Dentaltown September 2017 - 38

Fig. 2.
CS 8100 3D

Having an implant within
your practice that allows
you to load or progressively
load so that a patient's
demands are met allows
you to bring your practice
to a whole new level.

Products used
CBCT: CS 8100 3D from Carestream
Impressions: Silginat from
Kettenbach
Articulator: Stratos 100 from
Ivoclar Vivadent
Virtual treatment planning,
universal surgical guide: 3D
Diagnostix
Financing options: Lending Club
Implants, pilot drill, temporary
abutments, bone grafting material:
OCO Biomedical
Forceps: Physics by Golden Dent
Surgical motor, handpiece: Aseptico
Implant stability gauge: Osstell
Light cure material: Triad from
Dentsply
Bur: Komet
Bonding agent: Kerr

38

SEPTEMBER 2017 // dentaltown.com

Fig. 3. Virtual treatment plan

Fig. 4. 3DDX surgical guide

Fig. 5. OCO Biomedical guided kit

Fig. 6. Engage dental implant

using Silginat (Kettenbach). They were
then poured up and forwarded to the
dental lab. The models were mounted
on an articulator (Stratos 100, Ivoclar
Vivadent) for further analysis to meet
the patient's aesthetic and functional
needs. Additionally, a 3-D virtual
treatment plan was created with 3D
Diagnostix (Fig. 3). The patient wanted
fi xed restorations supported by dental
implants in the lower arch that would
oppose a new complete denture.
Financing options using a thirdparty payment option (Lending Club)
were discussed with the patient, which
was an important part of facilitating
acceptance of her care. This payment
option made the cost of treatment
more feasible.
OCO Biomedical's Engage dental
implants were used in this case. These
implants are known for their high
implant stability at placement, which
is a critical success factor in these
immediate load cases. The system's
patented Bull Nose Auger tip and Mini
Cortic-O Thread provide a bone level
implant with high initial stability for
selective loading options.
The Engage implant is self-tapping
for an enhanced mechanical lock in
the bone. The Bull Nose Auger tip

will not go any deeper than the initial
pilot drill preparation and lock into the
base of the osteotomy. The implants
have a proprietary surface treatment
designed to increase the implant's
surface area for ideal bone in-growth
and stability.
Once the teeth were extracted using
the Physics Forceps (Golden Dent), the
tissue was reflected to get the surgical
guide seated and fixed with its respectful
retention pins. Using this universal
surgical guide (Fig. 4) provided by 3D
Diagnostix, the sites for the implants
were initiated with a designated 1.8mm
pilot drill from the OCO Biomedical
guided surgery kit utilizing the Mont
Blanc surgical handpiece. In addition,
an Aseptico surgical motor was used at a
speed of 1200rpm with copious amounts
of sterile saline. The kit's sequential
osteotomy formers were then used to
shape the fi nal osteotomies (Fig. 5).
Once the osteotomies were complete,
an implant driver was used to place
the dental implants until increased
torque was necessary (Fig. 6). The
ratchet wrench was then connected to
the adapter and the implants torqued
to final depths reaching a torque level
of about 40-50Ncm.
Continued on p. 40
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