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I Have a CBCT Scan – Now What Do I Do? Restoring the Edentulous Maxilla with Dental Implants

CBCT Scan - Dental Implants - Dental CE Course
Launch Course

Course Objectives (2 CE Credits)

Timothy Kosinski, DDS, MAGD

For clinicians entering the increasingly popular world of implant dentistry, a full understanding of the risks, benefits, limitations and anatomic considerations involved is crucial. To ensure the best result possible, dentists should visualize the completed restoration up front. Dr. Timothy Kosinski explains how modern technology is making surgical implant procedures more predictable and accessible, presenting an edentulous maxillary case that demonstrates how digital technology is simplifying the placement, positioning and angulation of implants. Topics include:

  • Anatomic landmarks and structures to consider when treatment planning
  • Use and application of digital radiography in implant dentistry
  • Methods and tools for ensuring proper position, angulation and depth of implants
  • Advantages of CBCT scanning and planning software in diagnosing a case
  • CBCT scanning and digital treatment planning protocol
  • Factors to consider when immediately loading an implant
  • Process for fabricating a surgical guide from an existing denture
  • Modern treatment planning tools, techniques and technology
  • Protocol for treating edentulous patients with implant-retained overdentures

Summary

While modern technology is simplifying the placement of implants, there are several anatomic considerations, risk factors and potential complications that should be accounted for when diagnosing a case. With restorative-driven treatment planning and the use of digital technology, clinicians can visualize the final restoration up front and approach implant therapy with confidence. Proper surgical protocol, along with CBCT scanning and computer planning software, can help ensure a predictable outcome and a stable, functional and esthetic result.

CAUTION: When viewing the techniques, procedures, theories and materials that are presented, you must make your own decisions about specific treatment for patients and exercise personal professional judgment regarding the need for further clinical testing or education and your own clinical expertise before trying to implement new procedures.


References

  1. Arnet EM, Ganz SD. Implant treatment planning using a patient acceptance prosthesis, radiographic record base, and surgical template. Part 1: Presurgical phase. Implant Dent. 1997 Fall;6(3):193-7.
  2. Ganz SD. Restoratively driven implant dentistry utilizing advanced software and CBCT: realistic abutments and virtual teeth. Dent Today. 2008 Jul;27(7):122, 124, 126-7.
  3. Iplikçioğlu H, Akça K, Cehreli MC. The use of computerized tomography for diagnosis and treatment planning in implant dentistry. J. Oral Implantol. 2002;28(1):29-36.
  4. Geiselhöringer H, Holst S. The new NobelProcera system for clinical success: the next level of CAD/CAM dentistry. Cosmetic Dent. 2009;3(2):26-31.
  5. Kois JC. Predictable single-tooth peri-implant esthetics: five diagnostic keys. Compend Contin Educ Dent. 2004 Nov;25(11):895-900.
  6. Balshi SF, Wolfinger GJ, Balshi TJ. A prospective study of immediate functional loading, following the Teeth in a Day protocol: a case series of 55 consecutive edentulous maxillas. Clin Implant Dent Relat Res. 2005;7(1):24-31.
  7. Degidi M, Piattelli A. Comparative analysis study of 702 dental implants subjected to immediate functional loading and immediate nonfunctional loading to traditional healing periods with a follow-up of up to 24 months. Int J Oral Maxillofac Implants. 2005 Jan-Feb;20(1):99-107.
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