Interface with Professional Partners

Transcription

1 Interface with Professional Partners

2 Develop site v Site ready v Choose Implant Systemic Evaluation Initial radiographs Models/Photos Treat Refer Planning Clinical Evaluation Surgical template Restorative No Yes Placement Treatment Plan Implant site ready? Restorative Radiographic template v CBCT Maintenance

3 Avenues of Assistance Sinus elevations Implants in the esthetic zone Ridge augmentation Orthodontic space problems Extraction-Socket development

4 Sinus elevations Implants in the esthetic zone Ridge augmentation Orthodontic space problems Immediate Implants Extraction-Socket development

5 Maxillary first molar

6 Allograft + Emdogain + Short acting collagen membrane

7 Plan case Relationship of osteotomy to final crown

8 Two Types of Surgical Templates Higginbottom Straumann Guided SGSurgery

9 3 months post-op

10 Sinus elevations Implants in the esthetic zone Ridge augmentation Orthodontic space problems Immediate Implants Extraction-Socket development

11 Relative Difficulty 2-3mm Horizontal Most Predictable Vertical -Difficult

12 Maxillary second bicuspid

13 Allograft + Emdogain + Titanium PTFE Retention screw

14 Plan case Relationship of osteotomy to final crown

15 Two Types of Surgical Templates Higginbottom Straumann Guided SGSurgery

16 3 months post-op

17 Sinus elevations Implants in the esthetic zone Ridge augmentation Orthodontic space problems Immediate Implants Extraction-Socket development

18 Fractured Extraction Immediate

19 Pre-Op 7 years

20 Fractured Extraction Immediate Christen Benat

21 Intra-Op 6 months Restored Christen Benat Immediate

22 Sinus elevations Implants in the esthetic zone Ridge augmentation Orthodontic space problems Immediate Implants Extraction-Socket development

23 Pre-treatment Therapy complete Endoscope/Orthodontic extrusion/immediate place

24 Sinus elevations Implants in the esthetic zone Lateral ridge augmentation Orthodontic space problems Immediate Implants Extraction-Socket development

25 CC: Improve my smile

26 Worn dentition

27 Retained implant Retained e s

28 Corticotomies (SAOO) Fixed orthodontics

29 Space prepared for implants

30 Pre-Treatment Post-Treatment

31 Pre-Treatment Post-Treatment

32 Pre-Treatment Post-Treatment

33 Sinus elevations Implants in the esthetic zone Ridge augmentation Orthodontic space problems Immediate Implants Extraction-Socket development

34 When to refer extractions In general -Probing depths of 5 mm or greater -Target tooth -Adjacent teeth

35 When to refer extraction Specifics -Dentist s comfort level -Proximity to: IAN,Sinus,Mental foramen -Tortuous tooth anatomy -Loss of facial/lingual plate -Contiguous peri-apical lesion -Other

36 Possible solutions for complicated extractions Need to develop implant site

37 Missing facial plate Membrane trimmed

38 Titanium reinforced membrane Fitted

39 Screw for stabilization

40 Site development Failed implants Dr Hadley Smith

41 Removal Socket Enhancement At surgery 6 months

42 Avenues of Assistance Sinus elevations Implants in the esthetic zone Ridge augmentation Orthodontic space problems Extraction-Socket development

43 Cases

44 Case 1 Initial Presentation

45 Initial Presentation

46 Initial Presentation

47 Initial Presentation

48 Brackets placed

49 Surgically Assisted Osteogenic Orthodontics SAOO Maxilla /Mandible

50 Provisional restorations

51 Initial Provisionals

52 Case 2 Initial Presentation Tena Jones Np Exam

53 Initial Presentation

54 Initial Presentation

55 Initial Presentation

56 Lateral Ridge Augmentation Connective Tissue Graft

57 SAOO performed at same surgery

58 Planning Surgical template

59 Provisional abutments/ provisionals made before surgery

60 Habit device constructed

61 Post GBR/CT Pre implant surgery

62 Initial examination Definitive restorations

63 Version 115/15 by TGW