Staged Placement after GBR, Guided and Optical Technologies

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Posted on By Maurice Salama In Digital Scanning & CAD/CAM

Staged Placement after GBR, Guided and Optical Technologies utilized for efficient management of the case. 360 imaging guide, Ritter implants and scan bodies used immediately, 3 Shape intra-oral scan and sent to lab via modem. Thoughts? Future? Dr. Salama

3 Shape Optical scan
Preop after GBR healing

360 imaging guide
Guided Ritter implants with scan bodies

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Scan bodies Ritter
3 shape Optical scan


Nice case! I see you recently started using Ritter implants, any reason? Gregory


Gregory; Nice system, grade 5 titanium (so stronger) Tapered with good thread sharpness and pitch for initial stability, SLA microgeometry and internal hex (BH, Zimmer, etc.) with platform switch capability. Additionally, scan bodies can be used immediately and also used as temp cylinders as they are made of PEEK. They work with preferred labs and the restorative can be sent out same day. All this for a competitive price. regards Dr. Salama


Good paralelism between implants! Thinking for your prosthodontist to work easier and better. Very nice. Miguel


Thanks Miguel...planned for prosthetics in mind!! With these scan bodies I can REALLY help my restorative colleagues by taking the intra-oral scans on surgical day and sending out for temps or finals. regards Dr. S


Great workflow Maurice, you mention if this is our future, I would say it's our present or our very near future.

I love the way you use a surgical guide, I think it's the way to go. Flapless surgery without 3d planning and a guide is not predictable, but with a guide it becomes an incredible tool to minimise healing periods, morbidity, and as in your case, to be able to take a virtual impression the same day.

This is an outstanding service to your patient, and you are offering state of the art surgery+restoration.

Do you use simplant software?



Andoni; Yes, Materialise Simplant and 360 imaging plus 3 shape scanner and Ritter Implant Scan bodies. The future is here indeed. regards Dr. Salama


Great case and management Mo!
Very elegant, and looks like future!
Really must move to digital workflow soon!


Maurice, great result and implant insertion accuracy. As Scott Ganz used to say ' it is not the scan it is the plan', I am wondering about the prosthetic plan behind the surgery : new technology do allow integrated project in advance with very predictable accuracy. Thanks for showing a piece of future. Armando


Beautiful case Maurice!
I think if you add an in office 3-D printer with open software and affordable trx costs, we see the possible future trx protocols .



Armnado and Yiannis; I completely agree. The 3D Printer is coming in a few weeks....regards Maurice



Fantastic- Scan Plan Print- Maan!




Richard; so easy even a CAVEMAN can do it!! Haha


Indeed the future. Wonderful technique.

I have considered adding a digital scanner to my workflow. A practice management issue I see from a referral prospective may cause some friction, if you can imagine the following scenario:

A trios scan is sent to lab by surgeon: Prosthetics prepared and sent to referring GP for insertion; the doctor or patient is not happy with the restoration.

I imagine at least some referral doctors will prefer to take their own impression and handle prosthetics. Your referral base may appreciate the time saved on each case, but have you found some doctors "territorial" when it comes to surgeons involved with prosthetics?

What has your experience been?