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12 weeks after a sandwich osteotomy in the posterior mandible: implant insertion
Bormann, Kai-Hendrik -
Implant-supported removable restorations in the edentulous jaw
Wolfart, Stefan / Weber, VolkerContents: - Patient presentation, impression, comprehensive jaw relation records - Wax-up, Fabrication of the provisional restoration - Fabrication of a DVT based planning and drilling template - Surgical procedures for inserting four implants in the mandible - Suturing and relining of the existing denture as a provisional restoration - After 12 weeks: Reentry and insertion of healing abutments - Harvesting a free gingiva graft to extend the attached gingiva - Verifying implant stability using Periotest - Reworking the existing denture to fit on the healing abutments - Impressioning with custom tray (pick-up technique) - Demonstrating the line finder to transfer face axis - Fabricating the three restorations with Locator® attachments, electroplated double crown, precision-milled bar - The matrix and retention parts of the Locator® system, transferring the Locator® abutments to the implants - Fabricating the electroplated copings, intraoral adhesively connecting the electroplated copings to the cast framework (passive fit), finishing and delivery - Removable restoration on a custom-milled bar, clinical and laboratory workflow, delivery - Maintaining implant-supported restorations -
Innovative CAD/CAM treatment approaches for implant-supported fixed restorations
Beuer, Florian / Stimmelmayr, Michael / Schweiger, JosefContents: - Patient presentation - Preparing the implant bed, implant placement, checking implant positions - Securing the insertion posts to the index for fabrication of the cast - Suturing details - Delivery of the adapted long-term provisional - Fabricating the cast and the gingival mask, transferring the pontic emergence profiles to the gingival mask, mask adaptation - The master cast under the strip scanner with scan bodies on the laboratory analogs - CAD crown design and virtual anatomic shaping - CAM fabrication of a zirconia abutment - Adhesively connecting the zirconia abutment to the titanium base - Reentry, split-thickness flap, vestibuloplasty, connecting the zirconia abutments to the implants - Mucosal graft to restore a soft-tissue defect - Intraoral impression of the abutments - Fabricating the definitive lithium disilicate crowns: virtual crown design; CAM milling, characterization of the crowns - Delivery, final adjustments, presentation of the treatment outcome -
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Rational implantation (individual implant in 20 min.)
Bücking, Wolfram -
Innovative CAD/CAM treatment approaches for implant-supported fixed restorations
Beuer, Florian / Stimmelmayr, Michael / Schweiger, JosefOutline: - Patient presentation - Preparing the implant bed, implant placement, checking implant positions - Securing the insertion posts to the index for fabrication of the cast - Suturing details - Delivery of the adapted long-term provisional - Fabricating the cast and the gingival mask, transferring the pontic emergence profiles to the gingival mask, mask adaptation - The master cast under the strip scanner with scan bodies on the laboratory analogs - CAD crown design and virtual anatomic shaping - CAM fabrication of a zirconia abutment - Adhesively connecting the zirconia abutment to the titanium base - Reentry, split-thickness flap, vestibuloplasty, connecting the zirconia abutments to the implants - Mucosal graft to restore a soft-tissue defect - Intraoral impression of the abutments - Fabricating the definitive lithium disilicate crowns: virtual crown design; CAM milling, characterization of the crowns - Delivery, final adjustments, presentation of the treatment outcome -
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Microsurgical lateral sinus floor elevation (LSFE)
Nölken, RobertOutline: - Incision - Flap mobilization - Lateral sinus fenestration - Elevation of the Schneiderian membrane - Implant bed preparation - Bone chip harvesting at the mandibular angle - Filling of sinus lift lumen with autologous bone chips - Implant insertion - Covering the lateral sinus cavity with collagen membrane - Wound closure List of materials - Zeiss Pro Dent microscope with beam splitter and Panasonic 3 CCD camera - Scalpel holder (Ustomed) with Swann-Morton blades 15C and 12D - Narrow rasp (Hu-Friedy) - Micro-vacuum (Luer Lock Suction Tip, American Dental Systems) - Disposable vacuum tube set (Bexamed) - Disposable draping, Lindau (Aescologic) - Piezosurgery with diamond ball (Mectron) - Microforceps (Hu-Friedy) - Excavator (Martin) - Periodontometer, 1-mm gradation (Hu-Friedy) - OsseoSpeed implant set, Dentsply Implants: Marking drill; Twist drill, 2 mm; Depth gauge; Pilot drill, 2/3.2 mm; Twist drill, 3.2 mm; Tapered drill, 3.2/5 mm; OsseoSpeed TX implant, 5.0 × 11 mm; Closure screw, 4.5/5 mm - Columbia curette (Ustomed) - Micross scraper (Meta) - Needle holder (Ustomed) - Langenbeck wound retractor (Ustomed) - Kelly scissors (Ustomed) - Buchanan endodontic hand plugger (American Dental Systems) - Resorbable collagen membrane (Resodont, Resorba) - Ethilon 5-0 FS-3 (Ethicon) - Prolene 6-0 DA-2 (Ethicon)