Implant Planning integrates CAD/CAM and DVT

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StartFragmentThe combination of various technologies in the world of dentistry opens up new treatment approaches. Thanks to integrated implantology, practitioners can now optimally plan implantation and, to a large extent, avoid risk even before the actual intervention.EndFragment

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StartFragmentWith integrated implantology, dentists specializing in implantology can superimpose the 3D X-ray data from the GALILEOS system onto the restoration proposal from CEREC to harmonize surgical and prosthetic planning. The combination of both technologies offers practitioners significant advantages. They acquire a precise image of the jaw and tooth situation prior to the actual intervention, are able to ensure the presence of sufficient bone material at the required points, and can select the right implant size.EndFragment

StartFragmentUsing GALILEOS, we produced a 3D X-ray image of a 59-year-old male patient with anterior tooth trauma on teeth 21 and 11. We thereby determined that tooth 21 had to be removed due to a transverse fracture of the tooth root. Using the CEREC CAD/CAM restoration system, we created a restoration proposal and imported this into the DVT data with the GALILEOS Implant planning software. The practitioner marked corresponding points in the CAD/CAM data and in the 3D X-ray image to allow the software to superimpose both data sets precisely. During planning, it became evident that the lingual bone wall was not thick enough for an implantation, so we performed surgical socket preservation with granulate following removal of tooth 21. Tooth 11 was also restored with an acrylic filling and we splinted the entire anterior region in order to stabilize the teeth in position. We exposed the im‑ plant after three months and produced the final restoration with CEREC as follows: We adapted the restoration proposal – which we constructed virtually to the requirements of this case – and, using the CEREC MC XL milling machine, milled the restoration from multicolored layered feldspathetic ceramic. The implant crown was customized and finished with final firing and cemented onto the abutment.EndFragment

StartFragmentIntegrated implantology provides practitioners with added value: it simplifies diagnostics and increases planning certainty. Virtual planning of the entire treatment process enables users to avoid potential complications. The practitioner’s treatment proposal is also more transparent and easier for patients to understand.EndFragment

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StartFragmentAuthor: Dr. Viktor Karapetian, Cologne (Germany), PD Dr. Dr. Lutz Ritter, PD Dr. Dr. Martin Scheer, Prof. Dr. Dr. Joachim E. Zöller. The complete case study in German was published in: Karapetian V, et al., Implantatplanung integriert CAD/CAM und DVT. Oralchirurgie Journal 2/2012. EndFragment