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            cerecdoctors.com
          
        
        
          
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            quarter 3
          
        
        
          
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            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