SurgiGuide Cookbook - Dental-Depot

More documents

Recommendations

Info

CT-scan or Cone beam scan?Complete compatibility with Cone beam and CT scannersSimPlant is fully compatible with all CT scanner types as well as the CB (Cone beam)technology (iCAT, JMorita, Newtom, CB Mercuray, Hitachi, etc.) This compatibility involvesthat the images can be imported into SimPlant (Pro or Master) and that SimPlant files can bemade out of these images with the same full 3D planning possibilities. All functionalities in thesoftware can be used to determine the required information needed to perform a goodplanning. If you trust the 3D scan information, you can trust the visualization in SimPlant.Cone beam scanner and CT-scanner for reliable information on patient’s anatomyDo not trust anything else than a CT or CB scan for a good planning. It’s also the one andonly imaging modality that gives reliable 3D information and information on bone quality andquantity. The extra information you get is certainly worth the scan, especially because there isnot too much tissue taking lots of radiation in the area of interest.The radiation dose is minimalThe effective radiation dose for an average dental CT-scan is 0.3 mSv. This means 3 timesless than for a thoracic spine x-ray and 4 times less than for an abdomen x-ray (which onlyprovides 2D information). To put it another way: taking a dental CT scan incorporates thesame risk as eating a jar of mussels every week for one year. The CB technology is sendingout even less radiation. Even more, most people don’t undergo more than one dental scan ina lifetime, thus limiting the radiation dose.Characteristics of Cone beam scanMore detailed view, but higher influence of metal artifactsAlthough CB is having a lower contrast resolution than regular CT, the spatial resolution ismostly higher, which means that in principle they capture more detail of the patient’s anatomyin the images. Because of the lower contrast resolution, metal artifacts might have a higherinfluence on the quality of the images in CB than in CT.Relative interpretation of density of boneTypical for CB, quantification of the bone quality is not linked to the absolute Hounsfield value,but the relative interpretation of the density in the images gives the information needed toperform a good planning.2. 3D Scan data need to be savedWhen a scan is taken, the scan site saves the scan data on CD or Magneto-Optical Disk(MOD). Consequently this CD or MOD can be sent to Materialise or your processing center toconvert the raw data into a SimPlant file. Materialise cannot accept film prints, so make surethe scan site sends a CD or MOD. They can also send the raw scan data trough the Internet.The scan site can upload your patient data to the Materialise ftp site. (ftp.materialise.com)Using the ftp-website allows faster processing and alleviates the need for a physical mediumto store the data. Materialise will be happy to help the scan site in setting-up a fruitfulcollaboration.Scanning ProtocolAs the 3D scan gives you the information you need for agood planning, it is very important to have it done right.That’s why we created a Scan Protocol that can be used atevery scan site. You find it on page 39.18www.SimPlant.comSurgiGuide Cookbook
Step 4: Conversion ofStep 4: Conversion of the datathe dataConversion of the scan data into SimPlant 3D Images1. Converting raw data to 3D informationYour CT or Cone beam scan data need to be sent from the radiology site to Materialise or to aSimPlant Master site nearby. Materialise or the Master site will convert the CT or Cone beamscan data into a SimPlant file: a file that contains reformatted images in 2D and an insightful 3Drepresentation of your patient’s anatomy.Your Master site nearbyIf you don’t know any SimPlant Master sites in the neighbourhood, please contact your localMaterialise office. We will be happy to refer you to a Master site nearby or to do the conversionfor you.You convert your CT scan data with SimPlant ProIf you have SimPlant Pro, you can do the conversions yourself! It means you can read in datastraight from the scanner, and convert the axial images to cross-sectional images and 3Drepresentations of your patient’s anatomy. A tutorial on how to convert axial CT data can befound in SimPlant’s help files, on our website (http://www.SimPlant.com) and on the SimPlantcd.Are you interested in doing the conversion yourself? Would you like to prepare the CT data ofyour patients on your computer? Please contact your local Materialise office and ask us aboutthe SimPlant Pro software.2. SimPlant ServiceThe SimPlant Platform will offer you a full service, placing implants. Therefore we want to bethere for you if you have special requests or when things aren’t very clear.Ask your Master siteIf your SimPlant file does not contain 3D representation, please tell your Master site. They willto perform a proper segmentation of the images and to generate a 3D representation of yourpatient’s anatomy. The Master site is there to help you out when problems occur.RequestsIf you have specific requests about objects you would like to have a separate 3Drepresentation of (e.g. teeth roots), please specify the details of your request on theprocessing order form that will be sent to Materialise or the Master site.19www.SimPlant.comSurgiGuide Cookbook
Page 9 and 10: IntroductionIntroductionSurgiGuide
Page 11: OverviewStep 1: DiagnosisIt all sta
Page 15 and 16: DiagnosisStep 1: DiagnosisClear inf
Page 17 and 18: Minimal Invasive SurgeryThe exact p
Page 19: Step 3: Taking the the 3D scanNo sc
Page 24 and 25: Step 6: Ordening SurgiGuide and the
Page 26: 2. Types of SurgiGuide drill guides
Page 29 and 30: SAFE SystemThe SAFE System is used
Page 31 and 32: Step 7: DeliveryStep 7: Delivery an
Page 33: Protocols & SurgicalproceduresSurgi
Page 36 and 37: Procedure to fabricate a standard s
Page 38 and 39: 14. Measure the blended powder and
Page 40 and 41: Procedure to make a scan prosthesis
Page 42 and 43: Aligning the patient• For correct
Page 44 and 45: General scanning instructions• Se
Page 46 and 47: As another example: the remarks fie
Page 48 and 49: After choosing a SurgiGuide type, t
Page 51 and 52: Requirements of a plaster castThe s
Page 53 and 54: Scan prosthesisIf a scan prosthesis
Page 55 and 56: Intact and recent cast in plasterSe
Page 57 and 58: Surgical Procedure: Bone-supported
Page 59 and 60: 2. Positioning of the SurgiGuideCor
Page 61: 4. Subsequent drill(s)Proceed with
Page 64 and 65: Pre-operative actions1. Fit of the
Page 66 and 67: CoolingPrecautions should be taken
Page 69 and 70: Surgical Procedure: Procedure: Toot
Page 71 and 72:
Surgical Procedure1. Decision on th
Page 73:
4. Subsequent drill(s)Proceed with
Page 76 and 77:
Planning actionsTo achieve full adv
Page 78 and 79:
5. Perform all regular checks for S
Page 80 and 81:
3. Punching/TrephineIf a transmucos
Page 82 and 83:
8. Implant placementScrew the corre
Page 84 and 85:
DISLCAIMER OF LIABILITYMaterialise
Page 86 and 87:
Preparing the temporary prosthesis1
Page 88 and 89:
Implant Surgery and Providing an Im
Page 90:
Contact us:Materialise US - Clinica
show all

SurgiGuide Cookbook - Dental-Depot

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?