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1 Surgery CAMLOG Compendium

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Final Prosthesis Design<br />

The surgical feasibility of the treatment<br />

sequence is checked with reference to<br />

the initial situation, the casts, and the<br />

x-ray findings. Depending on the clinical<br />

situation, periodontal or augmentation<br />

interventions are performed before<br />

implant surgery or at the time of the<br />

implant placement.<br />

Individualization of the Prosthetic<br />

Design<br />

The patient's wishes regarding the scope<br />

and cost of the implant-supported prosthetic<br />

restoration expressed in the<br />

patient interview are incorporated into<br />

the individual prosthesis design. The<br />

number of implants, the requirement for<br />

augmentation and possible soft-tissue<br />

corrections are determined exclusively by<br />

local conditions and the prosthetic<br />

design. This interview must be documented<br />

in detail and the patient must<br />

sign a statement of consent before<br />

implementing the treatment process.<br />

Planning the Treatment Sequence<br />

Now that the prosthetic goal has been<br />

defined, the required treatment steps are<br />

specified in a backward planning<br />

process. This process must include all<br />

details that are likely to be required,<br />

particularly in connection with augmentation.<br />

The planning template can now<br />

be converted into a drilling template.<br />

Documentation of Patient Interview and Explanation<br />

The results of the planning process are discussed with the patient. Casts, x-ray<br />

images, and the planning devices (wax-up and set-up) are helpful, here.<br />

The following criteria are considered:<br />

• Initial situation<br />

• Desires and expectations regarding esthetics, function and comfort<br />

• Effort/benefit ratio<br />

• Costs<br />

• Risk<br />

• Duration of treatment<br />

• Restrictions in comfort during treatment<br />

Planning<br />

General Information<br />

29

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