SlideShare a Scribd company logo
The ABCs of Implant Prosthodontics: A Step by Step Idiot’s
                                                   Guide
                  For A Successful Restorative Outcome
Surgical Guides
Surgical Splint Fabrication

Model-based
   Advantages
       Low cost
       Easy to fabricate
       Can simulate what the final prosthesis will look like to the patient
   Disadvantages
       Position is an estimate
       No depth control
       Impressions and lab materials needed

Computer designed
  Stereo lithography
  Print-based
  CAD milled
Model-Based Surgical Splint Fabrication

Wax-up missing teeth to contour

Use denture teeth to contour

Various surgical Jigs
    CEREC
    Others

Use of Omni Vac, Dufomat, Biostar to form plastic sheet for an “Essix” type of
   surgical guide

Use of acrylic to fabricate surgical guide
Model-Based Surgical Stent Fabrication Exercise

              The reason to buy the iPhone
Photos step by step
Photos step by step
Zest Anchor Locator Attachments
Zest Anchor Locators


Low profile

Adjustable retention

Internal pivoting up to 9 degrees increases resiliency

Path of insertion up to 20 degree divergence

Easily replaceable inserts

Self centering
Implant Angulation and Retention


Al-Ghafli S, Michalakis K, Hirayama H, Kang K.
In vitro effect of different implant angulations and cyclic dislodgement on the
retentive properties of an overdenture attachment system
J Prosthet Dent 2009; 102:140-147
Effect of Wear and Retention


Rutkunas V, Mizutani H, Takahashi N, Iwasaki N
Wear simulation effects on overdenture stud attachments
Dent Mater J . 2011; 30(6): 845-853

Angulation Difficulties and Work Arounds
It just takes a little ingenuity

More Related Content

Viewers also liked

MAXILLARY DENTAL IMPLANTS WITHOUT SINUS LIFT AND SINUS AUGMENTATION
MAXILLARY DENTAL IMPLANTS WITHOUT SINUS LIFT AND SINUS AUGMENTATIONMAXILLARY DENTAL IMPLANTS WITHOUT SINUS LIFT AND SINUS AUGMENTATION
MAXILLARY DENTAL IMPLANTS WITHOUT SINUS LIFT AND SINUS AUGMENTATION
Best Laser Dental Clinic
 
Dental implants ideal replacement to tooth supported dental bridges
Dental implants ideal replacement to tooth supported dental bridgesDental implants ideal replacement to tooth supported dental bridges
Dental implants ideal replacement to tooth supported dental bridges
Best Laser Dental Clinic
 
Osseointegration
OsseointegrationOsseointegration
Osseointegration
Dr. Kritika Jangid
 
Special impression techniques/ dentistry dental implants
Special impression techniques/ dentistry dental implantsSpecial impression techniques/ dentistry dental implants
Special impression techniques/ dentistry dental implants
Indian dental academy
 
Single tooth implants
Single tooth implantsSingle tooth implants
Impression techiques / implant dentistry course/ implant dentistry coursevvv
Impression techiques  / implant dentistry course/ implant dentistry coursevvvImpression techiques  / implant dentistry course/ implant dentistry coursevvv
Impression techiques / implant dentistry course/ implant dentistry coursevvv
Indian dental academy
 
Dental Implants Socket Preservation
Dental Implants Socket PreservationDental Implants Socket Preservation
Dental Implants Socket Preservation
Sumeet Bagai DDS
 
implant supported complete denture/ cosmetic dentistry training
implant supported complete denture/ cosmetic dentistry trainingimplant supported complete denture/ cosmetic dentistry training
implant supported complete denture/ cosmetic dentistry training
Indian dental academy
 
Sinus lifting basic
Sinus lifting basicSinus lifting basic
Sinus lifting basic
Louran Dental Care
 
Evidence Based Prospection of Switching Platform in Dental Implants
Evidence Based Prospection of Switching Platform in Dental ImplantsEvidence Based Prospection of Switching Platform in Dental Implants
Evidence Based Prospection of Switching Platform in Dental Implants
Ziad Abdul Majid
 
Vertical Ridge Augmentation and Dental Implant Restoration
Vertical Ridge Augmentation and Dental Implant RestorationVertical Ridge Augmentation and Dental Implant Restoration
Vertical Ridge Augmentation and Dental Implant Restoration
John Thousand IV, DDS MSD
 
Implant supported overdentures/dental courses
Implant supported overdentures/dental coursesImplant supported overdentures/dental courses
Implant supported overdentures/dental courses
Indian dental academy
 
Maxillary sinus augmentation
Maxillary sinus augmentationMaxillary sinus augmentation
Maxillary sinus augmentation
Paavana0809
 
Implant components and basic techniques3
Implant components and basic techniques3Implant components and basic techniques3
Implant components and basic techniques3
www.ffofr.org - Foundation for Oral Facial Rehabilitiation
 
Sinus Lift and Immediate Implant Placement
Sinus Lift and Immediate Implant PlacementSinus Lift and Immediate Implant Placement
Sinus Lift and Immediate Implant Placement
Dental Evo
 
Indications & contra indications of implant supported prosthesis /certified f...
Indications & contra indications of implant supported prosthesis /certified f...Indications & contra indications of implant supported prosthesis /certified f...
Indications & contra indications of implant supported prosthesis /certified f...
Indian dental academy
 
Trt plan in implant/prosthodontic courses
Trt plan in implant/prosthodontic coursesTrt plan in implant/prosthodontic courses
Trt plan in implant/prosthodontic courses
Indian dental academy
 

Viewers also liked (17)

MAXILLARY DENTAL IMPLANTS WITHOUT SINUS LIFT AND SINUS AUGMENTATION
MAXILLARY DENTAL IMPLANTS WITHOUT SINUS LIFT AND SINUS AUGMENTATIONMAXILLARY DENTAL IMPLANTS WITHOUT SINUS LIFT AND SINUS AUGMENTATION
MAXILLARY DENTAL IMPLANTS WITHOUT SINUS LIFT AND SINUS AUGMENTATION
 
Dental implants ideal replacement to tooth supported dental bridges
Dental implants ideal replacement to tooth supported dental bridgesDental implants ideal replacement to tooth supported dental bridges
Dental implants ideal replacement to tooth supported dental bridges
 
Osseointegration
OsseointegrationOsseointegration
Osseointegration
 
Special impression techniques/ dentistry dental implants
Special impression techniques/ dentistry dental implantsSpecial impression techniques/ dentistry dental implants
Special impression techniques/ dentistry dental implants
 
Single tooth implants
Single tooth implantsSingle tooth implants
Single tooth implants
 
Impression techiques / implant dentistry course/ implant dentistry coursevvv
Impression techiques  / implant dentistry course/ implant dentistry coursevvvImpression techiques  / implant dentistry course/ implant dentistry coursevvv
Impression techiques / implant dentistry course/ implant dentistry coursevvv
 
Dental Implants Socket Preservation
Dental Implants Socket PreservationDental Implants Socket Preservation
Dental Implants Socket Preservation
 
implant supported complete denture/ cosmetic dentistry training
implant supported complete denture/ cosmetic dentistry trainingimplant supported complete denture/ cosmetic dentistry training
implant supported complete denture/ cosmetic dentistry training
 
Sinus lifting basic
Sinus lifting basicSinus lifting basic
Sinus lifting basic
 
Evidence Based Prospection of Switching Platform in Dental Implants
Evidence Based Prospection of Switching Platform in Dental ImplantsEvidence Based Prospection of Switching Platform in Dental Implants
Evidence Based Prospection of Switching Platform in Dental Implants
 
Vertical Ridge Augmentation and Dental Implant Restoration
Vertical Ridge Augmentation and Dental Implant RestorationVertical Ridge Augmentation and Dental Implant Restoration
Vertical Ridge Augmentation and Dental Implant Restoration
 
Implant supported overdentures/dental courses
Implant supported overdentures/dental coursesImplant supported overdentures/dental courses
Implant supported overdentures/dental courses
 
Maxillary sinus augmentation
Maxillary sinus augmentationMaxillary sinus augmentation
Maxillary sinus augmentation
 
Implant components and basic techniques3
Implant components and basic techniques3Implant components and basic techniques3
Implant components and basic techniques3
 
Sinus Lift and Immediate Implant Placement
Sinus Lift and Immediate Implant PlacementSinus Lift and Immediate Implant Placement
Sinus Lift and Immediate Implant Placement
 
Indications & contra indications of implant supported prosthesis /certified f...
Indications & contra indications of implant supported prosthesis /certified f...Indications & contra indications of implant supported prosthesis /certified f...
Indications & contra indications of implant supported prosthesis /certified f...
 
Trt plan in implant/prosthodontic courses
Trt plan in implant/prosthodontic coursesTrt plan in implant/prosthodontic courses
Trt plan in implant/prosthodontic courses
 

Recently uploaded

Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
walterHu5
 
Top Travel Vaccinations in Manchester
Top Travel Vaccinations in ManchesterTop Travel Vaccinations in Manchester
Top Travel Vaccinations in Manchester
NX Healthcare
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
Earlene McNair
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
rishi2789
 
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachIntegrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Ayurveda ForAll
 
Aortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 BernAortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 Bern
suvadeepdas911
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Oleg Kshivets
 
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdfCHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
rishi2789
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
rishi2789
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
PsychoTech Services
 
Ketone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistryKetone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistry
Dhayanithi C
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
taiba qazi
 
All info about Diabetes and how to control it.
 All info about Diabetes and how to control it. All info about Diabetes and how to control it.
All info about Diabetes and how to control it.
Gokuldas Hospital
 
Netter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdfNetter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdf
BrissaOrtiz3
 
Efficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in AyurvedaEfficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in Ayurveda
Dr. Jyothirmai Paindla
 
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptxPost-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
FFragrant
 
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
19various
 

Recently uploaded (20)

Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxDoes Over-Masturbation Contribute to Chronic Prostatitis.pptx
Does Over-Masturbation Contribute to Chronic Prostatitis.pptx
 
Top Travel Vaccinations in Manchester
Top Travel Vaccinations in ManchesterTop Travel Vaccinations in Manchester
Top Travel Vaccinations in Manchester
 
Chapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptxChapter 11 Nutrition and Chronic Diseases.pptx
Chapter 11 Nutrition and Chronic Diseases.pptx
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
 
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
 
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachIntegrating Ayurveda into Parkinson’s Management: A Holistic Approach
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
 
Aortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 BernAortic Association CBL Pilot April 19 – 20 Bern
Aortic Association CBL Pilot April 19 – 20 Bern
 
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptxEar and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
Ear and its clinical correlations By Dr. Rabia Inam Gandapore.pptx
 
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...
 
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdfCHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
CHEMOTHERAPY_RDP_CHAPTER 3_ANTIFUNGAL AGENT.pdf
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
 
Ketone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistryKetone bodies and metabolism-biochemistry
Ketone bodies and metabolism-biochemistry
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
 
All info about Diabetes and how to control it.
 All info about Diabetes and how to control it. All info about Diabetes and how to control it.
All info about Diabetes and how to control it.
 
Netter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdfNetter's Atlas of Human Anatomy 7.ed.pdf
Netter's Atlas of Human Anatomy 7.ed.pdf
 
Efficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in AyurvedaEfficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in Ayurveda
 
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
 
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptxPost-Menstrual Smell- When to Suspect Vaginitis.pptx
Post-Menstrual Smell- When to Suspect Vaginitis.pptx
 
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa CentralClinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
Clinic ^%[+27633867063*Abortion Pills For Sale In Tembisa Central
 

The ABCs of Implant Prosthodontics 3

  • 1. The ABCs of Implant Prosthodontics: A Step by Step Idiot’s Guide For A Successful Restorative Outcome
  • 3. Surgical Splint Fabrication Model-based Advantages Low cost Easy to fabricate Can simulate what the final prosthesis will look like to the patient Disadvantages Position is an estimate No depth control Impressions and lab materials needed Computer designed Stereo lithography Print-based CAD milled
  • 4. Model-Based Surgical Splint Fabrication Wax-up missing teeth to contour Use denture teeth to contour Various surgical Jigs CEREC Others Use of Omni Vac, Dufomat, Biostar to form plastic sheet for an “Essix” type of surgical guide Use of acrylic to fabricate surgical guide
  • 5. Model-Based Surgical Stent Fabrication Exercise The reason to buy the iPhone
  • 6.
  • 7.
  • 8.
  • 9.
  • 12.
  • 13. Zest Anchor Locator Attachments
  • 14. Zest Anchor Locators Low profile Adjustable retention Internal pivoting up to 9 degrees increases resiliency Path of insertion up to 20 degree divergence Easily replaceable inserts Self centering
  • 15.
  • 16.
  • 17.
  • 18. Implant Angulation and Retention Al-Ghafli S, Michalakis K, Hirayama H, Kang K. In vitro effect of different implant angulations and cyclic dislodgement on the retentive properties of an overdenture attachment system J Prosthet Dent 2009; 102:140-147
  • 19. Effect of Wear and Retention Rutkunas V, Mizutani H, Takahashi N, Iwasaki N Wear simulation effects on overdenture stud attachments Dent Mater J . 2011; 30(6): 845-853
  • 20.
  • 21.
  • 22.
  • 23.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32. It just takes a little ingenuity

Editor's Notes

  1. Healing abutment stage is necessary so that an accurate height measurement can be taken