Dental Implant Solutions News

• Progress with Botiss BoneBuilder • Guided surgery• Weld One in December• Peri-implantitis and antibiotics

Botiss Bone Grafting• Bone Ring technique

• Allogenic preformed bone ‘cylinders’.

• For vertical augmentation of atrophied ridge

• Fixed by the implant – ie one stage procedure

Custom made human bone blocks

Guided Surgery• Used where implant

positioning critical• Virtual model created

by blending 2 digital files

• 3D printed guide• Pilot guide or all prep

and placement through guide (flapless)

Same Day Smile

• Immediate loading• Blend of 2 digital files• 3D printed model

created and used to fabricate custom ‘Atlantis’ Abutment and provisional crown

• Flapless surgery and implant placement all through the guide.

‘Weld One’Intra-oral welding to produce immediately

loaded chairside full arch restorations.

The Implant Assessment Process

• Referral

• Radiographs?

• Contact to make F.O.C appointment asap

• Send out intro letter with Medical History

The Outline Structure• C/O• Medical History • Examination• Special Tests• Diagnosis• Treatment alternatives• Explanation / discussion with patient• Provisional treatment plan

• C/O – The patients ‘story’ – long or short!

• Medical History (a) contra-indications to surgery: Bisphosphonates, Immuno-suppresants (b) risk factors for failure: Diabetes, Smoking

• Social History – further opportunity to understand patients viewpoint: short opportunity to ‘bond’ with patient – unlike GDP.

ExaminationAn overview of current dental status

1. Max opening

2. Caries risk and restorative need

3. TSL

4. Perio risk, OH and BPE

5. Occlusal configuration / function

Specifics of ‘proposed’ Implant Site

1. Ridge dimensions (clinical appraisal)

2. Prosthetic space (in 3D)

3. Soft tissue

4. Condition and angulation of neighbouring teeth

• Special tests (PA rads)

• Diagnosis – to include risk of peri-implant disease

• Tx Options - 1 / 2 / 3 / 4

• Provisional Plan a. extractions? b. healing time c. diagnostics?

• Patient discussion – drawing + tx timetable

‘Planning is the key’

Case StudyAesthetics Implant Position

Peri-implant Disease?

Case Study

Case Study

Case Study

Case Study

Case Study

Case Study

Case Study

Case Study