DIGITAL WORKFLOWS IN THE PRIVATE PRACTICE TOURO DENTAL SEMINAR MARCH 9, 2018

Transcription

1 DIGITAL WORKFLOWS IN THE PRIVATE PRACTICE TOURO DENTAL SEMINAR MARCH 9, 2018

2 WORKFLOW FOR SINGLE UNIT CROWN/ MULTIPLE UNIT PREP RETRACTION SCAN PREP ARCH SCAN OPPOSING SCAN "BITE" SEND TO LAB PRINT MODELS DOUBLE CORD WITH TRAXODENT TRIOS CONCENTRATE ON MARGINS AND PREP FIRST, YOU CAN THEN LOCK THIS TRIOS TRIOS OR IN HOUSE DESIGN SOFTWARE IF YOU ARE DESIGNING AND MILLING ALL ZR NOT TRULY NECESSARY TO PRINT MODELS

3 DIGITAL WORKFLOW FOR PERIO/CROWN AND BRIDGE DIAGNOSTIC IOS TABLE TOP SURG. GUIDE HEALING PHASE PROVISIONALS PREPARATION MMR DESIGN MILLING VENEER TRIOS 3SHAPE DENTAL DESIGNER VIRTUAL WAX UP AND MILLED PMMA RELINED CHAIRSIDE 3SHAPE DENTAL DESIGNER DOUBLE CORD TECHNIQUE, TRAXODENT, TRIOS SCAN SPLIT PROVISIONAL 3SHAPE DENTAL DESIGNER

4 DIGITAL WORKFLOW FOR STR SPLIT FILE DESIGN ABUTMENT AND CROWN (CEMENT RETAINED) DIAGNOSTIC IOS TRIOS DIAGNOSTIC CBCT PRE SURGICAL PLAN IMPLANT STUDIO VIRTUAL TOOTH AND SURGICAL GUIDE DESIGN PROVISIONAL MILLED SCREW RETAINED ON TI-BASE (OPTIONAL PRINT GUIDE STL F0RMLABS 2 SURGERY PLACE FIXTURE FIXTURE LEVEL IOS TRIOS, IOS BODY MUST MATCH THE MANUFACTURER THAT IS MILLING SPLIT FILE DESIGN 3SHAPE DENTAL DESIGNER MILLING ABUTMENT AND COPING/CROWN STAIN GLAZE

5 DIGITAL WORKFLOW FOR STR CORE FILE DESIGN ABUTMENT AND CROWN (SCREW RETAINED) DIAGNOSTIC IOS TRIOS DIAGNOSTIC CBCT PRE SURGICAL PLAN IMPLANT STUDIO VIRTUAL TOOTH AND SURGICAL GUIDE DESIGN PROVISIONAL MILLED SCREW RETAINED ON TI-BASE OPTIONAL PRINT GUIDE STL F0RMLABS 2 SURGERY PLACE FIXTURE FIXTURE LEVEL IOS TRIOS, IOS SCAN BODY MUST MATCH MANUFACTURER DME THAT IS MILLING ABUT AND CORE FILE ATLANTIS THROUGH 3SHAPE DENTAL DESIGNER APPROVE ABUTMENT ATLANTIS EDITOR IMPORT.30XZ FILE 3SHAPE DENTAL DESIGNER DESIGN CROWN 3SHAPE DENTAL DESIGNER MILLING STAIN AND GLAZE ASSEMBLY EXTRA ORAL CEMENTATION IVOCLAR MULTILINK HYBRID ABUTMENT CEMENT

6 WORKFLOW FOR IMPLANT STUDIO PRINTED GUIDES DATA ACQUISITION DATA ACQUISITION CREATE ORDER PLAN IMPLANTS CREATE GUIDE APPROVE PRINT PRINT POST PRINT CURING TRIO IOS CBCT FILL OUT ORDER FORM WITH PATIENT INFO, IMPLANT POSITIONS AND VIRTUAL SET UP PLACE WITH CHOICE OF MANUFACTURER AND SIZE, MANIPULATE POSITION, SLEEVES DRAW OUTLINE, ADD SUPPORT BARS, VIEWING WINDOWS, NAME DRILLING PROTOCOL, MODEL WITH IMPLANT POSITION, SURGICAL PROTOCOL AND GUIDE STL SEND STL TO 3D PRINTER DRILLING AND SURGICAL PROTOCOLS FINISH GUIDE, CLEAN AND CURE

7 WORKFLOW FOR POST CURING/FINISHING PRINTED IN-HOUSE MODELS PRINT MODELS PRE WASH PRE WASH WASH FORM CURE REMOVE SUPPORTS MOUNT FORMLABS 2, LEAVE BUILD SUPPORTS ON REMOVE FROM BUILD PLATFORM AND PLACE IN BEAKER WITH SIMPLE GREEN 20 MINUTES IN ULTRASONIC, RINSE, BLOW DRY 20 MINUTES IN FORMWASH, IPA, REMOVE AND BLOW DRY DEGREES C CURE CYCLE FINGER PRESSURE, BUFFALO KNIFE SUPER GLUE IN PLASTIC HINGE OR MOUNT ON ARTICULATOR IF NEEDED

8 WORKFLOW FOR DIGITAL PARTIAL FRAMEWORK IOS SCAN PRINT MODEL FRAME DESIGN GENERATE STL POLISH DUP. MODEL IN STONE WAX TRY IN PROCESS TRIM POLISH TRIOS IOS(TWO STAGE ALGINATE IS MORE FEASIBLE) FORMLABS 3SHAPE DENTAL DESIGNER PRINT TO CAST OR SEND DIRECTLY FOR LASER PRINTING

9 DIGITAL WORKFLOW FOR LOCATOR RESCUE TRU-ABUTMENT T:LOC PRIMARY ACCUDENT FIXTURE LEVEL SCAN SECONDARY MMR TRY IN DIGITIZE DESIGN ABUTMENTS PROCESS DENTURE IVOCLAR 2 STAGE AGLINATE TRIOS (NOT ALL SCANS ARE POSSIBLEL OR PRACTICAL) CUSTOM TRAYS MADE WITH 3SHAPE, PRINTED, CONVENTIONAL ANALOGUES WAX BITE RIMS USE FOR PRE-PREPARATION SCAN TO GUIDE ABUTMENT DESIGN SCAN WITH 3SHAPE LAB SCANNER NEED TRU-ABUTMENT SCAN BODIES, DME'S, CAM OUTPUT, SEND STL, MILLING IVOCAP INJECTION MOLDING, REGULAR PRESS, MILLED CHAIRSIDE PICK UP WITH VOCO QUICK-UP

10 WORK FLOW FOR DIGITAL DENTURE PRIMARY SECONDARY MMR DIGITAL CONVERSION TRY IN PROCESSING POST OP FOLLOW UP 2 STAGE ACCUGEL ALGINATE IVOCLAR CUSTOM TRAY BORDER MOLD VDO, CR, MIDLINE, INTERALAR WIDTH, HIGH LIP LINE 3SHAPE LAB SCANNER DENTURE MODULE SET UP LARS BUMA PMMA TRY IN MILLING, PRINTING

11 WORKFLOW FOR DIGITAL CONUS OVERDENTURE DUAL SCAN DENTURE MUST HAVE PROPER EXTENSION, OCCLUSION, VDO, ESTHETICS PRE SUGICAL PLAN IMPLANT STUDIO PRINT GUIDE FORM LABS 2 PLACE IMPLANTS HEALING PHASE TISSUE CONDITION DENTURE AS NEEDED DUPLICATE DENTURE SCAN AND GENERATE STL, CONVENTIONAL DUPLICATION WITH ALGINATE AND PMMA PRINT DUPLICATE FORMLABS 2 REMOVE PALATE CREATE STL OF DENTURE MESH MIXER SPLIT DENTURE IN HALF, PRINT BOTH HALVES FIXTURE LEVEL SCAN IOS SCAN WITH HEALING CAPS ON, SCAN WITH DENTSPLY OR ELOS SCAN FLAGS OPPOSING, PREPREP SCAN PATIENT WITH PALATELESS DUPLICATE DENTURE FOR PRE PREP SCAN, RUGGAE ORIENT MMR USE SPLIT DENTURES CREATE WORK ORDER 3SHAPE DENTAL DESIGNER, ORIENT THE SCAN FLAGS. OPTION CHOOSE ON WEB ORDER SEND TO MANUFACTURER SEND DIGITAL DATA TO ATLANTIS ATLANTIS WEB ORDER FINALIZE PRESCRIPTION ATLANTIS 3D EDITOR MAKE CHANGES TO ABUTMENTS IF NEEDED PRINT MODELS FORMLABS 2 PLACE ELOS ANALOGUES CREATE MASTER MODEL PLACE ABUTMENTS AND GOLD SYNCONE FEMALES, SPRAY AND SCAN WITH LAB SCANNER CREATE FRAME DENTAL DESIGNER COPINGS CONNECTED BY 3MM ROUND BAR SPLINT VERIFICATION PICK UP FEMALES INTRAORALLY WITH FRAME USING PANAVIA OVER IMPRESSION YOUR LAB WILL NEED TO HAVE ANALOGUES IF YOU LEAVE ABUTMENTS IN MOUTH RE-REGISTER, TRY IN OF PROSTHESIS AND PO INSTRUCTIONS

12 WORKFLOW FOR "ALL ON X" DIAGNOSTICS IMMEDIATE DENTURE CBCT PRE SURGICAL PLAN IMMEDIATE PROVISIONAL SURGICAL GUIDE SURGERY ABUTMENT CONNECTION CONVERSION HEALING PHASE DUPLICATION OF PROV. DATA ACQUISITION DATA ACQUISITION DATA ACQUISITION DESIGN PROSTHESIS FABRICATION TRIOS OR TWO STAGE ALGINATE IF IMMEDIATE FABRICATE IMMEDIATE DENTURE IMPLANT STUDIO IMMEDIATE SMILE CREATED BY PLANNING SOFTWARE FORM LABS IN HOUSE PRINT SMART FIX ABUTMENTS OR UNI ABUTMENTS DEPENDING ON THE STABILITY OF IMPLANTS AS PER SURGEON PRINT PMMA FOR MMR TRIOS SCAN ARCH WITH HEALING ABUTMENTS IN PLACE TRIOS SCAN WITH SCAN FLAGS MMR SPLIT ARCH 3SHAPE DENTAL DESIGN, EXOCAD EITHER MILLED ZR OR SCREW RETAINED HYBRIDE