Titanium CAD Bridges with composite

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Implant Direct implants are very suitable for providing your patients cost efficient, high quality full arch bridges.
In this presentation ES Healthcare CAD Cam technology is used with composite.

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Titanium CAD Bridges with composite

  1. 1. Titanium CAD/CAM bridges with composite München, 25th of September 2010 Jan Willem Vaartjes, Amsterdam Implant Direct
  2. 2. Full Arch bridges in your dental office • Time consuming? • Very expensive? • A challenge? Implant Direct
  3. 3. Implant Direct stands for: • High Quality • Cost Effective implant therapy • All in One Packaging • Innovations Implant Direct
  4. 4. Implant Direct stands for: Let me show you How to use these principles to treat your patients with an affordable and also predictable solution Implant Direct
  5. 5. Conventional full arch bridges • Abutment level • Casted (gold alloy) structure • Fused porcelain • Highly expensive Implant Direct
  6. 6. Conventional full arch bridges • Abutment level • Casted (gold alloy) structure • Fused porcelain • Highly expensive Costs of materials €5000-€9000 Implant Direct
  7. 7. Conventional full arch bridges Implant Direct
  8. 8. Conventional full arch bridges Implant Direct
  9. 9. Conventional full arch bridges Implant Direct
  10. 10. Conventional full arch bridges Implant Direct
  11. 11. Titanium CAD CAM bridges The smart alternative Implant Direct
  12. 12. Titanium CAD CAM bridges €2500-€3500 Implant Direct
  13. 13. Titanium CAD CAM bridges • 1-piece, no welding needed, no weak points • Very precise fit (CAM) • No distortion and tension due to casting • Computer Aided Design (CAD) possible • Cost efficient • Implant level possible, no abutments €2500-€3500 Implant Direct
  14. 14. Mandibula vs Maxilla Foramen Foramen Cuspid Cuspid 4-5 implants 6-8 implants Anterior or ideally spread when possible Stay out of the esthetic zone in resorbed ridges Esthetically, functional and phonetical predictable Esthetically and phonetical challenging Implant Direct
  15. 15. Access to oral hygiene! Peri-implantitis in partially edentulous patients: association with inadequate plaque control Foramen Foramen Clinical Oral Implants Research Volume 20, Issue 2, pages 169–174, February 2009 Cuspid Cuspid Implant Direct
  16. 16. Access to oral hygiene! Foramen Foramen Cuspid Cuspid Implant Direct
  17. 17. Access to oral hygiene! Foramen Foramen Cuspid Cuspid No saddles Implant Direct
  18. 18. Access to oral hygiene! Foramen Foramen Cuspid Cuspid brush guidance Implant Direct
  19. 19. The screw has to withstand the load Implant Direct
  20. 20. Suitable type of implant connection Better Legacy Replant ScrewPlus & Swissplant Implant Direct
  21. 21. Suitable type of implant connection • Internal bevel Better • Flat connections • External bevels Legacy Replant ScrewPlus & Swissplant Implant Direct
  22. 22. Suitable type of implant connection • Internal bevel Better • Flat connections • External bevels Legacy Replant ScrewPlus & Swissplant Implant Direct
  23. 23. Suitable type of implant connection • Internal bevel Better • Flat connections • External bevels Legacy Replant ScrewPlus & Swissplant Implant Direct
  24. 24. Zirconia vs Titanium in large bridges Cons: Colour of the inner structure has minor aesthetic influence No longterm studies for large Zirconia bridges Titanium has a significant higher strength Zirconia is brittle, (ageing process?) Titanium is more price efficient Comparable biocompatibility Pro’s: Porcelain can be fused or pressed more easily to Zirconia Implant Direct
  25. 25. Composite for bridges • Quick and efficient to apply • Strong bond to titanium • not abrasive for antagonising teeth • Easy to repair intra-orally Implant Direct
  26. 26. Case I: 5 ScrewPlus in the mandibula Implant Direct
  27. 27. Cover screws with extenders Implant Direct
  28. 28. Wound healing after 3 months Implant Direct
  29. 29. Closed tray transfers Implant Direct
  30. 30. Impregum impression Implant Direct
  31. 31. Case I: 5 ScrewPlus in the mandibula Implant Direct
  32. 32. Use the fixture mounts, they come for free! Implant Direct
  33. 33. Fixed bite registration plate Implant Direct
  34. 34. Wax setup Implant Direct
  35. 35. Case I: Anterior Posterior Spread 1:2 Implant Direct
  36. 36. Case I: Anterior Posterior Spread 1:2 1 2 Implant Direct
  37. 37. Case I: Anterior Posterior Spread 1:2 1 2 Implant Direct
  38. 38. Case I: Milled titanium structure Implant Direct
  39. 39. Case I: Milled titanium structure Implant Direct
  40. 40. Case I: Sandblasting for retention Implant Direct
  41. 41. Opaque Implant Direct
  42. 42. Gradia GC composite, dentin layers Implant Direct
  43. 43. GC Gradia composite, enamel layers Implant Direct
  44. 44. Polishing Implant Direct
  45. 45. End result Implant Direct
  46. 46. Access to oral hygiene! Implant Direct
  47. 47. Case I: Perfect fit Implant Direct
  48. 48. Case II: Bredent technique Implant Direct
  49. 49. Bredent veneers used for the setup Implant Direct
  50. 50. Computer Aided Design Implant Direct
  51. 51. Silicone key Implant Direct
  52. 52. Smaller titanium structure Implant Direct
  53. 53. Individual coloring Implant Direct
  54. 54. Individual coloring Implant Direct
  55. 55. Attaching veneers to Ti structure Implant Direct
  56. 56. Individual grinding Implant Direct
  57. 57. Finishing and completing Implant Direct
  58. 58. Staining Implant Direct
  59. 59. Implant Direct
  60. 60. Thank you very much! Implant Direct

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