implant work up and surgery Flashcards
implant presentation example
STL files
1) digital impression
DICOM files
1) CBCT
JPEG
1) intraoral and extraoral cameras
2) at rest and at max animation
- at rest their lips should not touch
- BIGGEST SMILE they can give you
can you reformat a pano from an iCAT
1) yes but it is terrible quality so probably get a pano
tooth only vs composite defect
1) either missing teeth or a tooth, bone and gum
2) rule out the presence of composite defect
- the missing area will be taken care of by the abutment
- however, if there is much more bone loss, you need pink porcelain
need for slime design
1) get a brand new flipper made of the contour of the tooth (exact)
2) show the defects
- need soft or hard tissue grafting
- POST OP DISCUSSION IS INFORMED CONSENT
is there a composite defect?
1) can it be corrected prosthetically or surgically?
2) never assume their original flipper is correct
transition line
1) ask if you see gum when they smile
on fully edentulous patients
1) need to have composite defects for overdenture
2) a good denture has VDO and AP position of the teeth
- ask if there is a gap between tooth and the gum with a clear denture
ideal position of screw retained
1) in the center of the tooth for posterior teeth
2) for anterior
- if buccal, cement
- if through cingulum, it is screw
- do not want headlamp!!!
soft tissue eval
1) FGM
-high low high
- are papilla filled
2) occlusal plane
diagnostic wax up
1) convert wax up into a duplicate cast
2) then make a sent
implant presentation
1) extra oral photographs
- at rest, smile, side
2) intraoral photos
- front, arches
casts
1) measurements
2) do wax ups