36
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CERECDOCTORS.COM
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QUARTER 2
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2016
C A S E S T U D Y
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B Y A N T H O N Y R A M I R E Z , D . D . S . , M . A . G . D .
more than two years have passed since ivoclar released the ips e.max abutment to the cerec community.
But, as amazing as this product is it is, its capabilities have been underestimated. Before its release the only way we had to
create a definitive implant crown was through a dental laboratory. In effect, we gave up the control to the lab and it often would
take two to three visits to complete the restorative phase of treatment.
You Can Do WHATWith CEREC?!
Same-day Dentistry to Restore Dental Implants
I would like to describe my use of the IPS
e.max CAD abutment block to restore an
implant with a single visit screw-retained
CEREC restoration. This is created within a
completely digital workflowwhich can be used
in many of our single-implant restorations if
planned correctly. This is the most common
implantneeding toberestoredand—if properly
planned, installed and positioned — becomes a
quick, easy to fabricate and predictable restora-
tionwith an in-officeMCXLmilling unit.
This procedure precludes the need to
use prefabricated or custom abutments and
gives the clinician an in-office CAD/CAM
alternative to costly lab fabricated implant
restorations.
Being an early adopter of Galileos, I came
to understand that 3-D imaging is an absolute
necessity in today’s implant practice. When
Sirona combined Galileos with CEREC, it
seamlessly merged two innovative tech-
nologies that have come to epitomize digital
dentistry. Today, I can actually scan, extract,
implant and restore in a single visit. The
benefits of this workflow are myriad, espe-
cially when considering 3-D virtual analysis,
milling an in-office CEREC Guide 2 and
performing guided implant placement. These
benefits were followed by Omnicam imaging,
designing, milling and inserting a provisional
or definitive crown.
Implantology is a restoratively driven
The following will explain the completely digital workflow that
has come to define my fully integrated dental practice. CEREC
restorations have been at the forefront of CAD/CAM dentistry for
30 years and have increased predictability, efficiency and produc-
tivity while the milled crown is strong, esthetic and cost effective.
procedure with a surgical component. No surprises occur when we
can completely visualize our patient’s maxillofacial anatomy, place
the implant in the ideal position relative to the anticipated crown,
and deliver that crown with full control of emergence profile, tissue
pressure, morphology, tooth contours, contacts and occlusion. Our
Fig. 1: Pre-operative cross-sectional
3-D viewwith virtual implant for
tooth #15
Fig. 2: Post-op bone graft tooth #15
Fig. 3: Connective tissue graft intra-oral view tooth #15
