A Digital Approach to Immediate Placement with Implant Concierge
Case History
The patient is a 65 year-old female with a history of smoking, no known drug allergies, and no medications. The patient has an existing “Snap-On-Smile” from past treatments, and had opted to have her remaining teeth extracted for implant treatment.
Patient’s remaining dentition
“Snap-On-Smile”
For this complex surgery, Dr. Wilson, Dr. Stewart, and Dr. Pope chose to utilize guided surgery for the advantages it provides in predictability, accuracy, and efficiency. This also allowed them to plan for the delivery of a surgery-ready full arch provisional. Utilizing Implant Concierge as their guided solution, 3 essential pieces of information were submitted following the Implant Concierge protocol:
Cone Beam CT Digital Impression Guided Dental Implants Surgical Stent
The CBCT scan was captured by iMagDent Dallas. iMagDent Dallas ensured a full-arch CBCT scan was captured with the patient out of occlusion per the Implant Concierge scanning protocol.
A diagnostic cast of the patient’s current dentition was taken and digitized for surgical guide design.
A digital impression of the patient’s “Snap-On-Smile” provided:1 – Ideal restorative information for implant planning.
2 – Initial design of the Anchor Pin Surgery-Ready PMMA Provisional.
Implant Concierge - Virtual Implant Planning
A final treatment plan was provided for reference, outlining each planned implant position in detail as well as material information
A step-by-step document was also provided. The case was to be delivered via a series of surgical guides. This document outlined the the sequence and seating of each guide, as well as the pick-up process for the immediate temporary.
Implant Concierge - 3D Printed Guides
Anchor Pin Guide
A tooth borne anchor pin guided was designed to establish the anchor pin osteotomies prior to extraction of the teeth. The anchor pins would be the foundation on which the surgical guide and provisional orientation were confirmed.
Surgical Guide
A tooth borne anchor pin guided was designed to establish the anchor pin osteotomies prior to extraction of the teeth. The anchor pins would be the foundation on which the surgical guide and provisional orientation were confirmed.
Anchor pin osteotomies being established through the Implant Concierge Anchor Pin Guide using the Anchor Pin Drill.
Anchor pins being fixated into place through the Implant Concierge Surgical Guide. The anchor pins are push pins that are passively retained by pressing the pins to depth.
Implant osteotomies being prepared using the Straumann drills and handles through the Implant Concierge Surgical Guide
Implant osteotomies established. Implants were delivered through the Implant Concierge Surgical guide as well using the Straumann Fully Guided Kit.
Implants and mounts delivered.
Implant and mounts Delivered.
Temporary cylinders delivered and trimmed.
Temporary cylinders delivered and trimmed.
Temporary cylinders delivered and trimmed.
Implant Concierge - 3D Printed Guides
Implant Concierge full arch provisional design.
Implant Concierge PMMA milled full arch provisional.
Full arch Provisional orientation established by the anchor pin osteotomies and fixated into place by the anchor pins.
Full arch Provisional pick-up completed, trimmed, and delivered.
After a smooth and successful implant surgery and provisionalization, the patient was able to leave with teeth the same day.
Complex Partially Edentulous: APG Passive Fit Bridge
THOMAS G. WILSON JR. DDS, PA
PA BOARD CERTIFIED PERIODONTIST
Thomas G. Wilson Jr., DDS, PA, is a board certified periodontist who has been a private practitioner of periodontics in Dallas since 1974. His practice emphasizes state-of-the-art, minimally invasive nonsurgical and surgical treatment of gum diseases, utilizing advanced visualization and techniques that restore health to previously diseased tissue. Dr. Wilson also focuses on rebuilding lost oral tissue to help patients regain normal function, while ensuring that the teeth and gums look and feel natural. In cases where teeth have been lost, Dr. Wilson works in close collaboration with a restorative dentist to provide dental implants, giving patients the look and function of a natural dentition. Dr. Wilson has taught his innovative techniques to colleagues around the world. He is the author of numerous professional publications and books on periodontics and implant dentistry. He also is a Clinical Associate Professor at the University of TX Health Science Center at San Antonio Dental School and Baylor University College of Dentistry. He has served as editor-in-chief of an international dental journal, been an Associate Editor for The Journal of Periodontology and is currently Editor in Chief for the journal Decisions in Dentistry.
