Full Digital Implant Restoration

Question 1

CBCT:

Answer 1

Cone Beam Computed Tomography

Question 2

DICOM file:
(2)

Answer 2

▪ Digital Imaging and Communications in Medicine
▪ (DICOM) is a standard for storing and transmitting medical images enabling the
integration of medical imaging devices such as scanners, servers, workstations,
printers, network hardware, and picture archiving and communication systems
(PACS) from multiple manufacturers. (W)

Question 3

STL File:
(2)

Answer 3

▪ Standard Tessellation Language
▪ STL (STereoLithography) is a file format native to the stereolithography CAD
software created by 3D Systems. (W)

Question 4

Full Digital Implant Restoration
What do we need?

Answer 4

• Diagnostic information
• Case selection
• Tx plan
• Intra oral scan & diagnostic wax up
• CBCT
• Implant planning
• SG & implant placement
• Provisional restoration
• Scanning /digital impression
• Definitive prosthesis fabrication
• Maintenance

Question 5

Digital wax up
➢Technique
(6)

Answer 5

• Scan the maxillary/mandibular arch by using an intraoral
  scanner
• Get CBCT
• Design the virtual diagnostic waxing
• Superimpose the diagnostic waxing to the CBCT data
• Perform the prosthetically driven implant planning
• Design the surgical guide based on the 3D position of the
  preplanned implant

Question 6

Implant planning
➢ 3D implant position:
– mm from buccal plate, – mm from palatal bone, - mm from adjacent teeth & vital structures,
– mm deep from the CEJ of adjacent teeth, and – mm from adjacent implant

Answer 6

1
1-2
2
3
3

Question 7

➢ Prosthetically driven implant:
Screw channel on the — and — surfaces, – mm between crestal bone and contact
area, & provide bulk for restorative material

Answer 7

lingual
occlusal
5

Question 8

➢ Software available:
(6)

Answer 8

• CEREC
• CoDiagnostics-Straumann
• DTX- Nobel
• Simplant-Dentsply
• Implant Studio- 3 shape
• BlueSky Bio
  Prosthodontics review course ACP 2023

Question 9

Surgical guide design & fabrication
➢Types of static guide:
(3)

Answer 9

• Tooth supported guide
• Tissue supported guide
• Bone reduction guide

Question 10

Surgical guide design & fabrication
➢Steps:
(7)

Answer 10

• Designing
• Printing
• Cleaning of excess resin
• Adjusting
• Light curing
• Sleeves
• Try in

Question 11

Surgical guide fabrication
➢Printing software:
(2)
➢Printing machines:
(2)
➢Printing resin
➢Curing machines

Answer 11

• 3D Sprint
• Formlabs
• NextDent 3D
• Moon Ray Wireless

Question 12

Digital Implant Restoration
Definitive prosthesis fabrication
➢Workflow for fully digital implant restoration

Answer 12

• Osseointegrated implant
• IOS:
• Pre-op scan
• Scan body scan
• Emergence profile scan
• Designing Software
• STL export
• Production/milling

Question 13

Digital Implant Restoration
Definitive prosthesis fabrication
➢ IOS:
(3)

Answer 13

Pre-op scan
Scan body scan
Emergence profile scan