DentaltownUK Winter 2017 - 20

show your work
case study

Fig. 4. 3DDX surgical guide

Fig. 5. OCO Biomedical guided kit

Fig. 6. Engage dental implant

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

20

WINTER 2017 // dentaltownuk.com

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 final 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.
A baseline implant stability quotient
(ISQ) reading of the implants was taken
with an Osstell IDx unit (Fig. 7). The

Osstell IDx is a fast, noninvasive and
easy-to-use system that determines
implant stability and accesses the
process of osseointegration without
jeopardizing the healing process. It
provides the necessary information to
make well-founded decisions.
With more than 870 scientific
references, we now know that high
stability is greater than 70 ISQ, between
60-69 is medium stability and less
than 60 ISQ is considered low stability.
Since the readings on each of the eight
placed dental implants were above 70
and the quality of bone after leveling
was good, temporary abutments (OCO
Biomedical) were tightened into the
dental implants (Fig. 8) and prepped
with copious amounts of water for
immediate provisionalization.
Any residual areas around the
implants or in the sockets were
grafted with a cortical mineralized and
demineralized bone-grafting material



http://www.dentaltownuk.com

Table of Contents for the Digital Edition of DentaltownUK Winter 2017

Cover
Meet the Team
Editorial with Mike Gow
Howard Speaks
Continuing Education Update
Continuing Education Update
BACD News
Show Your Work
Message Boards-Implants
The Icing on the cake
Conteporary Endodontics
BACD Meetings
Message Boards-Advice on Broken #29
Shifting Tides
Time Out
Through the Keyhole
Mouth Guards
Lifestyle
Students
Work/Life Balance
Wish List
DentaltownUK Winter 2017 - Cover
DentaltownUK Winter 2017 - Cover2
DentaltownUK Winter 2017 - 3
DentaltownUK Winter 2017 - 4
DentaltownUK Winter 2017 - Meet the Team
DentaltownUK Winter 2017 - Editorial with Mike Gow
DentaltownUK Winter 2017 - 7
DentaltownUK Winter 2017 - Howard Speaks
DentaltownUK Winter 2017 - 9
DentaltownUK Winter 2017 - Continuing Education Update
DentaltownUK Winter 2017 - 11
DentaltownUK Winter 2017 - Continuing Education Update
DentaltownUK Winter 2017 - 13
DentaltownUK Winter 2017 - 14
DentaltownUK Winter 2017 - BACD News
DentaltownUK Winter 2017 - 16
DentaltownUK Winter 2017 - 17
DentaltownUK Winter 2017 - Show Your Work
DentaltownUK Winter 2017 - 19
DentaltownUK Winter 2017 - 20
DentaltownUK Winter 2017 - 21
DentaltownUK Winter 2017 - Message Boards-Implants
DentaltownUK Winter 2017 - 23
DentaltownUK Winter 2017 - 24
DentaltownUK Winter 2017 - 25
DentaltownUK Winter 2017 - 26
DentaltownUK Winter 2017 - 27
DentaltownUK Winter 2017 - 28
DentaltownUK Winter 2017 - 29
DentaltownUK Winter 2017 - The Icing on the cake
DentaltownUK Winter 2017 - 31
DentaltownUK Winter 2017 - Conteporary Endodontics
DentaltownUK Winter 2017 - 33
DentaltownUK Winter 2017 - 34
DentaltownUK Winter 2017 - 35
DentaltownUK Winter 2017 - 36
DentaltownUK Winter 2017 - BACD Meetings
DentaltownUK Winter 2017 - 38
DentaltownUK Winter 2017 - 39
DentaltownUK Winter 2017 - Message Boards-Advice on Broken #29
DentaltownUK Winter 2017 - 41
DentaltownUK Winter 2017 - 42
DentaltownUK Winter 2017 - Shifting Tides
DentaltownUK Winter 2017 - 44
DentaltownUK Winter 2017 - 45
DentaltownUK Winter 2017 - Time Out
DentaltownUK Winter 2017 - 47
DentaltownUK Winter 2017 - Through the Keyhole
DentaltownUK Winter 2017 - 49
DentaltownUK Winter 2017 - Mouth Guards
DentaltownUK Winter 2017 - 51
DentaltownUK Winter 2017 - Lifestyle
DentaltownUK Winter 2017 - 53
DentaltownUK Winter 2017 - 54
DentaltownUK Winter 2017 - 55
DentaltownUK Winter 2017 - 56
DentaltownUK Winter 2017 - 57
DentaltownUK Winter 2017 - Students
DentaltownUK Winter 2017 - 59
DentaltownUK Winter 2017 - 60
DentaltownUK Winter 2017 - Work/Life Balance
DentaltownUK Winter 2017 - 62
DentaltownUK Winter 2017 - 63
DentaltownUK Winter 2017 - Wish List
DentaltownUK Winter 2017 - Cover3
DentaltownUK Winter 2017 - Cover4
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