Tooth Replacement: A one time visit with modern technologies.
Innovative dentistry relies on biologic and clinical knowledge, new models based on virtual reality and a 3D digital approach.
New opportunity can arise and new vision:
-the PET defines a new and predictable way of healing maintaining the tissue volumes and architecture in time
-PRF improves the quality and timing of healing.
-3D software can better define the initial situation and generate virtual final result that, if validated by the clinician, can easily be converted on ‘items’
-New instrument like ‘Densah drill’ can provide an initial torque favourable for immediate prostethic finalization and an improvement of socket healing and augment either laterally or vertically.
-Hardware like 3D printing and milling machine allows ‘inhouse’ production enabling a new concept of post production chairside of items like custom abutment
-new way of thinking either in terms of planning and team approach or revaluating surgical procedure, simplified and mininvasive.
Case presented goes in that direction: CBCT, digital impression, case mounted digitally and surgical stent, custom abutment in titanium and crown produced inhouse.
Software allows virtual extraction and socket volume in advance: digital insertion of implant and digiatl planning of abutment on top, respecting anatomical limits and biology concept.
The surgical technique, is rather a prosthetic technique and operator need accuracy in order to be within the range and mount all items.
This is a proof of principle: it can be done all procedures in house at once.