38
|
cerecdoctors.com
|
quarter 3
|
2013
12
13
14
| | |
Pascetta and Scar i ng i
10
11
fig. 10:
Tissue conditioning in the frontal
region before removal with tungsten cutters;
adjustment of the first provisional restoration
fig. 11:
Production of a functional,
aesthetic provisional device to evaluate
the future finished prosthetic using the
digital impression from the Bluecam
fig. 12:
Positioning of the provisional device:
functional and aesthetic considerations.
The digital impression file and the cone
beam in the dicom format have produced
a 3-D view of the cephalometric study.
This adds data to the clinical analysis to
combine overlapping data using synchron-
omyography. To restore missing elements, a
bariumX-ray is used whereby a cone beam
volume CT study will be performed. The
extrapolated dicomfile is imported into the
coDiagnostiX program and processed by
developing the surgical X-ray using GonyX.
A surgical procedure was performed
with local anesthesia and Guided Dental
Surgery technique. The plan was for five
Bone Level implants in positions 1.4 (#5),
1.2 (#7), 2.2 (#10), 2.4 (#12), 2.6 (#14).
fig. 13:
Electromyographic analysiswith
synchronomyography, evaluation ofmastica-
tory function andmusculoskeletal balance,
antero-posteriorly and symmetrically
fig. 14:
Planning of implant positioning
using the coDiagnostiX systemand develop-
ment of the surgical template using GonyX
when the old prosthetic is removed