Techniques for the Use of CT Imaging for the Fabrication of Surgical Guides
Scott D. Ganz, DMD
Implant dentistry has evolved into one of the most predictable treatment alternatives for partially and completely edentulous patients. The initial excitement about successful osseointegration has allowed clinicians to offer an extended set of treatment alternatives that include single tooth replacement to full mouth reconstruction. Pioneering protocols of the early 1980s relied on a two-stage surgical approach that allowed for the biological aspects of osseointegration to be achieved at the cellular level, insuring long-term success. These procedures often required extended periods of time to complete. Through strategic marketing and word of mouth, demand for implant-related treatment continues to grow and has compelled clinicians to search for new and improved methods to deliver such care within a shorter time period without sacrificing accuracy. As treatment protocols have progressed, implant manufacturers have met the challenge of providing surgical and prosthetic components to maximize outcomes in function and esthetics. However, as with any surgical intervention, problems can arise. Often, difficulties related to poor surgical or prosthetic outcomes can be directly linked to the diagnostic and treatment-planning phase.
Proper treatment planning should consist of a thorough assessment of the intraoral hard and soft tissue via direct examination, periapical and panoramic radiography, mounted study models, and (when required) a diagnostic wax-up of the desired result. Most dental students who were trained during the last 25 years in the United States were not taught how to adequately diagnose or plan a dental implant case. Other available diagnostic tools for preoperative assessment can include two-dimensional cephalometric or tomographic films (analog or digital), tissue- or bone-mapping techniques to assess underlying bone geometry, and drilling into stone models to simulate intraoral implant positioning. Recently, emphasis has shifted from relatively arbitrary implant placement in good available host bone (assessed by the surgeon at time of surgery) to placing implants with consideration of the final prosthetic outcome, soft tissue management, emergence profile, and tooth morphology. The goal of implant dentistry is not the implant; it is the tooth that we replace. To facilitate accurate translation from the desired plan to the surgical reality, templates or surgical guides should be used.
Three-Dimensional Bone and Soft Tissue Requirements for Optimizing Esthetic Results in Compromised Cases with Multiple Implants
In this article, the concepts behind achieving esthetic and functional implant restorations and the necessary three-dimensional peri-implant hard and soft tissue management required to realize these goals are discussed.
Implant Placement in the Esthetic Zone: The Use of Autogenous Mandibular Block Grafting & Soft Tissue Augmentation
“Originally published in Inside Dentistry, 2008. Copyright 2008. AEGIS Communications. Reprinted with permission.”
Influence of a Nanometer-Scale Surface Enhancement on De Novo Bone Formation on Titanium Implants
In this prospective randomized controlled clinical study, small titanium implants were placed in posterior maxillae for the purpose of assessing the rate and extent of new bone development. Nine pairs of site evaluation implants were placed in posterior areas of maxillae and retrieved with trephine drills after 4 or 8 weeks of unloaded healing. The amount of bone in linear contact (%) with the implant surface was used to determine the osteoconductive potential of the implant surface. Implant surfaces…
The Triangle of Bone Part I
The triangle of bone concept.
Dr. Willliam Becker on Implant Dentistry
Dr. Bill Becker discusses minimally invasive implant therapy.
Immediate Loading in Implant Dentistry - Coherent Clinical Application in Everyday Practice
Dr. Henry Salama will outline clinical protocols to facilitate efficient, successful and predictable application of immediate loading protocols for single unit replacement as well as fully edendulous patients.
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A fixed implant supported prosthesis is the ideal treatment option for the edentulous patient and those facing the imminent loss of their remaining dentition. Through innovation, along with continuous clinical and scientific research, it has become possible to treat virtually every edentulous case with a highly functional and esthetic fixed solution.This widely applicable surgical protocol allows for a simple and immediate rehabilitation with a provisional bridge fixed on 4 implants, with minimum cantilevers, 3-4 hours after the surgery. The final prosthodontic work is of extreme importance. The MALO CLINIC Ceramic Bridge is the epitome of biomedical engineering combined with NobelProcera® CAD\CAM technology to provide patients with an extremely esthetic precision implant supported functional replication of the natural dentition.
All-On-Four Protocol - The Technique and Reality
Dr. Duello will focus on the specific clinical technique of the All On Four procedure. The webinar will introduce the indications, clinical exams, and pre-surgical preparations for All On Four.
Bridging Clinical Skills and Practice Success in Periodontics and Implant Therapy
This program is one of a series that will address the "additional" skills and systems that are required to bridge clinical skills into practice success.
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