Digital Implant Dentistry: Predictable Implant Esthetics from Analog to Digital
Part One: Friday, May 5, 2017
8:00 am - 11:00 am
Part Two: Friday, May 5, 2017
2:00 pm - 5:00 pm
Speaker: Keith Progebin, DDS and Robert Emery, DDS
With the advent of new user-friendly software, and predictability in CAD/CAM technology, the evolution of Digital Implant Dentistry is limitless. The traditional workflow involves using diagnostic casts, a laboratory diagnostic wax-up, and fabrication of a radiographic imaging stent. The radiographic stent is placed intra-orally, and a CBCT scan is taken to allow for virtual treatment planning simulations with a dicom file. Once the planning by the team of involved specialists is approved, a computer generated surgical template is fabricated. With improvements in office scanners, an accurate surface optical impression (STL file) is generated and merged with a CBCT scan (Dicom file) to allow for more digitally based implant planning. Multiple fabrication pathways are available for surgical implant placement.
These pathways can be accessed with static (CAD/CAM generated) or dynamic (real time) guidance of implant placement. Surgical, restorative, and laboratory goals can be planned in real time with guided implant placement – accounting for the bone, tissue, and final restoration. An immediate provisional restoration, or customized CAD/CAM healing component can then be 3-D printed or milled.
Through the combined use of optical image capture technologies, CT scanning, integration of various digital inputs (static and dynamic), guided implant planning software, and 3D printing and milling the clinician has more control in planning, implant placement, and restorative manufacturing for greater predictability, and long term successful outcomes.
- Dentistry in the third dimension - Greater accuracy with CBCT technology versus traditional two dimensional dentistry will be demonstrated
- The use of computer software that allows a team of clinicians to collaborate through screen sharing to plan comprehensive "restoratively driven" implant reconstructions will be shown
- Learn how to plan for accurate implant placement through static and dynamic guided implant surgery using "intra-oral optimal impressing" or optimal scanning of stone casts (STL files), and merging this data set with Dicom files from CBCT
- Explanation of how digital implant dentistry offers consistent quality from diagnosis and design to delivery - offering optimal health, function, and esthetics
- Clinical cases will illustrate a stepwise approach, utilizing both digital and analog technology