Page 56 - CEREC Q3|2013
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cerecdoctors.com
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quarter 4
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2013
in this recurring section of cerecdoctors.commagazine
, we share a sample of conversations
occurring online:
Dentists are always looking forways to be efficient indoing procedures. Different dentists give their opinions
not only on the sequence of fabricating a particular guide but also their rationale of guided implant surgery.
Share CEREC Guide Workflow
That Is Working in Your Office
d i s c u s s i o n f o r u m
| | |
Compiled from
Charlton Ho | Mclean, Va.
I’m struggling to find an efficient way to
make CEREC Guide work in my office. With
Optiguide, it’s easy. My assistants take the scan and the
impressions of the arches, so this can be accomplished
without taking time out of my schedule other than to
check their work.
With CEREC Guide, we have yet to find an efficient
way to take the impression, fabricate the guide with the
Scanbody and take the scan quickly in a single visit. So,
usually I end up doing an Optiguide because it saves so
much time.
Anyone have a protocol that is working for them?
David Diehl | Fort Wayne, Ind.
I’ve wondered about a more efficient system
as well. But so far, I’m working with a two- or
possibly three-appointment process. This may not be
the answer you’re looking for, but I’m curious what type
of response people may have. (I’m relatively new to this
forum.)
Typical patient presents for a possible implant (implant
consult). Assistant takes the scan, and a single arch impres-
sion. I verify the possibility of implant placement off of this
first scan. If it is possible (I don’t do sinus lifts), I inform
the patient that I have to further plan.
Patient leaves, I work up the thermoplastic mold and
reference body off the poured model.
Patient returns for reference body scan. (At this point, I
know my implant size based on the first scan’s results.) I
finalize the plan andmill the guide. Patient is getting numb
and prepped for surgery. By the time the guide is ready, the
patient is ready. Implant is then placed.
This is ideally how the process has been going for me.
I like it because it gives me more time to think about or
study my implant placement. I’ve rushed through one (all
in one day) and I wasn’t as pleased with the results. I don’t
like looking at the post-op film and seeing a implant too
close to an adjacent root or whatever.
If I am busy or maybe the planning is taking longer
than I would like, I have the patient back for the implant
placement on a third appointment. Again, for me, slower
is better. I may be able to rush through a crown prep, but I
don’t want to rush through an implant placement.
Okay, criticism is welcomed.
T-Bone 3-D Implant Agarwal | Raleigh, N.C.
Have you considered training your assistant
to do nearly everything? My assistant can take
the impression, pour with quick stone, fabricate the ther-
moplast with X-ray aid, scan patient with X-ray aid, and
have it ready for me to design the implant. Then I export
to CEREC and [the assistant] mills the insert and puts it
all together.
Emil Verban | Bloomington, Ill.
I have a question that perhaps those on this site
can answer: If you can remove gutta percha
from the canal of a tooth with a Gates Glidden drill, then
why do you need a guide to place an implant? I fully under-
stand why a CBCT is valuable but, with that information,
there should be only a small number of cases where a
restrictive guide is needed.
Darin O’Bryan (Faculty) | Coos Bay, Ore.
Here is how I do it inmy office. Patient is seated.
Quick impression with alginate. Then either
Mach 2 or fast-set stone. I actually like Mach 2 better, but
