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A simplified approach to to implant restorations utilizing patient specific CAD CAM abutments
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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: [email protected]: [email protected]