Dental Equipment Catalog - 2021/2022 - 175

CUSTOMIZED PRACTICE SOLUTIONS
If a patient comes in with a missing molar, the first
step is to talk with them about how we can potentially
restore it. The workflow includes:
* Taking an Axeos scan to understand the biology.
The Axeos 3D Imaging System has automatic
positioning, so patients no longer need to hold still
while scans are taking place. This helps eliminate
poor imagery due to unintended movement.
* Having my assistant take an optical scan with the
Primescan system. This captures the area where the
patient is edentulous.
* Automatically creating a crown proposal. At this
point we can show the patient what the crown is
going to look like, and explain different options.
* Importing the crown design into the patient's x-ray.
This will show us if they have enough bone for the
implant. If we need to perform grafting, we can
show the patient this in the 3D image so they can
better understand why it's needed.
Once the implant is designed, we move to the
manufacturing phase to see what the block looks
like, and then mill it out. This takes roughly 35 minutes,
and can be done live in front of the patient. From
there, we manufacture the CEREC Guide 3 and place
the implant.
The advantage of this system is that you can perform
fully guided osteotomy and fully guided implant
placement without using keys. Most guided surgery
systems require a long key to shrink the diameter of
the guide hole for each consecutive drill, and that can
be cumbersome. The Astra EV Guided Kit we use has
a miniature sleeve on the drill that makes this process
much easier.
There's no need to check films during surgery because
the whole process is done guided. Since everything is
planned up front, the implant can only end up in one
place. With this workflow, the entire surgery, from
anesthetic until the patient leaves the office, takes
roughly 20 minutes.
Patient example
Historically, many dentists have found that patients
who they approached about teeth straightening
were opposed to getting braces. Today, we can show
them in 3D what their final crown will look like, and
demonstrate how moving teeth out of the way
will give a proper-looking tooth.
For example, a patient with a missing primary canine
was scheduled with a surgeon to have an implant
placed at number 11. His wife convinced him to come
in to our practice and get a second opinion. To create
a crown proposal, my assistant did an optical scan
and drew a margin around where tooth number 11 was
supposed to be. She put the lower jaw into place on
the screen, and it was immediately obvious that the
patient's occlusion was in the way and there wasn't
enough room for the implant.
In that case, we were able to have a discussion with
the patient and show him how he would be much
better served having orthodontic treatment first
to move his teeth into the right space. The patient
agreed, and the result was better for it.
Conclusion
Nowadays, with the current technology available,
there's no need for mystery or surprises during
implant surgery. 3D imaging software - coupled
with the right training to make maximum use of
the software - enables dentists to have a digital
process from prosthetic planning all the way through
execution of it surgically. This benefits patients and
practitioners alike. For patients, they are more part of
the process, and they can get in and out of the dentist
office in fewer visits. Perhaps most importantly,
3D imaging technology takes the pressure off
practitioners, who now have the assurance up front
that they're placing implants precisely.
Contact Your Local Henry Schein Consultant or Specialist For More Information.
175
ORAL & MAXILLOFACIAL SURGERY

Dental Equipment Catalog - 2021/2022

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