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Utilizing Digital Dentistry and CAD/CAM Prosthetics to Optimize Treatment Outcomes – Part 1: Orthodontic Pre-Implant Therapy

Utilizing Digital Dentistry and CAD/CAM Prosthetics to Optimize Treatment Outcomes Part 1
Launch Course

Course Objectives (1 CE Credit)

Perry E. Jones, DDS, MAGD

Restorative-driven implant therapy can help practitioners meet both the functional and esthetic demands of each case. By employing a multidisciplinary approach and taking advantage of digital tools and CAD/CAM prosthetics throughout treatment, practitioners can ensure an ideal prosthetic outcome. In this multimedia presentation, Dr. Perry Jones explains how prosthetically driven implant therapy begins prior to surgical intervention, illustrating how pre-implant orthodontic treatment is needed in some cases to establish the space and occlusion needed for the planned restoration. Topics include:

  • Tooth movement with Invisalign® (Align Technology, Inc.; Santa Clara, Calif.)
  • Creating vertical space for implant restorations
  • Development and implementation of Invisalign treatment plans
  • Correcting malocclusion in preparation for implant therapy
  • Virtual planning of orthodontic treatment
  • Intrusion and rotation of anterior teeth with Invisalign clear aligners
  • Treatment planning anterior maxillary implant bridges
  • Maintaining edentulous spans during extraction site healing

Summary

To achieve an ideal outcome, prosthetically driven implant therapy should be practiced during the treatment planning, surgical and restorative phases of treatment. An evaluation of the restorative space surrounding the area of treatment can reveal that tooth movement is needed to correct malocclusion or poorly positioned teeth. When this situation presents itself, orthodontic treatment via Invisalign clear aligners offers a highly predictable means of repositioning teeth in preparation for the planned implant restoration.

CAUTION: When viewing the techniques, procedures, theories and materials 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. Djeu G, Shelton C, Maganzini A. Outcome assessment of Invisalign and traditional orthodontic treatment compared with the American Board of Orthodontics objective grading system. Am J Orthod Dentofacial Orthop. 2005 Sep;128(3):292-8.
  2. Kravitz ND, Kusnoto B, BeGole E, Obrez A, Agran B. How well does Invisalign work? A prospective clinical study evaluating the efficacy of tooth movement with Invisalign. Am J Orthod Dentofacial Orthop. 2009 Jan;135(1):27-35.
  3. Hudson AL. A study of the effects of mesio-distal reduction of mandibular anterior teeth. Am J Orthod. 1956;42:615-24.
  4. Jones PE. The thermoplastic pontic appliance. J Am Acad Cosmet Orthod. 2015 Winter;4(4):14-20.
  5. Baldwin DK, King G, Ramsay DS, Huang G, Bollen AM. Activation time and material stiffness of sequential removable orthodontic appliances. Part 3: premolar extraction patients. Am J Orthod Dentofacial Orthop. 2008 Jun;133(6):837-45.
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