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SimPlant SimPlant Case report Dr. Ehud Teperovich Philip Segal Raanana Israel The advantages of computerized 3D dentistry Clinic for Guided Surgery [email protected] 050-7265091

The advantages of computerized 3D dentistry 2012/Dr Ehud Tep 4 locators man... · The advantages of computerized 3D dentistry ... Diagnosis - Treatment Plan ... Immediate full denture

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SimPlant SimPlant

Case report

Dr. Ehud Teperovich

Philip Segal

Raanana Israel

The advantages of computerized 3D dentistry

Clinic for Guided Surgery

[email protected]

050-7265091

SimPlant SimPlant

Patient

Sex: female

Age: 61

Medical History: Diabetes, Hypertension,

Main Dental complaint: Non stabile lower denture

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Clinical examination:

Lower denture loose. Tooth decay. Tooth mobility.

Diagnosis - Treatment Plan

Remaining teeth extractions. Placement of 4 implants in the lower jaw. Immediate full denture. Final prosthesis: Complete denture stabilized by 4 Locators. (use of bar optional) >3 months post surgery

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C.T Panoramic View

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Simplant Panoramic View

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Pre-treatment Photograph

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Pre-treatment Photograph

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Pre-treatment photograph of partial denture

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Type of SurgiGuide

Immediate Loading

Temporary Prosthesis

Final Prosthesis

Bone Supported

No Complete full immediate denture

Full Denture on 4 locators

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Planning Snapshots

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Planning Snapshots: Implants planned sub-crestal at the same axial bone level

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Planning Snapshots: Implants planned sub-crestal at the same axial bone level

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Surgical Guide

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Stereolithographic Model

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Surgical Guide

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Surgical Guide

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Surgery protocol

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Surgery workflow for Implant Label 1

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Biomet 3i Navigator Surgical kit

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Clinical photo of surgery – tooth extraction

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Clinical photo of surgery Illustrating level of accuracy of stereolithographic model

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Fixation of SurgicalGuide

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SurgiGuide stabilized with fixation screw

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Drilling sequence for implant 1

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Drilling sequence for implant 1

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Drilling sequence for implant 1

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Drilling sequence for implant 1

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Correct “timing” of internal connection of Biomet 3i Certain

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Reduction of bone following placement of all four implants

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Bone Mill

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Illustrating new axial level of bone following reduction

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Immediate full denture

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Exposure of implants and placement of healing abutments 3 month post surgery surgery

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Healing of soft tissue 21 days after healing abutments were connected

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Final impression for new full denture

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Bite registration block

Laboratory Work courtesy of Tamir Yedid CDT

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Base of bite block showing metal framework for strength

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Try-in of bite registration

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Bite registration

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Tooth Set-Up

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Tooth Set-Up

Laboratory Work courtesy of Tamir Yedid CDT

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Final try-in of tooth set-up

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Completion of denture in acrylic

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Completion of upper and lower dentures in acrylic

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4 months post surgery illustrating lip support

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Illustrating Locator Abutments

Certain®

3.17mm

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Illustrating Locator Abutments

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Locator Housings in final denture

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Lower denture occlusal view

Laboratory Work courtesy of Tamir Yedid CDT

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Pre & post - treatment images