In dentistry new digital tools such as intra and extra oral scanners, conebeam computed tomography (CBCT), software systems for computer-aided design and manufacturing (CAD / CAM) are used in our practices. Innovative manufacturing procedures, such as 3D printing and Laser Sintering are changing the way we treat our patients. As a result, clinical procedures are moving towards completely digital workflows, which can be useful in all fields of dentistry, from conservative and prosthetic, to implant surgery and orthodontics.
Digital technology is drastically changing the landscape for dental implant surgeons to develop a prosthetically driven mindset. Through the use of dental implant treatment planning software, data sets from a CBCT and an intraoral scanner can be merged to create a precise virtual treatment plan. This virtual treatment plan can be carried out in an accurate manner using surgical guidance.
The two methods of surgical guidance available for dental implant surgery are static guides and dynamic navigation. Both forms have similar accuracies that are superior to freehand dental implant placement.1
When comparing angular deviation between freehand and dynamic guided surgery, it was noted the average deviation was 7° buccal angle deviations for the former compared to 3° buccal angle deviations to the latter. Restoring a dental implant not placed with the restorative component in mind may lead to poor esthetic results and higher laboratory costs due to the need for custom prosthetic components.
Guided implant surgery protocols are of two types: (1) static- and (2) dynamic-guided approach. The first system uses a surgical template, obtained from computerized tomographic images.
The second approach uses virtual implant positioning from the computerized tomographic images and also provides a “real effect for positioning of implant intraoperatively.
My lecture aims to show you the simple steps in static guidance and dynamic guidance,which will make your skills at placing implants safer,accurate and easier.
The use of digital technology must determine a concrete benefit in the study and laboratory workflows.
The implications of this evolution favorably fall on the patient: reduction of treatment times, cost reductions linked to an increase in productivity, reduction of the invasiveness of prosthetic procedures.
The use of CAD-CAM in fixed prostheses, on implants and natural teeth, is now an indispensable element.
The digital work-flow that can be effectively applied to the construction of the fixed and removable prosthesis will be descrive; indications for the choice of new prosthetic materials will be provided.
Throughout the years proper protocols were created by top world specialists.
Then, microscopes and other magnification systems were introduced into a daily practice, and now it is difficult to imagine dentistry without them.
Everything seemed completed.
Modern dentistry moves one.
We are going digital”.