Page 37 - PlanWorld 2019 EN demo

The complete digital implant workflow

Clinical case report
The clinical case illustrates the
advantages of using Planmeca CAD/ 4
CAM solutions in the digital planning 3
of an implant placement and surgical
guide as well as in the fabrication of a Fig. 3. & 4. Digital implant and surgical guide planning in the Planmeca Romexis®
software.
ceramic restoration. This article presents
a clinical case in which the treatment
was completed using the Planmeca
Romexis® 3D Implant Guide software,
Planmeca PlanCAD® Premium Fig. 5. Surgical guide was fabricated for
software and Planmeca PlanMill® 40 maximum precision
milling unit.
The clinical case features a female
patient, who complained about missing 5
tooth 2.2 as well as the shield-like
shape of tooth 1.2 (Fig. 1–2). During
the initial examination, the area around
the missing tooth was estimated
quite narrow for an implant. However,
the patient declined orthodontic
preparation, as she had already
previously had orthodontic treatment
with orthodontic surgery.
In this particular case, we started
with an aesthetic analysis of the
patient’s CBCT data and concluded that 6 7
a Straumann implant with a 2.9 mm
diameter would fit in the area of tooth
2.2, if we used a surgical guide for Fig. 6. & 7. Successful placement of the implant
maximum precision (Fig. 3–5). For tooth
1.2, we decided to fabricate a thin-walled
IPS e.max ceramic restoration.
Thanks to digital planning and a
carefully fabricated surgical guide, the
implant was placed successfully even
though the anatomical conditions
appeared to be less than advantageous.
We achieved a torque of 30 N/cm and
attached a healing abutment to the
implant (Fig. 6–7).
Three months after the
implant placement operation, the
osseointegration of the implant fixture
was completed. A temporary crown
was fabricated on the implant from 8 9 10
a VITA ENAMIC multiColor block to
support the formation of soft tissues Fig. 8.–11. Temporary crown was installed to support the formation of soft
(Fig. 8–10). We improved the original tissues.

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