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Andrew Bock & Thomas Wade: Treatment planning the edentulous arch in the 3D digital planning era – engineering for success

This presentation will examine the state-of-the-art approach to utilizing a CT scan in conjunction with a 3D digital planning software. Using these techniques, clinicians are able to achieve maximum prosthetic success by reverse engineering from the occlusal plane of properly...

Radiology
Digital workflow
CAD/CAM
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Treatment guidelines

Single tooth

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Cement-retained restorations, posterior zone

Implant restorations may be cemented in the posterior zone and are sometimes are the only option due to the resulting implant placement. Understanding the relationship of the implant to adjacent structures (implant / tooth) to preserve the inter-proximal bone, to the buccal...

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Treatment guidelines

Single tooth

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Screw-retained restorations, posterior zone

The choice of whether to screw or cement retain an implant restoration remains one of debate amongst dental professionals. The literature is consistent that the success of both options are very high.  Complication...

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Treatment guidelines

Single tooth

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Placement of restoration, posterior zone

The final step of any restorative procedure is the placement of the permanent restoration. The sequence of steps to be followed is fairly universal. Depending on the the design of the final restoration (cement or screw retained) the steps may vary depending on the practitioner...

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Treatment guidelines

Single tooth

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Impression options and protocols, posterior zone

The first choice the restorative dentist must make is whether the impression will be performed at the abutment or fixture level. This depends upon a number factors, some of which are, position of the implant relative to adjacent structures (teeth or implants) depth of soft tissue,

icon-treatment_guides_article

Treatment guidelines

Single tooth

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Provisionalization procedures, posterior zone

There are a variety of times that a provisional may be placed during the treatment phase. The most classic approach is following the osseointegration phase and following the healing of the soft tissue subsequent to placing the healing abutment. The healing abutment is removed and...

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Treatment guidelines

Single tooth

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Hard tissue augmentation (posterior zone)

Loss of an upper single second bicuspid or molar may result in poor sagittal bone dimension, and also may induce an anterior/downward expansion of the sinus cavity revealing insufficient vertical bone dimension. The vertical bone height inferior to sinus...

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Treatment guidelines

Single tooth

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Implant selection and drill protocols, posterior zone

Implant placement requires an adequate quantity and quality of bone. Following tooth extraction residual alveolar ridge resorbs. The amount of horizontal bone loss is generally the greatest and occurs more frequently on the buccal side. The anatomical limitations of residual alveol

icon-treatment_guides_article

Treatment guidelines

Single tooth

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Incision and wound closure

One should have adequate knowledge of regional anatomy and treatment plan before making an incision. Atraumatic management of the soft tissues favors rapid and uncomplicated healing.
Flap design and surgical exposure should be planned before initial incision is made...

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Treatment guidelines

Single tooth

TG2_5220_thumb_Provisional-restoration.png

Cement-retained restorations, esthetic zone

Esthetic implant restorations in the anterior zone depend on precise implant placement. Understanding the relationship of the implant to adjacent structures (implant / tooth) to preserve the inter-proximal bone, to the buccal plate, and the depth at which the implant is placed...

icon-treatment_guides_article

Treatment guidelines

Single tooth

TG2_3192_thumb_angulated_screw_channel.png

Screw-retained restorations, esthetic zone

Esthetic implant restorations in the anterior zone depend on precise implant placement. Understanding the relationship of the implant to adjacent structures (implant / tooth) to preserve the inter-proximal bone, to the buccal plate, and the depth at which the implant is placed rela

icon-treatment_guides_article

Treatment guidelines

Single tooth

TG2_5220_thumb_Provisional-restoration.png

Placement of restoration, esthetic zone

The final step of any restorative procedure is the placement of the permanent restoration. The sequence of steps to be followed is fairly universal. Depending on the the design of the final restoration (cement or screw retained) the steps may vary depending on the practitioner as w

icon-treatment_guides_article

Treatment guidelines

Single tooth

TG2_4310_Thumb.png

Impression options and procedures, esthetic zone

The first choice the restorative dentist must make is whether the impression will be performed at the abutment or fixture level. This is dependent upon a number factors, including: position of the implant relative to adjacent structures (teeth or implants), depth of soft tissue...

icon-treatment_guides_article

Treatment guidelines

Single tooth

TG2_3145_thumb_Site-development,-soft-tissue-management.png

Provisionalization procedures esthetic zone

There are a variety of times that a provisional may be placed during the treatment phase. The classic approach is following the osseointegration phase and following the healing of the soft tissue subsequent to placing the healing abutment. The healing abutment is removed and the so

icon-treatment_guides_article

Treatment guidelines

Single tooth

TG2_3165_thumb_Site_Developmen t.png

Hard tissue augmentation (esthetic zone)

Loss of an upper incisor or canine may frequently reveal insufficient vertical bone dimension, and often a poor sagittal bone dimension. Extraction of the central incisor may bring about expansion of the incisive foramen, leaving insufficient residual bone...