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360 Visualise CarestreamPDIP Presentation

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What Exactly is PDIP?
PDIP is an acronym for “Prothetic Dental Implant Planning” Traditionally with CBCT implant planning software, you have had to place the implant and then work out how to get your abutment and crown in the correct position. With PDIP you position the crown and then place the implant in the best position to accommodate the crown. However the latest version of PDIP take this a stage further and integrates the SMOP, BlueSkyBio and coming soon may other guided systems.

360 Visualise can help you with hardware, calibration, clinical training and software support.

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360 Visualise CarestreamPDIP Presentation

  1. 1. LET'S REDEFINE EXPERTISE CS Solutions for Implant Including Prosthetic-Driven Implant Planning
  2. 2. Public. © Carestream Health, 2016 PROSTHETIC-DRIVEN IMPLANT PLANNING* —— WELCOME TO THE NEW REALITY —— Update product images / background IMPLANTING CONFIDENCE CS Solutions for Implants
  3. 3. Public. © Carestream Health, 2016 Why Digital Implant Planning? • More reliable diagnostic abilities • Improves confidence • Optimal treatment results • Faster treatment • Fewer visits required • Increases case acceptance • More predictable outcomes • Improve patient satisfaction • Enhance communication Benefits For Both You and Your Patients
  4. 4. Public. © Carestream Health, 2016 What Is Prosthetic-Driven Implant Planning? • Implant planning starts with the desired prosthetic result • Approach that considers both the patient’s anatomy and the prosthetic requirements Plan Implant From the Crown Down Standard implant planning workflow Prosthetic-driven planning Implant’s position Crown’s position Implant’s location Crown’s position ✚ Predictable outcomes ✚ Optimal results ✚ Faster treatment
  5. 5. Public. © Carestream Health, 2016 Testimonials “Prosthetic-driven implant planning helps the practitioner achieve predictability in implant placement. We can envision potential complications and prepare accordingly.” “When patients see all of their images and the step- by-step approach of prosthetic-driven implant planning, the whole process becomes more tangible to them.” —Lawrence H. Marks, D.M.D.
  6. 6. Public. © Carestream Health, 2016 Testimonials “Carestream Dental’s 3D imaging and prosthetic-driven implant planning software enables us to immediately confirm whether or not treatment is feasible and move to surgery—often after the first appointment.” “CS Solutions for Implants is an excellent educational tool. Patients can understand their clinical situation and see their future crown and implant in 3D instantly —and that’s a huge ‘wow’ factor.” —Dr. Nicolas Boutin, Paris.
  7. 7. Public. © Carestream Health, 2016 What Is Prosthetic-Driven Implant Planning? • Combines 3D X-ray, digital impression, virtual crown, and 3D implant planning • When required, use surgical guide for predictable surgical outcome
  8. 8. Public. © Carestream Health, 2016 CS Solutions for Implants • Built on Carestream Dental’s state-of-the-art 3D technology The Components CS 3500 / CS 3600 intraoral scanners CS 8100 3D / CS 9300 Family CBCT systems Prosthetic-Driven Implant Planning module CS 3D Imaging software
  9. 9. Public. © Carestream Health, 2016 CS Solutions for Implants • One solution for diagnosis, implant planning and to produce data for surgical guide creation  Work more quickly and confidently  Your patients feel comfortable in your care Your Complete Process – One Integrated Solution SCANNING AND DIAGNOSIS 3D PLANNING PLACEMENT RESTORATION
  10. 10. Public. © Carestream Health, 2016 CS Solutions for Implants It All Starts With Scans SCANNING AND DIAGNOSIS • Get a full picture of the clinical situation from the beginning • CBCT systems:  Clear view of bone volume, mandibular nerve and sinuses  Wide range of field of views  Cover all implant indications • Intraoral scanners:  Record soft tissues quickly and accurately  Silicon-free digital impressions • CBCT scanning:  Alternative option–use Carestream Dental’s CBCT system to scan traditional impression
  11. 11. Public. © Carestream Health, 2016 CS Solutions for Implants • Automatic merge of digital impression and CBCT scan data Plan Implant With Optimal Restoration in Mind 3D PLANNING DIGITAL IMPRESSION CBCT SCAN EXCLUSIVE AUTOMATIC MERGE
  12. 12. Public. © Carestream Health, 2016 CS Solutions for Implants • Virtually plan the crown and implant on the same screen • Localize and mark anatomical obstacles (mandibular canal, sinus) • Take precise measurements using true 1:1 ratio • Access a comprehensive library of crowns and implants • Place implants in the appropriate axis and add abutments Plan Implant With Optimal Restoration in Mind 3D PLANNING
  13. 13. Public. © Carestream Health, 2016 CS Solutions for Implants • Access a comprehensive implant library that includes more than 60 manufacturers worldwide • Create and manage your favorite libraries • Create your own custom implants Plan Implant With Optimal Restoration in Mind 3D PLANNING ONLINE LIBRARY INSTALLATION AND UPDATE
  14. 14. Public. © Carestream Health, 2016 CS Solutions for Implants • Create surgical guide in third-party software  Export the 3D data with just one click  Generate implant reports with a single click (print or PDF format) Surgery Preparation PLACEMENT Export to third-party surgical guide software Implant report
  15. 15. Public. © Carestream Health, 2016 CS Solutions for Implants • Open files can be used in third-party CAD software  Use the lab of your choice to create implant-borne restorations  Capture implant position precisely by scanning of scanbodies Easy Communication and Collaboration RESTORATION
  16. 16. Public. © Carestream Health, 2016 Prosthetic-Driven Implant Planning How Does It Works? SCAN PATIENT MERGE DATA PLAN IMPLANT EXPORT DATA CREATE GUIDE ▪ Produce guide with the third party of your choice ▪ Export 3D data into third party implant software for surgical guide creation THIRD PARTY SOFTWARE 1 2 3 4 5 ▪ Add a virtual crown ▪ Plan the implant and abutment taking into account the form and location of final restoration A. Take 3D X-ray scan with a Carestream Dental CBCT unit to evaluate bone structure and identify anatomical obstacles B. Use the CS 3500 / CS 3600 intraoral scanner to obtain digital impressions or Scan the traditional impression using a Carestream Dental CBCT unit ▪ Digital impression and CBCT scan are merged automatically in CS 3D Imaging software ▪ Adjust manually the merge if needed
  17. 17. Public. © Carestream Health, 2016 Make Friends With Your Lab and Network • Easily share files with referrals, third parties or your lab partners • Versatile 3D file format options: .STL, .PLY, DICOM files • Use the lab of your choice • Provides flexibility for implant-borne restorations • Create surgical guide with leading third party software Open System Facilitates Collaborative Planning
  18. 18. Public. © Carestream Health, 2016 3D Image Viewers CS MeshViewer and CS 3D Imaging enable the implant network to open 3D files simply Easy Communication With Your Network CS MeshViewer Support, view and export digital models CS 3D Imaging Support, view and export CBCT data
  19. 19. Public. © Carestream Health, 2016 CLINICAL CASE ANTERIOR SINGLE IMPLANT-SUPPORTED RESTORATION IN AESTHETIC ZONE USING GUIDED SURGERY Courtesy of Dr Nicolas Boutin (Paris)
  20. 20. Public. © Carestream Health, 2016 CASE SUMMARY • Missing maxillary incisor lateral • Aesthetic zone with limited space between teeth • Treatment feasibility is validated using CBCT imaging, virtual tooth and 3D implant planning software • Surgical guide is created using third party software (NobelClinicianTM) • Successful prosthetic outcome achieved through the combination of 3D implant planning and guided surgery • Full digital workflow allows for immediate loading
  21. 21. Unrestricted Internal Use. © Carestream Health, 2016 INITIAL CLINICAL SITUATION MISSING MAXILLARY INCISOR LATERAL
  22. 22. Unrestricted Internal Use. © Carestream Health, 2016 CBCT EXAM A CBCT SCAN (CS 8100 3D) IS PERFORMED TO VALIDATE THE BONE VOLUME
  23. 23. Unrestricted Internal Use. © Carestream Health, 2016 IMPLANT PLANNING IMPRESSION IS ACQUIRED USING THE CS 3600 SCANNER
  24. 24. Unrestricted Internal Use. © Carestream Health, 2016 IMPLANT PLANNING CBCT AND DIGITAL IMPRESSION DATA ARE COMBINED IN CS 3D IMAGING SOFTWARE
  25. 25. Unrestricted Internal Use. © Carestream Health, 2016 IMPLANT PLANNING VIRTUAL CROWN IS ADDED IN THE 3D SOFTWARE
  26. 26. Unrestricted Internal Use. © Carestream Health, 2016 IMPLANT PLANNING VIRTUAL IMPLANT IS PLACED IN THE 3D SOFTWARE
  27. 27. Unrestricted Internal Use. © Carestream Health, 2016 IMPLANT PLANNING CROSS SECTION VIEW OF THE PROSTHETIC PLAN INCLUDING THE VIRTUAL CROWN (BLUE), THE SOFT TISSUES AND THE VIRTUAL IMPLANT (GREEN)
  28. 28. Unrestricted Internal Use. © Carestream Health, 2016 GUIDED SURGERY PILOT DRILL GUIDE TO POSITION THE AXIS OF IMPLANTS
  29. 29. Unrestricted Internal Use. © Carestream Health, 2016 THE IMPLANT IS PLACED THE EMERGENCE PROFILE
  30. 30. Unrestricted Internal Use. © Carestream Health, 2016 DIGITAL IMPRESSION THE SCAN BODY AND ADJANCENT TEETH ARE SCANNED USING THE CS 3600 AND DATA SENT ELECTRONICALLY TO THE LAB
  31. 31. Unrestricted Internal Use. © Carestream Health, 2016 TEMPORARY CROWN DESIGN AND MILLING USING EXOCAD SOFTWARE (BEAUPÈRE LABORATORY)
  32. 32. Public. © Carestream Health, 2016 FEW HOURS LATER THE TEMPORARY CROWN IS PLACED IN THE SAME DAY
  33. 33. Public. © Carestream Health, 2016 CLINICAL CASE ANTERIOR MULTIPLE IMPLANT- SUPPORTED RESTORATION IN AESTHETIC ZONE Courtesy of Dr Nicolas Boutin (Paris)
  34. 34. Public. © Carestream Health, 2016 CASE SUMMARY • Patient with excessive mandibular periodontal disease • 3D implant planning confirms the feasibility of the treatment proposed • The prosthetic plan is indicated by the opposite teeth visible on the CBCT scan • Surrounding teeth are used as guides for determining the correct positioning of the implant (no need for surgical guide) • Immediate loading using a 4-unit PMMA temporary bridge
  35. 35. Unrestricted Internal Use. © Carestream Health, 2016 INITIAL CLINICAL SITUATION EXCESSIVE MANDIBULAR PERIODONTAL DISEASE
  36. 36. Unrestricted Internal Use. © Carestream Health, 2016 CBCT SCAN (CS 8100 3D) VALIDATE THE DIAGNOSIS AND SHOWS THE RESIDUAL BONE VOLUME AROUND THE TEETH
  37. 37. Public. © Carestream Health, 2016 IMPLANT PLANNING SHOWS THE VIRTUAL IMPLANT POSITION IN THE EXISTING SOCKETS
  38. 38. Unrestricted Internal Use. © Carestream Health, 2016 IMPLANT SURGERY AND THE EMERGENCE PROFILE OF THE IMPLANTS PLACED
  39. 39. Unrestricted Internal Use. © Carestream Health, 2016 SCANBODIES ACQUISITION OF SCAN BODIES USING THE CS 3600 IMPLANT MODE
  40. 40. Unrestricted Internal Use. © Carestream Health, 2016 TEMPORARY PMMA BRIDGE THE BRIDGE WITH TWO PMMA CONNECTIONS
  41. 41. Unrestricted Internal Use. © Carestream Health, 2016 ONE WEEK LATER THE RESULT AFTER HEALING AND REMOVAL OF SUTURES

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