SurgiGuide Cookbook - Dental-Depot

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Implant Surgery and Providing an Immediate SmileUse the SurgiGuide to perform the implant surgery on the patient. SurgiGuide equipped withthe SAFE System will offer the highest level of accuracy. The SAFE System will ensure lesssurgical deviation to overcome than implants that are placed manually, without implantguidance.Figure 4: Perform the surgery using SurgiGuide, preferably using SAFE System (1)If a bridge with oversized holes is chosen as solution, screw the abutments on the implants,and test the fit of the prepared bridge over the abutments. If the implants are not completelyparallel, it is an option to place the bridge with oversized holes before screwing the abutmentson the implants.Take into account the occlusion and aesthetics of your patient’s mouth to find the correctposition of the prepared bridge. If the surgical deviations are bigger than expected, it is stillpossible to oversize some of the holes even more to find the correct position. Once a goodposition is found, use auto-polymerising resin to fix the prepared bridge to the abutment.A few considerations need to be taken into account here. First of all, the best type ofabutment is a cylindrical tube that can be screwed on the implant. To prevent the acrylic resinfrom filling the inside of the cylinder, use wax or any other removable material on the cylinder.As such, the temporary bridge may be unscrewed at any time. Heat will be created whileperforming the auto-polymerization, so a buffer in between the patient’s soft tissue and theholes in the bridge is recommended. This polymerization will occur only in the more occlusalpart of the bridge. After the polymerization is complete, the bridge can be unscrewed, andoutside of the patient’s mouth, the ridge oriented part of the bridge can be furtherpolymerized.SURGICAL PROCEDURESFigure 5: Fit the temporary bridge in the patient mouth andalign the bridge to the implant abutments (1)86www.SimPlant.comSurgiGuide Cookbook
After polymerization, the bridge can be checked for small adaptations needed for occlusion,aesthetics, phonetics, bite function, … as the bridge can be easily unscrewed and re-screwedin position, the bridge is easily adaptable, and the patient can walk home with a functional‘Immediate Smile’.If a bridge with adaptable abutments is chosen as a solution, the bridge can be screwed onthe implants directly. However, if the surgical deviation is (even slightly) bigger than the limitsof the adaptable abutment, the bridge may need further adjustment. A relining step can stillbe used to complete the Immediate Smile procedure.Figure 6: Screw-retained bridge with adaptable abutments (First Case, 2)1 Pictures belong to Dr. F. Benet Iranzo, Valencia, Spain2 Pictures belong to Dr. P. Tardieu, Grenoble, FranceSpecial thanks to:SURGICAL PROCEDURESDr. P. Tardieu, Grenoble, FranceDr. F. Benet Iranzo, Valencia, Spain87www.SimPlant.comSurgiGuide Cookbook
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IntroductionIntroductionSurgiGuide
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OverviewStep 1: DiagnosisIt all sta
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DiagnosisStep 1: DiagnosisClear inf
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Minimal Invasive SurgeryThe exact p
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Step 3: Taking the the 3D scanNo sc
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Step 4: Conversion ofStep 4: Conver
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Step 6: Ordening SurgiGuide and the
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2. Types of SurgiGuide drill guides
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SAFE SystemThe SAFE System is used
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Step 7: DeliveryStep 7: Delivery an
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Protocols & SurgicalproceduresSurgi
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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 90: Contact us:Materialise US - Clinica
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SurgiGuide Cookbook - Dental-Depot

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