D I G I TA L I M P L A N T O L O G Y Simplification of implantology Using BioHorizons implants, BioHorizons digital library, 3 Shape Implant Studio There are two types of dental implant treatment workflows: the traditional analogue treatment modality and the digital implant workflow. Full and proper treatment planning protocols are the foundation of any fixed restorations of the arch supported by dental implants. The generally include the following protocols: 1. Articulated study models from diagnostic impressions. 2. Diagnostic wax-ups, intraoral wax-ups or diagnostic appliance fabricated to evaluate aesthetics and phonetics. 3. Radiographs including periapicals and CBCT scans must be taken to evaluate osseous support for dental implants. 4. Fabrication of a radiographic and surgical guide Analogue systems have traditionally relied on conventional impression techniques utilised to create a plaster model from which all subsequent procedures from the diagnostic wax-up to the prosthesis is manually fabricated by the ceramist. The utilisation of a full digital workflow eliminates the disadvantages and difficulties commonly associated with conventional analogue techniques. Some of these common limitations 20 include: treatment planning and surgical workflows in short has the following benefits: 1. The discomfort commonly associated with the impression procedure. 2. The potential for distortion of predictable workflow in implant treatment planning and guided surgery. 3. Provides better angulation and accuracy of placement of single and multiple implants. 4. The prosthetic design process is much simpler and easier. 3. Potential of damage to the dental cast. 4. Delay due to logistics of sending lab work between the dental practice and the laboratory. These disadvantages of the analogue system do not occur in the full digital workflow where the impression is taken with an oral scanner and the design of the prosthesis is done on CAD software. The data from the digital impression is also simply sent over the Internet, significantly reducing the time needed to manufacture the wax-ups and prosthesis. One of the main advantages of the full digital workflow is the ability and the simplicity in accurately diagnosing and virtually planning the implant position using the digital scan and CBCT data. This in turn, allows the fabrication of an accurate surgical implant guide that allows the surgical protocol in the placement of the implant fixtures to be accomplished in a simplified and predictable manner. Full digital workflows in implant 2 0 1 7 visits for the procedure. 2. Provides for a simplified and the impression material and inaccuracies of subsequent steps in the manufacturing process. O C T O B E R - D E C E M B E R 1. Reduced the number of patient The following case report presents a fully digital workflow from the treatment planning to the guided surgery phase in the provision of an immediate implant retained fixed provisional bridge. There are many advantages of a fixed provisional over a removable provisional that includes; * stability of the prosthesis and * * * * associated implants aesthetics less interference of speech patterns better mastication and comfort for the patient most importantly minimise soft tissue complications associated around the peri-implant site Patient feedback about the provisional will also be an important step in helping guide the final prosthesis towards an ideal aesthetic and functional outcome. w w w.he nry sc he i n.c om.auhttp://www.henryschein.com.au