Dr. Todd Welch

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Here is a short presentation on a few recent case I have completed utilizing Atlantis dental implant abutments. Utilizing the unique Atlantis VAD™ (Virtual Abutment Design) software, the CAD/CAM patient-specific abutments are individually designed from the final tooth shape for outstanding function and esthetics.

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Dr. Todd Welch

  1. 1.
  2. 2. Atlantis™<br />– the freedom of unlimited possibilities<br />Utilizing the unique Atlantis VAD™ (Virtual Abutment Design) software, the CAD/CAM patient-specific abutments are individually designed from the final tooth shape for outstanding function and esthetics.<br />
  3. 3. Achieving ideal esthetics and function with Atlantis™ patient-specific abutments<br />
  4. 4. What’s the Difference between Atlantis and a Custom Cast?<br />Atlantis abutments are milled abutments (no human hand touches them)<br />Custom cast abutments are modified, waxed, and casted by a lab technician – costs extra fees for labor and material.<br />
  5. 5. Stock Vs. Atlantis Abutment<br />
  6. 6. Full anatomical dimensions <br />Full anatomical dimensions;<br />Largest diameter abutmentprovided with best emergenceprofilepossible<br />
  7. 7. Contour soft tissue<br />Contour soft tissue;<br />medium diameter anatomicallyshapedabutment up to 1.0 mm largerthansulcus of model of soft tissueprovided<br />
  8. 8. Support tissue<br />Support tissue;<br />anatomicallyshapedabutmentwill be up to 0.2 mm largerthansulcus of siliconemodel of soft tissueprovided with desiredemergenceprofile<br />“Easy” insertion<br />
  9. 9. No tissuedisplacement<br />No tissuedisplacement;<br />Smallest diameter, non-anatomicallyshapedabutment with no soft tissue support <br />The abutmentwill not touch the soft tissue<br />
  10. 10. Atlantis™ - abutments as individual as your patients<br />Zirconia Atlantis Abutment<br />Titanium Atlantis Abutment<br />Gold Hue Atlantis Abutment<br />
  11. 11. Case 1<br />This is what an implant abutment should look like. As you can see, the margins and angle of insertion is ideal, and the inter-occlusal distance is perfect for any restoration. This can only be achieved using Atlantis Abutments.<br />
  12. 12. Case 2<br />I extracted tooth #7 and placed an immediate dental implant. <br />
  13. 13. I will take care of temporization for implants in the anterior.<br />
  14. 14. <ul><li>I take an implant/fixture level impression following implant integration (typically 8 weeks), an opposing impression and a bite registration.
  15. 15. The case is then sent to the Atlantis Laboratory in Boston.
  16. 16. The lab then fabricates the Atlantis Abutment and lab fabricated temporary crown.</li></li></ul><li><ul><li>The case returns with the Atlantis Abutment, in this case a Zirconia (White Metal) Atlantis Abutment, and temporary crown.
  17. 17. Zirconia abutments can be fabricated in4 shades to give you the best translucency, which enhances the esthetics on anterior cases.</li></li></ul><li><ul><li>I deliver the case and torque the abutment to Astra Tech and Atlantis’ recommendations of 25 Ncm.
  18. 18. As you can see, the margins in this case were set at the gingival margin. Therefore, standard crown and bridge techniques can be used.
  19. 19. Margins can be designed however you like at an ideal level for safe and easy cement removal.</li></li></ul><li><ul><li>The case returns to your office with the abutment torqued and the temporary crown on the abutment. All you need to do is remove the temporary crown and take a standard crown and bridge impression.
  20. 20. This is a case that we all see on a daily basis. As you can see, #7 space is as large as #’s 8 and 9. The patient refused veneers on #’s 6- 11, so this is the best that can be done in these cases. </li></li></ul><li>Case 3<br /><ul><li>Atlantis is perfect for implant supported bridges.
  21. 21. The angulation, parallelism, inter-occlusal distance and margins are set for you. </li></li></ul><li><ul><li>The case returns to your office with the abutments torqued and the temporary bridge in place.
  22. 22. That is a temporary bridge on the right.
  23. 23. They do a great job with the temporary crowns and bridges. </li></li></ul><li>Case 4<br />I extracted tooth #9 and placed an immediate implant.<br />
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  27. 27. Case 5<br />
  28. 28.
  29. 29. Atlantis Abutments In Summary<br />Standard Crown and Bridge Techniques for final fixed prosthesis.<br />Perfect parallelism and inter-occlusal space. No need to adjust the abutment. <br />Margins can be set by you to your personal preferences.<br />Case comes back to your office with a lab fabricated temporary crown.<br />I don’t charge extra for Atlantis Abutments. I place Astra Tech implants which have 27 years of history and research. It is what I would want placed in my mouth. <br />
  30. 30. Atlantis Abutments In Summary<br />Decreased chair time for you and your staff.<br />Implants can be placed up to 30 degrees off angle which decreases the need for bone grafting.<br />Atlantis abutments cannot be used on “knock-off” implants, i.e., Blue Sky Bio and Implant Direct. (Knowing the quality of implant the dentist placing your implants is extremely important)<br />Atlantis will only fabricate abutments on quality implants. <br />
  31. 31. Conclusion<br />Thank you so much for your support of me and my practice. I am grateful for your support.<br />If you would like more information on Atlantis Abutments or laser periodontal therapy, please call me anytime.<br />I am always available to take your call. <br />If you would like to try try an Atlantis Abutment on your next implant case, please let me know, so I will take the proper steps to have the Atlantis Abutment fabricated. <br />I do place standard “snap cap” abutments on single implants, mostly premolars, but if you request Atlantis, then that is what I will do for you.<br />
  32. 32. Thanks Again !!<br />

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