CAD-CAM Implant workflow and treatment procedures - Dr. Zhivago.txt

Digital Dentistry I m p l a n t s PAUL ZHIVAGO DDS FACP NYU 2022 WORK FLOW OF OPEN ARCHITECTURE DIGITAL DENTISTRY DIGITIZATION ACQUISITION EQUIPMENT TAPIE AT AL. IJCD ‘15 CAD CAD SOFTWARE CAM PATIENT PRODUCTION EQUIPMENT PRODUCTION WORK FLOW OF DIGITAL DENTISTRY (IMPLANT PLANNING) CAD CAM INTRA -...

Digital Dentistry I m p l a n t s PAUL ZHIVAGO DDS FACP NYU 2022 WORK FLOW OF OPEN ARCHITECTURE DIGITAL DENTISTRY DIGITIZATION ACQUISITION EQUIPMENT TAPIE AT AL. IJCD ‘15 CAD CAD SOFTWARE CAM PATIENT PRODUCTION EQUIPMENT PRODUCTION WORK FLOW OF DIGITAL DENTISTRY (IMPLANT PLANNING) CAD CAM INTRA -ORAL SCANNER CBCT GUIDE FABRICATION PRODUCTION EQUIPMENT PATIENT SCAN STRATEGY WORK FLOW OF DIGITAL DENTISTRY DIGITIZATION ACQUISITION EQUIPMENT ACQUISITION PROCESSING POINT CLOUD VAN DER MEER WJ, AT AL, ’12 WORK FLOW OF DIGITAL DENTISTRY DIGITIZATION ACQUISITION EQUIPMENT ACQUISITION PROCESSING .STL .OBJ .PLY VAN DER MEER WJ, AT AL, ’12 WORK FLOW OF DIGITAL DENTISTRY DIGITIZATION ACQUISITION EQUIPMENT ACQUISITION PROCESSING CAD CAD SOFTWARE POST - PROCESSING DESIGN VAN DER MEER WJ, AT AL, ’12 • SCANNING - TECHNICAL • STITCHING SCANNING • SCANNING - TECHNIQUES (FIXED) • CLINICAL - SCAN PATTERN • PREPARATION STYLE • RETRACTION - MORE IMPORTANT • FIXED PREPS • SCANNING - TECHNIQUE (REMOVABLE) • SCANNING - SYMMETRY DOES NOT WORK SCANNING IMPLANTS Scan Abutments: • Angulation • Depth • Direction: M/D - B/L CBCT SCANNING… CBCT/CT INTEGRATION IN 3D SEGMENTATION B. HOHLWEG-MAJERT ET AL. J ORAL MAXILLOFAC SURG. ‘11 CBCT/CT INTEGRATION IN 3D THE NUMERICAL VALUE OF THE GRAY SHADE SCALE CAN BE USED TO CALCULATED A SOLID 3D MODEL B. HOHLWEG-MAJERT ET AL. J ORAL MAXILLOFAC SURG. ‘11 Fast - easy to use Open exports Stl., Obj., Ply. No Strings Attached Open to 3rd party resins Large platform Very reliable and fast Open exports DICOM Stl., Obj., Ply. No Strings Attached Open to 3rd party Large platform Very reliable and fast DISTANCES IMPLANTS POSITION ANGULATION DIGITAL WORKFLOW X Y Z SURGICAL GUIDE • TOOTH MORPHOLOGY • TOOTH AXIS • OCCLUSAL SCHEME • INTER-ARCH CLEARANCE • GINGIVAL CONTOURS • INTERDENTAL CONTACTS THE RELATIONSHIP BETWEEN BIOLOGIC CONCEPTS AND FABRICATION OF SURGICAL GUIDES FOR DENTAL IMPLANT PLACEMENT G. GREENSTEIN, J. CAVALLARO COMPENDIUM ‘07 DISTANCES M STANDART IMPLANT SIZE • 3.5 • 4 • 5 B L RESTORATION THICKNESS • 1.5 - 2 DESIRED BONE THICKNESS • 1.5 - 2 D RESTORATIVE SPACE INTER-ARCH 3-4mm 5-7mm 8-12mm 15mm Misch CE, Goodacre CJ, Finley JM et al. Implant Dent. ‘06 ALWAYS GUIDED. SURGICAL IMPLANT WORK FLOW FRONT TEETH RESTORATIONS IMPLANT SUPPORTED TOOTH SUPPORTED DOWNTOWNDENTAL ZIRCONIA CUSTOM ABUTMENT LITHIUM DISILICATE RESTORATION DESIGN TO REALITY CLASS 2 DIVISION 2 DESIGN MEDIT I500 INTRA ORAL SCAN · 3D PRINT SPRINTRAY PRO 95 STRAUMANN SCAN BODY · TISSUE SEPARATE SCAN · SCAN BODY SEPARATE SCAN ZBRUSH CLASS 2 DIVISION 2 DESIGN · 3D PRINT TO MOTIVATIONAL MOCKUP TISSUE CONTOURING WITH PROVISIONALS PAPILLA AND SOFT TISSUE AT THE DAY OF INSERTION PAPILLA AND SOFT TISSUE 2 WEEKS AFTER INSERTION PRECISION PROVISIONAL TECHNIQUE PRECISION PROVISIONAL TECHNIQUE PRECISION PROVISIONAL TECHNIQUE PRECISION PROVISIONAL TECHNIQUE In collaboration with Dr. Maryam Al Rasheedi SURGICAL CUTTING GUIDES Segmentation Segmented DICOM IOS RIGHT SIDE LEFT SIDE MAXILLARY CUTTING GUIDE S U R G I C A L W O R K F L O W S R A D I O P A Q U E 3 D P R I N T I N G B O O L E A N O P E R A T I O N 0% TRANSPARENT IOS SCAN 50% TRANSPARENT IOS SCAN C O N V E R S I O N P H O T O G R A M M E T R Y FACESCAN INTRAORAL SCAN PHOTOGRAMMETRY T H E W H O L E D A T A W I L L B E M E R G E D two cameras identify specific points from multiple images obtained at different angles of the same object THREE 4MM AND TWO 5MM 3i IMPLANTS WHERE USED A T T A C H E D O N M U L T I U N I T A B U T M E N T S THANK YOU!