Dental Implants In The Diagnosis And Treatment Planning Of Patient Syllabus

2014-11-12

: Pdf Dental Implants In The Diagnosis And Treatment Planning Of The Dental Patient Syllabus Dental_Implants_in_the_Diagnosis_and_Treatment_Planning_of_the_Dental_Patient_Syllabus 11 2014 pdf

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Page Count: 54

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Diagnosing and treatment planning the full arch implant patient
Rick Ferguson DMD
Clinical Assistant Professor University of Florida
Diplomate ICOI
Associate Fellow AAID
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AAOMR Position Paper 2012
3 Dimensional Imaging should be used for all Dental Implant Planning
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How we use CBCT
Diagnosis
Case Presentation
Pre-surgical Assessment
Intra-surgical Assessment
Post Surgical Assessment
Computer Guided Surgery
Why Use Prexion CBCT
•To accurately assess volume of alveolus and implant site pre-surgically
•More accurate than 2D imaging
•Lower Radiation dosage compared to conventional CT
•Use of CBCT leads to a lower complication rate
•Used to assess the success of grafting and implant position
•CBCT self corrects for magnification yielding a 1:1 ratio for accurate measurements
Alamri, H. M., Sadrameli, M., Alshalhoob, M. A., & Alshehri, M. A. (2012). Applications of CBCT in
dental practice: A review of the literature. General dentistry, 60(5), 390.
Predictability
Predictability = Profitability
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Diagnosing and treatment planning the full arch implant patient
Rick Ferguson DMD
Clinical Assistant Professor University of Florida
Diplomate ICOI
Associate Fellow AAID
Full Mandibular Restoration
Full Mandibular Restoration
Does not stop bone
loss in posterior and
may accelerate it
Reserved as a last
resort for older
patients
Implant retained
tissue supported Implant supported
by tripod clips
Fixed or removable
implant borne
Prevents further bone loss
Very good long term
implant survival
Removable appliance
Higher cost
Easy maintenance
Prevents further bone loss
Fixed Appliance
More difficult maintenance
Higher cost
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Case by Dr. Arthur Acker
Case by Dr. Arthur Acker
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Case by Dr. Arthur Acker
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Case by Dr. Arthur Acker
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Case by Dr. Arthur Acker
Mandibular Bar Overdenture
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Mandibular Implant Overdenture Prosthetics
AP Spread
X
Maximum cantilever X
Depends on:
•AP spread
•Stress Factors
•Parafunction
•Age
•Sex
•Opposing Dentition
Misch, Carl E.
Dental Implant Prosthetics
Chapter 14
How “arch form” effects the AP Spread:
Tapered arch form
Largest AP Spread
Distal Cantilever
Possible
Ovoid arch form
Less AP Spread
Distal Cantilever
Possible
Square arch form Ø
A/P Spread –No
Cantilevers
Cantilevers
X-
X+
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Mandibular Fixed Restoration
Enid
80
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Enid
13
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Full Maxillary Restoration
Implant retained
tissue supported Implant supported
by tripod clips
Fixed implant borne
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Fixed Implant Borne
Misch, Carl E.
Dental Implant Prosthetics
Chapter 18
Case without CBCT
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Late Complication
Periapical Implant Pathology
4 months post
Implant Placement
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6 months post
graft
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7 Year follow up
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Joe - 58
3D visualization and treatment plan acceptance go
hand in hand
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Joe
Tx plan for Joe
•Full Arch Temporary #4-13
•Extraction and immediate placement of
implants #5,6,9,12
•4 months later Fabrication of Screw
retained temps on Implants #4,6,9,12
•Extraction and immediate Placement
of implants #4,8,13 with Delivery of
screw retained temps on implant
#4,6,9,12
•After 4 months Fabrication and
delivery of definitive Prosthesis
Advantages of phased treatment
•No removable appliance
•Keep existing VDO (if adequate)
•Less traumatic surgeries for patient at
each phase
•Ability to evaluate patient acceptance
along the way
•Greater predictability
•Familiar processes for most dentists
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All on 4
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David - 65 –The WOW factor
3D visualization and treatment plan acceptance go
hand in hand
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All on 4 C&B on anteriors plus 9 implants
$42,000 $45,000
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Fran
1 Year Post reconstruction without 3D imaging
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Tx plan for Fran
•Extraction of all maxillary
•implants and teeth with bone grafting
•Immediate full denture
•4 months later CBCT and Guided
surgery for placement of 6 implants for
a fixed hybrid
•Fabrication of fixed hybrid 4 months
later
•Why not immediate fixed hybrid -- $$
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MLV189 REV A APR 2014
Tapered 3.0, Tapered Internal & Plus
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MLV189 REV A APR 2014
VIP Treatment Planning Software
guide manufacturers with BioHorizons
drilling protocols and master cylinders
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What about immediate load full arch
restorations
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Carol
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The full arch implant restoration can be
treatment planned with 3D imaging to be
predictable for all patients and budgets
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Contact Information
Email DrFerguson@aol.com
Web WWW.IMPLANTEDUCATORS.COM
Phone 954-319-5606
Fax (954)206-2218
Facebook implanteducators
Twitter @implantedu
11/11/2014
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AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT
DENTISTRY
Siamak Abai DDS MMedSc
Prosthodontics: Implant, Reconstructive, & Aesthetic Dentistry
Private Practice
Newport Beach, CA
Director: Clinical Research & Development
Glidewell International Technology Center
Newport Beach, CA
Lecturer: UCLA School of Dentistry
Advanced Graduate Prosthodontics
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Developing a referral based
practice
Establishing a protocol for
success
Knowing your limitations
Treating patients and not
opportunities
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Implant Placement in
Context
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AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Study of Cone Beam CT
Data
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Implant Placement in
Context
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Referral for Restorations
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AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Developing Perspective in Overall
Treatment
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Post Implant Placement CBCT
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Addressing the System
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AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Aesthetic Evaluation
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Aesthetic Evaluation
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Aesthetic Evaluation
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AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Diagnostic Casts
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Diagnostic Casts
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Diagnostic Wax-Up
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AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Transfer of Diagnostic Information
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Transfer of Diagnostic Information
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Creating Harmony: Provisionals, Soft Tissue, Occlusion
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AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Midterm Evaluation
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Midterm Evaluation
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Finalizing Mandibular Arch
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AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Form Following Function
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Form Following Function
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Finalizing Mandibular Arch
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AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Finalizing Maxillary Arch
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Finalizing Maxillary Arch
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Finalizing Maxillary Arch
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AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Digital Treatment Planning
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Surgical Guide Fabrication
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Guided Implant Placement
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AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Finalization
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Finalization
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Occlusion
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AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Occlusion
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Occlusion
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Occlusion
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AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Aesthetics
AVOIDING PROSTHETIC COMPLICATIONS IN IMPLANT DENTISTRY
Radiographic Evaluation

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