1 Surgery CAMLOG Compendium

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CAMLOG Concept Team Concept Team Input Increasingly higher demands for quality and specialization require a multidisciplinary team approach to combine the members' acquired knowledge and experience. Modern implant-supported restorations need a high level of attention to detail and clinical experience. This is true equally for the restorative dentist, the surgeon, the dental technician, and the dental office support staff such as the nurse, hygienist, and chair assistant. The CAMLOG team concept takes all of these demands into consideration. The sequence of treatment procedures is structured, and specific procedures are clearly assigned to specific team members once the joint planning phase is complete. Pre-implantation surgical interventions and the implantation itself are carried out by the surgeon, or a surgically qualified restorative dentist. The surgical instrumentation should be simply and thoughtfully organized. If a transgingival implantation (one-step) is to be performed, this eliminates a second intervention (implant exposure). In contrast, if a covered implantation is selected (two-step), a healing cap must be attached for soft tissue conditioning for three weeks after the exposure and before taking the impression, depending on the indications. The dentist/surgeon takes the impression using the transfer system and an impression material of choice (silicone, polyether, etc.). In addition to the impression components, only a screwdriver is required. 12 The implant-abutment selection is made after the master cast has been fabricated in the laboratory. Because of the high precision of the implant components and the rotational stability of the implant-to-abutment connection, time-consuming intermediate try-ins can be skipped. Both dentist and dental technician can concentrate on esthetics and the hygienic adaptability of the restoration because the insertion of the abutment is so simple and quick. Single-crown restorations, small bridges, bar abutments with the CAMLOG passive-fit system, and telescopic crowns can be fabricated to offer a perfect fit. The CAMLOG ® Implant System is therefore user-friendly and time-saving. The scope and value of pre-implantation diagnostics have changed. Today, preimplantation diagnostics must be oriented exclusively to prosthetic needs (backward planning). Since implant-supported treatment success is judged almost entirely in terms of esthetics and function, no prior compromises in these areas should ever be considered. The objective is to obtain a patient-oriented total rehabilitation. Sequence of Treatment Procedures • Planning Team • Pre-treatment Dentist (surgeon, if needed) dental support staff, hygienist • Implantation Dentist (surgeon, if needed) • Impression taking Dentist (surgeon, if needed) • Cast fabrication Dental technician • Plan review, abutment selection Dentist, dental technician • Prosthesis fabrication Dental technician • First bake (esthetics) try-in Dentist, dental technician • Finishing Dental technician • Prosthesis insertion Dentist • Maintenance/recall Dentist, support staff
2. Treatment Concept Introduction It is known from general physiology that both non-loading and underloading of the bone induces degradation just as much as overloading (inactivity atrophy, pressure atrophy). The area between these two extremes is called normal loading. This consists in a balance between growth and degradation. Working with bridge restorations in conventional prosthetics has led to identification of consistently high rates of bone degradation in non-loaded or underloaded abutment teeth (Misch/Frost 1990). W. Schulte recognized this in 1982 and proposed early (= immediate, if possible) implantation to offset atrophy of the periodontal structures, which commences immediately after tooth loss. The implant supports the alveolar bone and tooth-bytooth implant-supported rehabilitation prevents the bony areas from being either overloaded or subjected to inactivity atrophy (stress-shielding). References Frost HM. Bone "mass" and the "mechanostat": a proposal. Anat Rec 1987; 219:1-9 Misch CE. Contemporary implant dentistry. St Louis. Mosby Inc. 1999; Ch.22:317-318 Schulte W. Das Tübinger Implantat. Schweiz Mschr Zahnmed 1985; 95:872- 874 Leverage Relations at the Implant Loading of the implant-bone interface is a result of the leverage relation generated by osseointegration-related resistance to the prosthesis load arm (equivalent to the supracrestal implant length plus the height of the crown above the implant shoulder). If this (IL) is less than 1 (CL), then the load must be reduced (e.g., through prosthetic splinting). CAMLOG Concept Treatment Concept 13
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Page 9 and 10: I. General System Information 1. In
Page 11 and 12: 3. Implant Configuration Macroscopi
Page 13 and 14: Bioseal Bevel/Implant Shoulder Foll
Page 15 and 16: Tube-in-Tube Connection The long-te
Page 17 and 18: 4. Mechanics and Biomechanics Mecha
Page 19: II. CAMLOG Concept 1. Team Concept
Page 23 and 24: Fixed Restorations Single Crowns Si
Page 25 and 26: Implant-Supported Bridges Implant-s
Page 27 and 28: Bar supported Dentures Bars are sui
Page 29 and 30: 2. Anamnesis Introduction The medic
Page 31 and 32: Articulator Set-Up The diagnostic c
Page 33 and 34: Planning Template A planning templa
Page 35 and 36: 5. Implant Position Verification Go
Page 37 and 38: Final Prosthesis Design The surgica
Page 39: SCREW-CYLINDER-LINE Implant The SCR
Page 42 and 43: Surgery Manual CAMLOG ® Surgery Sy
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Surgery Manual SCREW-LINE Insertion
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6. ROOT-LINE Implant Introduction T
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Incision Line The sample indication
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13 mm 11 mm 9 mm 13 mm 11 mm 9 mm 1
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Paralleling Pin with Depth Marks On
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Pre-Drilling An internally irrigate
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Depth Stop During form drilling the
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Form Drilling Once pre-drilling is
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Manual thread tapping is performed
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Implant Positioning The protocol-co
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Placing the PickUp on the insertion
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Next, extract the retention screw o
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Accessories Adapter for Screw Impla
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Accessories Once the retention scre
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Surgery Manual SCREW-CYLINDER-LINE
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Surgery Manual CYLINDER-LINE Insert
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Surgery Manual Healing Cap Healing
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Transfer System Introduction 10. Tr
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Transfer System Closed Impression M
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Transfer System Open Impression Met
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Transfer System Open Impression Met
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Provisional Solution Introduction 1
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Provisional Solution Preparing the
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General Information Torque Wrench S
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General Information Torque Wrench C
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Informations Materials Titanium Gra
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➤ ➤ ISBN 978-3-13-134351-2 CAML
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