Page 27 - CEREC Q1 | 2014

QUARTER 1 | 2014 | CERECDOCTORS.COM | 25
show her exactly how she is a great and
safe candidate for implant treatment
(Fig. 5). Linda agrees to move forward
with treatment, our team makes the
necessary firm financial arrangements
and I am given permission to order the
surgical guide (Fig. 6).
About two weeks later, Linda presents
for implant placement. My assistant
verifies the fit of the OptiGuide, and I
give Linda a mandibular block and infil-
tration to achieve profound anesthesia.
An isolate is used for several reasons
(Fig. 7): to stabilize the guide, to assist
in propping the mouth open, to assist in
suction so that I can use copious irriga-
tion, and most important, to protect the
airway from the parts and pieces. The
fully guided surgery is completed with
a controlled osteotomy (Fig. 8) and by
placing the implant through the guide
(Fig. 9). By utilizing fully guided surgery,
we are able to ensure ideal implant
placement that properly supports our
future restoration (Fig. 10).
RESTORATION “MAGIC”
Fast-forward four months, and the
patient is ready for restoration. Tradi-
tionally, it has required three appoint-
ments for implant restoration: uncovery
to place healing abutment, impression
and delivery. Today, utilizing 3-D tech-
nologies, we are going to combine all
three into a single visit.
Since the implant was placed with a
surgical guide, the same surgical guide
can be used to precisely uncover and
1 2
3 4
5 6
7 8
9 10
Fig. 1: Pre-extraction radiograph
Fig. 2: Post-extraction clinical view
Fig. 3: Post-extraction radiograph
Fig. 4: First stage digital pre-op
Fig. 5: Digital patient aid
Fig. 6: Surgical guide
Fig. 7: Isolite in use
Fig. 8: Osteotomy
Fig. 9: Implant placement
Fig. 10: Post-placement radiograph