titanium cad bridges with composite
DESCRIPTION
Implant Direct implants are very suitable for providing your patients cost efficient, high quality full arch bridges. In this presentation ES Healthcare CAD Cam technology is used with composite.TRANSCRIPT
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Implant Direct
Titanium CAD/CAM bridgeswith composite
München, 25th of September 2010
Jan Willem Vaartjes, Amsterdam
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Implant Direct
Full Arch bridges in your dental office
• Time consuming?
• Very expensive?
• A challenge?
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Implant Direct
Implant Direct stands for:
• High Quality
• Cost Effective implant therapy
• All in One Packaging
• Innovations
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Implant Direct
Implant Direct stands for:
Let me show you
How to use these principles to treat
your patients with an affordable and
also predictable solution
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Implant Direct
Conventional full arch bridges
• Abutment level
• Casted (gold alloy) structure
• Fused porcelain
• Highly expensive
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Implant Direct
Conventional full arch bridges
• Abutment level
• Casted (gold alloy) structure
• Fused porcelain
• Highly expensive
Costs of materials €5000-€9000
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Implant Direct
Conventional full arch bridges
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Implant Direct
Conventional full arch bridges
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Implant Direct
Conventional full arch bridges
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Implant Direct
Conventional full arch bridges
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Implant Direct
Titanium CAD CAM bridges
The smart alternative
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Implant Direct
Titanium CAD CAM bridges
€2500-€3500
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Implant Direct
Titanium CAD CAM bridges
• 1-piece, no welding needed, no weak points
• Very precise fit (CAM)
• No distortion and tension due to casting
• Computer Aided Design (CAD) possible
• Cost efficient
• Implant level possible, no abutments
€2500-€3500
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Implant Direct
Mandibula vs Maxilla
4-5 implants
Anterior or ideally spread when possible
Esthetically, functional and phonetical predictable
6-8 implants
Stay out of the esthetic zone in resorbed ridges
Esthetically and phonetical challenging
Foramen Foramen
CuspidCuspid
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Implant Direct
Access to oral hygiene!
Foramen Foramen
CuspidCuspid
Peri-implantitis in partially edentulous patients: association with inadequate plaque control
Clinical Oral Implants ResearchVolume 20, Issue 2, pages 169–174, February 2009
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Implant Direct
Access to oral hygiene!
Foramen Foramen
CuspidCuspid
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Implant Direct
Access to oral hygiene!
Foramen Foramen
CuspidCuspid
No saddles
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Implant Direct
Access to oral hygiene!
Foramen Foramen
CuspidCuspid
brush guidance
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Implant Direct
The screw has to withstand the load
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Implant Direct
Suitable type of implant connection
Better
Legacy Replant ScrewPlus & Swissplant
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Implant Direct
Suitable type of implant connection
• Internal bevel
• Flat connections
• External bevels
Better
Legacy Replant ScrewPlus & Swissplant
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Implant Direct
Suitable type of implant connection
• Internal bevel
• Flat connections
• External bevels
Better
Legacy Replant ScrewPlus & Swissplant
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Implant Direct
Suitable type of implant connection
• Internal bevel
• Flat connections
• External bevels
Better
Legacy Replant ScrewPlus & Swissplant
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Implant Direct
Zirconia vs Titanium in large bridgesCons:
Colour of the inner structure has minor aesthetic influence
No longterm studies for large Zirconia bridges
Titanium has a significant higher strength
Zirconia is brittle, (ageing process?)
Titanium is more price efficient
Comparable biocompatibility
Pro’s:
Porcelain can be fused or pressed more easily to Zirconia
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Implant Direct
Composite for bridges
• Quick and efficient to apply
• Strong bond to titanium
• not abrasive for antagonising teeth
• Easy to repair intra-orally
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Implant Direct
Case I: 5 ScrewPlus in the mandibula
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Implant Direct
Cover screws with extenders
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Implant Direct
Wound healing after 3 months
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Implant Direct
Closed tray transfers
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Implant Direct
Impregum impression
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Implant Direct
Case I: 5 ScrewPlus in the mandibula
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Implant Direct
Use the fixture mounts, they come for free!
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Implant Direct
Fixed bite registration plate
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Implant Direct
Wax setup
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Implant Direct
Case I: Anterior Posterior Spread 1:2
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Implant Direct
Case I: Anterior Posterior Spread 1:2
21
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Implant Direct
Case I: Anterior Posterior Spread 1:2
21
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Implant Direct
Case I: Milled titanium structure
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Implant Direct
Case I: Milled titanium structure
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Implant Direct
Case I: Sandblasting for retention
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Implant Direct
Opaque
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Implant Direct
Gradia GC composite, dentin layers
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Implant Direct
GC Gradia composite, enamel layers
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Implant Direct
Polishing
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Implant Direct
End result
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Implant Direct
Access to oral hygiene!
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Implant Direct
Case I: Perfect fit
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Implant Direct
Case II: Bredent technique
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Implant Direct
Bredent veneers used for the setup
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Implant Direct
Computer Aided Design
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Implant Direct
Silicone key
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Implant Direct
Smaller titanium structure
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Implant Direct
Individual coloring
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Implant Direct
Individual coloring
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Implant Direct
Attaching veneers to Ti structure
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Implant Direct
Individual grinding
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Implant Direct
Finishing and completing
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Implant Direct
Staining
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Implant Direct
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Implant Direct
Thank you very much!