Full arch implant restorations (digital workflow)

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Posted on By Kirill Kostin In Digital Scanning & CAD/CAM

Step-by-step digital workflow in case of full arch rehab.
IOS - iTero
CAD - exocad
surgical guide CAD - DDSPro


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12 Comments

Hi Kirill! What material did you use for final restoration? Gregory


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Hi Gregory, it was full contoured zirconia on molars and pfz on premolars and frontal teeth.


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Beautiful, would love to see more photos


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Hi Andoni,
what exactly do you want to see? I have more than hundred photos for this case from start to finish


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Did you take the intermaxillary relation digitally as well? And how?


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Yes, we did PreOp scan with her teeth in habitual occlusion. Then we merged working scans with that model and created new restoration similar to her previous teeth.


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Intersting case. could it be possible to scan the implants for non hexed cromium-cobalt screew retained fixed restorations?


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Hi Kirill; This is an exceptionally well done case! My only comment would be that the lab created a small reverse smile which would have been prevented with the centrals and laterals being about 1 mm longer; if the speech would not tolerate that then the posterior buccal cusps should have been a mm shorter. Beautiful case! gerald


Reply

Hi
Thank you for your comment.
I think it's not a definitive reverse smile. I prefer to call such type of smile "straight" (it's a Mauro Fradeani's definition) Initially 4 centrals were longer, but patient didn't accept this shape and size. She was accustomed to her old teeth. We had to give her.


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Makes sense, my friend. Regards, Gerald


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Doc,

nice display of case. Can you tell the audience what you did? how you got to this point- Utilize cbct& itero- fabricate surgical guide- did you mill temps- was it screw retained- how long before you went to final? X-rays of implant placement? What was indication to extact teeth?

On the site- every bit of information helps the viewers to understand and learn form your case-

Cheers,

Richard


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Our hope is often that once pursuing a full arch restoration on implants that patients can be treated for life without worries of cavities, tooth pain, or need for significant dental procedures. This doesn't mean that a full arch restoration isn't without maintenance. Your case will be completed with a team approach involving our surgeons, a dentist and a dental hygienist. You will still require at least 1-2 yearly checkups for cleanings, evaluation of your prosthesis and monitoring of your bone levels. If you or your dentist are considering your remaining teeth "hopeless", call us today to schedule a full arch restoration consultation. This will include a customized treatment plan and 3D CT analysis. If you do not currently have a dentist, that is ok, we will help coordinate your treatment with a dentist in your area that has successfully treated such cases with us. If you currently have a denture or are not opposed to a denture based solution. visit our page at http://www.drismaelkhouly.com/


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