Membership Matters - November 2017 - 22

Figure 4. Preoperative fabrication of provisional for immediate
provisional and final restoration: 4A/B. Surgical guide utilized to
attach laboratory implant analog in virtually planned implant position.
4C. Provisional abutment attached to laboratory implant analog.
4D/E. Provisional restoration fabricated. 4F. Provisional restoration placed
at time of implant surgery (surgical case Figure 3). 4G/H. Final abutment.
4I/J. Final restoration (Dr. Frank Marchese, Lilse, IL).
Figures 4B, 4C, 4E, 4F, 4G, and 4I previously published in Clin Adv
Periodontics 2012; 2:263-273 and reproduced with permission from the
American Academy of Periodontology.

22 881049_Willamette.indd
Membership Matters
1

for a single-tooth implant fixture and restoration.
This assumes that one would not have a fee for
CBCT or conventional surgical guide if the implant
were placed without a computer-generated
guide. In many cases today, CBCT imaging is
appropriate; and a surgical guide, conventional
or computer-generated, is usually required.
Therefore, the additional cost is minimal in a typical
private practice.
While computer-guided implant dentistry can
result in improved and more-predictable outcomes,
as with all dental procedures, it requires the dentist
to follow proper clinical protocol. If inaccurate
information is incorporated into the surgical plan,
the error will be transferred to the surgical guide
that will precisely transfer that error to the surgery.1
This technology can also be inappropriately
employed. There are companies that market
surgical planning services for implant placement.
In some cases, these service providers suggest
the dentist need not have extensive training in
dental implant treatment planning or surgery. A
CBCT of the patient is shared with the company,
and its technicians complete surgical planning.4 A
computer-generated guide is then delivered for the
dentist to use in a flapless implant surgery. Flapless

Oregon Dental
Association
10/08/17 4:26 am


http://www.willamettedentalgroup.com

Table of Contents for the Digital Edition of Membership Matters - November 2017

Guest Editorial
New Members, Dental Community, Board of Trustees
Events and Education
Molar Movement
Insider Results
ODA Member Benefit of the Month
Compliance Corner
Dopac and the 2018 Election Season
Through the Loupes
Collaborative Care and Guided Implant Surgery
Antimicrobial Treatment for Advanced Periodontal Disease
Society Updates
Dental Foundation of Oregon
Index of Advertisers
Membership Matters - November 2017 - Intro
Membership Matters - November 2017 - cover1
Membership Matters - November 2017 - cover2
Membership Matters - November 2017 - 3
Membership Matters - November 2017 - Guest Editorial
Membership Matters - November 2017 - 5
Membership Matters - November 2017 - New Members, Dental Community, Board of Trustees
Membership Matters - November 2017 - 7
Membership Matters - November 2017 - 8
Membership Matters - November 2017 - Events and Education
Membership Matters - November 2017 - 10
Membership Matters - November 2017 - Molar Movement
Membership Matters - November 2017 - 12
Membership Matters - November 2017 - Insider Results
Membership Matters - November 2017 - 14
Membership Matters - November 2017 - ODA Member Benefit of the Month
Membership Matters - November 2017 - Compliance Corner
Membership Matters - November 2017 - Dopac and the 2018 Election Season
Membership Matters - November 2017 - Through the Loupes
Membership Matters - November 2017 - 19
Membership Matters - November 2017 - Collaborative Care and Guided Implant Surgery
Membership Matters - November 2017 - 21
Membership Matters - November 2017 - 22
Membership Matters - November 2017 - 23
Membership Matters - November 2017 - Antimicrobial Treatment for Advanced Periodontal Disease
Membership Matters - November 2017 - 25
Membership Matters - November 2017 - 26
Membership Matters - November 2017 - 27
Membership Matters - November 2017 - Society Updates
Membership Matters - November 2017 - 29
Membership Matters - November 2017 - 30
Membership Matters - November 2017 - 31
Membership Matters - November 2017 - Dental Foundation of Oregon
Membership Matters - November 2017 - 33
Membership Matters - November 2017 - Index of Advertisers
Membership Matters - November 2017 - cover3
Membership Matters - November 2017 - cover4
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