Town & Country Simpl Implants Presentation

Presented by Joe Apap, CDT, MDT

GENERAL MANAGERDirector of Digital Technology

Digital Digital DentistryDentistry

Lecture SeriesLecture Series

Restorative Implant Dentistry:A Simplified Approach

Key ConceptsKey Concepts

• CAD/CAM abutments: Can ‘better’ actually cost less?

• How CAD/CAM abutments eliminate the need for stocking parts

• Simplified Implant Restorative Protocol

• Every doctor. Every patient. Every tooth.

Fill the Edentulous Spacewith the “Ideal” Crown

CAD/CAM

(Atlantis)

Abutment ChoicesAbutment Choices

Pre-fabricated

(stock)

Waxed andcast

(UCLA)

Waxed andmilled

(Procera)

Abutment ChoicesAbutment Choices

Superior coronal support

Proper biologic widthIdeal marginNatural emergence profile

Teeth are not round

Reference:Wheeler´s Dental Anatomy, Physiology and Occlusion, Major M. Ash, Stanley Nelson

Atlantis™ abutments are ideally designed from the final tooth shape

Stock vs. AtlantisStock vs. Atlantis™™ abutmentabutment

Courtesy of Larry R. Holt, DDS

Atlantis™ abutment or stock abutment?

AtlantisAtlantis™™ replicates natural replicates natural prepared teethprepared teeth

Optional retentive surface

Parallel path of insertionfor multiple implants

Anatomic coronal

preparation

Customized margins

Subgingival shoulder follows

contour Angle from implant axis matches

path of insertionOffset width

AtlantisAtlantis Abutment Options Abutment Options

Thin tissueGold HueGold Hue

TitaniumTitaniumBiocompatibil

ity &

Strength

ZirconiaZirconia Strength & High Esthetics

A solution for every patient.

Outstanding Function and Outstanding Function and EstheticsEsthetics

The closest thing to a natural The closest thing to a natural prepped toothprepped tooth

SimplicitySimplicity•No parts and pieces to order or No parts and pieces to order or

stockstock

•Restorative procedure is simplifiedRestorative procedure is simplified11

“ “This flexibility…may increase This flexibility…may increase patient acceptance …because patient acceptance …because minimal impressions are minimal impressions are required.”required.”221Ganz, Desai, Weiner. IJOMI 2006; 21(4):593-599

2Whitesides LM. Inside Dentistry 2006;2(7):98-99

Benefits with Atlantis™

Better Clinical ResultBetter Clinical Result

Better Clinical ResultBetter Clinical Result

CAD/CAM abutments providea better clinical result

in less timefor less moneywith less stress

Available for all majorimplant fixtures

•GPGP – Consultation appt– Consultation appt

•SurgeonSurgeon – surgery; implant – surgery; implant fixture; healing capfixture; healing cap

•GPGP – 1– 1stst Appt: Impression Appt: Impression (15 (15 min)min)

•GPGP – 2– 2ndnd Appt: Placement Appt: Placement (15 (15

min)min)

Simplified Treatment ProtocolSimplified Treatment Protocol

Remove healing capsRemove healing caps

GP-GP-FirstFirst Restorative Visit Restorative Visit(no more than 15 minutes)(no more than 15 minutes)

Place Transfer Copings; X-rayPlace Transfer Copings; X-ray

GP-GP-FirstFirst Restorative Visit Restorative Visit(no more than 15 minutes)(no more than 15 minutes)

Pick-Up Impression with Pick-Up Impression with Transfer CopingsTransfer Copings

GP-GP-FirstFirst Restorative Visit Restorative Visit(no more than 15 minutes)(no more than 15 minutes)

Replace healing caps; Take bite Replace healing caps; Take bite registrationregistration

GP-GP-FirstFirst Restorative Visit Restorative Visit(no more than 15 minutes)(no more than 15 minutes)

• A fixture-level A fixture-level impressionimpressionwith transfer with transfer coping(s)coping(s)

• A counter modelA counter model

• A bite registrationA bite registration

• (Copy of (Copy of surgeon’s letter)surgeon’s letter)

• (Shade)(Shade)

Send this to Send this to Town & Country:Town & Country:

fabricationfabricationprocessprocess

3D Viewer3D Viewer

simpl simpl DeliversDelivers

Atlantis CAD/CAM AbutmentsAtlantis CAD/CAM Abutments

simpl simpl DeliversDelivers

SIMPL Abutment Placement JigSIMPL Abutment Placement Jig

Positioning Jig for AbutmentsPositioning Jig for Abutments

Remove healing capsRemove healing caps

GP-GP-SecondSecond Restorative Visit Restorative Visit(no more than 15 minutes)(no more than 15 minutes)

Seat abutments using Seat abutments using Placement JigPlacement Jig

GP-GP-SecondSecond Restorative Visit Restorative Visit(no more than 15 minutes)(no more than 15 minutes)

Finger-tight using driverFinger-tight using driver

GP-GP-SecondSecond Restorative Visit Restorative Visit(no more than 15 minutes)(no more than 15 minutes)

Abutments seated

Confirm abutment seatingConfirm abutment seating

Abutments not completely

seated

GP-GP-SecondSecond Restorative Visit Restorative Visit(no more than 15 minutes)(no more than 15 minutes)

Torque to manufacturer’s Torque to manufacturer’s recommendationrecommendation

GP-GP-SecondSecond Restorative Visit Restorative Visit(no more than 15 minutes)(no more than 15 minutes)

Load cementLoad cement

GP-GP-SecondSecond Restorative Visit Restorative Visit(no more than 15 minutes)(no more than 15 minutes)

Cement restorationCement restoration

GP-GP-SecondSecond Restorative Visit Restorative Visit(no more than 15 minutes)(no more than 15 minutes)

simplified simplified Bridge CaseBridge Case

SIMPL Anti-rotation Placement Jig

SIMPL Verification Jig

simpl simpl full mouth casefull mouth case

We do this every day.

Exact Exact Duplicate AbutmentsDuplicate Abutments

Twice the abutmentsTwice the abutmentsHalf the timeHalf the time

GeminGeminii

With SIMPL, the With SIMPL, the onlyonly part you part youneed to supply is theneed to supply is the

impression transfer copingimpression transfer coping

What What simplsimpl requires requires

• A fixture-level A fixture-level impressionimpressionwith transfer with transfer coping(s)coping(s)

• A counter A counter modelmodel

• A bite A bite registrationregistration

What What simpl simpl deliversdelivers

• Abutment Screw Abutment Screw

• SIMPL Anti-rotation SIMPL Anti-rotation Abutment Placement JigAbutment Placement Jig

• Patient-specific Atlantis Patient-specific Atlantis CAD/CAM AbutmentCAD/CAM Abutment

• Laboratory AnalogLaboratory Analog

• Soft Tissue ModelSoft Tissue Model

• T&C technical supportT&C technical support

• Restoration, coping, temporary

Top 5 benefits of CAD/CAMTop 5 benefits of CAD/CAMAbutments for your practiceAbutments for your practice

Tap into the growing implant Tap into the growing implant

marketmarket

CAD/CAM abutments are superiorCAD/CAM abutments are superior

CAD/CAM abutments cost lessCAD/CAM abutments cost less

No need to stock implant partsNo need to stock implant parts

We’ve made restoring them We’ve made restoring them

“simple”“simple”

Town & Country Town & Country Dental StudiosDental Studios

Digital Dental Digital Dental TechnologyTechnology

Skilled Hands Working Together

With Technology

For Additional Consultation For Additional Consultation Contact:Contact:

Joseph M. Apap, CDT, MDTJoseph M. Apap, CDT, MDTGENERAL MANAGERGENERAL MANAGER

Director of Digital TechnologyDirector of Digital Technology1-800-925-8696 ext 2281-800-925-8696 ext 228

Email: japap@tncdental.comEmail: japap@tncdental.com