Guided implantology and digital prosthodontics

– Rationale of guided implant surgery. Why is guided dentistry a mandate for implant placement?

– Advantages and disadvantages of guided surgery

– The digital implantology workflow

– Oral examination: diagnosis and treatment planning for guided implant surgery

– The difference between 2D and 3D for treatment planning

– Analysis of CBCT scans

– Radiation dose of CBCT scans

– Patient position in CBCT scans

– Exporting Digital Imaging and Communications in Medicine files (DICOM) from CBCT software to 3rd party processing

– Exporting STL files from IntraOral Scanner softwares

– Head and neck anatomy for guided implantology. What are we looking for?

Recommended for: Prosthodontists, Implantologists, Dental technicians, General dentists.

– Analysis of bone density: D1, D2, D3, and D4

– Implant setting and digital insertion

– Types of guides:

- printed and lab made guides

- edentoulsy guides

- stackable guides

- pilot guides.

– Utilizing pink porcelain and how to use it for final implant aesthetic restorations.

Recommended for: Prosthodontists, Implantologists, Dental technicians, General dentists.

– Designing a simple lower posterior surgical guide with the BSP wizard:

- select and upload the DICOM files

- detect the right and left mental foramen and the lower alveolar mandibular nerve

- import STL models

- model alignment. Emerging CBCT with STL files

- scaling of the crown size

- adjusting the implant position

- drawing and fabricating the implant guide.

– Preparation for anterior Immediate implant placement guide in BSP:

- tooth erasing from the model of intraoral scan

- filling in the erased space in the model.

– Anterior Immediate Guide in BSP: Planning the Guide:

- select and upload the DICOM file

- matching the STL file with CBCT scan

- Tooth library and the tooth crown form selection

- Implant feature selection: orientation, implant system (BioHorizons), and size

- implant and crown positioning in the model

- draw the guide curve

- create and verify the surgical guide

- save the surgical guide report by BSP and evaluate the information.

– Anterior Immediate Guide in BSP: step-by-step demonstration of printing the Guide using SprintRay Pro

– Step-by-step video demonstration of designing a 3-unit implant guide in the advanced module on Blue Sky Plan

– The outer diameter of guide tube, the guide height, and the Sleeve Offset technique

– Printing the implant guide.

Recommended for: Prosthodontists, Implantologists, Dental technicians, General dentists.

– Digital implant sequence: 

- implant scan, the emergence profile, and bite

- design and mill in-house or in laboratory

- the option of printing an analog model.

– What are scan bodies and Ti bases

– The limitations of Ti bases

– Implant direct smart base (SMARTbase™)

– Digital designers and milling centers

– The popular scan body systems: 

- Elos Accurate® Scan Body

- 3Shape scan bodies.

– Abutment design in CEREC

– The screwmentable implant restoration

– Clinical case of milling a crown for an implant In-Office

– DESS® prosthetic abutments for dental implants: components

– CAD/CAM implant materials: 

- temporary materials: Telio CAD and VITA CAD-Temp®

- hybrid composite: VITA ENAMIC®

- Zirconia blocks: KATANA Zirconia

- Lithium Disilicate: Celtra® Press.

– Step-by-step demonstration of Designing screw retained crowns and implant abutments in CEREC: 

- scanning of the abutments: gingival mask, buccal bite, scan body;

- material selection and restoration type (screw retained or abutment and a crown).

– The emergence profile and the benefit of custom implants

– The screwmentable restorations

– A walk through a complete digital case. 

Recommended for: Prosthodontists, Implantologists, Dental technicians, General dentists.

– Adding a Base to a Model in Blue Sky Plan

– Dual Buccal Bites in Blue Sky Plan

– Step-by-step demonstration of designing and printing a temporary crown using Blue Sky Plan and Rayware printing software: 

- defining the margin line

- digital evluation of the path of insertion

- identifying the proximal contacts

- dental library and tooth shape selection

- adjusting the contact area by adding or reducing materials

- occlusion evaluation

- printing of the crown on Rayware using a SpringRay Pro printer.

– Step-by-step demonstration of designing a temporary crown on a Ti Base using Blue Sky Plan software: 

- uploading of STL models of the upper and lower jaw

- selection of the scan body

- teeth geometery: tooth shape selection and abutment type selection

- crown postioning and path of insertion

- crown occlusal evaluation.

– Step-by-step demonstration of designingand printing a temporary bridge using Blue Sky Plan and Rayware software:

- teeth selection for the bridge

- teeth scalling: boolean addition and subtraction

- occlusal evaluation

- path of insertion

- printing of the one unite bridge using a SpringRay Pro printer.

– 3D printed implant analog models using the Asiga Max printer: video demonstration on how to assemble an implant analog model.

Recommended for: Prosthodontists, Implantologists, Dental technicians, General dentists.

– What do you need to think about before the start of a hybrid prosthesis restoration? 

– Photogrammetry

– How to align the bite scan with the scan body scan? 

– the placement of composite fiducial markers such as "liquid dam" for intraoral scanning

– Intraoral scanners, laboratory scanners, and photogramettry

– Multiunit abutments vs implant level

– Angulation correction and tissue height

– Face scan bite

– Ziroconia Hyrbrid implant restoration in two appointments, is it possible?

– Ziroconia Hybrid implant restoration: clinical case

– Advantages and disadvanatges of various types of digital hybrids: 

- PMMA or 3D printed hybrid "temporaries"

- Solid zirconia

- metal frame

- component hybrids.

Recommended for: Prosthodontists, Implantologists, Dental technicians, General dentists.

– Clinical cases: a step-by-step treatment with a locator retained overdenture:

- Clinical cases: a step-by-step treatment with a Bar retained overdenture

- Advantages of metal bar and PMMA implant-supported hybrid prosthesis

- Repair of implant-supported hybrid prosthesis

- Duplicating and printing the hypride denture. 

Recommended for: Prosthodontists, Implantologists, Dental technicians, General dentists.

– Intraoral edentulous scans: is it possible to scan dentures directly in the mouth of a patient?

– The process of making a digital denture: printed or milled

– Step-by-step demonstration of a full arch scan patterns for edentulous

– Monolithic digital denture

– Step-by-step demonstration of designing and printing a Digital Denture in Blue Sky Plan

– Designing and operating with meshmixer

– Combining Denture Teeth into a chain for printing

– Printing the denture base in Rayware

– Combining denture teeth and denture base into a monolithic denture. Exporting a Monolithic Denture from Blue Sky Plan

– Printing the Monolithic Denture in Rayware

– Assembling two piece monolithic denture: 

- painting a monolithic denture with flowable composite

- the final product: an assembled two piece monolithic denture.

Recommended for: Prosthodontists, Implantologists, Dental technicians, General dentists.