimplantitis present modern dentistry with challenging tasks. The number of patients with implant-supported dentures is on the increase. Prolonged times in situ and older patients also make for more problems, which are often not discovered until the clinical five-year mark has been passed. According to experts, almost one in two implants is at risk of periimplantitis in the long term. The Vector system from DÜRR DENTAL is an effective and very low-aerosol treatment method, making it suited for systematic periodontitis and periimplantitis treatments that are customised to meet the needs of individual patients. The primary objective of systematic periodontitis and periimplantitis treatments is to prevent infections caused by bacteria and their associated attachment loss. First-line treatment thus includes a thorough removal of subgingival and supragingival plaque. The gentle piezo-electric Vector ultrasound system has proven its worth in this context in practice. In particular, the metal surfaces of the implants must not be damaged during plaque removal. Rough surfaces could facilitate renewed accretion of plaque and lead to further periimplantitis infection. A minimally invasive procedure is essential. By redirecting vibration, the Vector Paro handpiece delivers an oscillating, vertical motion along the tooth centre line and thus does not strike the implant. Non-metal instrument attachments made of fibre composites are also gentle on the implant surface. The probe-shaped, delicate and semiflexible instrument attachments are suitable for administering thorough treatments without irritating the mucosa. The Vector Fluid Polish hydroxylapatite suspension aids effective and gentle plaque removal from all subgingival and supragingival implant surfaces. Compared to conventional treatment methods, the Vector system delivers almost painless treatment so that local anaesthetics usually need not be applied. Another diagnostic assessment after the initial non-surgical treatment period provides the basis for planning further treatment. Once the infection has subsided, a supporting periimplantitis treatment is indicated for the removal of potentially pathogenic plaques. Depending on clinical requirements, recall intervals will be harmonised with the risk profile and the individual requirements of the patient. According to many dentists, timely and needs-based application of periimplantitis treatment with the Vector system has contributed to the long-term success rate of implant-borne restorations. DA DENTAL ASIA MARCH / APRIL 2022 61
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Dental Asia March/April 2022

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