Comprehensive Single/Quadrant Implant Workflow

mm Written by Andrew Sedler

Conventional vs. Digital Workflows

Single Implant Abutments - Conventional Workflow

  • 1

    Initial Impression Appointment

1. Initial Impression Appointment
Iniitial impression appointment
  • 2

    Pre-Operative - Creating a surgical stent

Burbank Dental Lab

From Lab - Wax-up - Wax-up of the teeth in the area(s) of the proposed implant restoration.

From Lab - Surgical stent often made with a proposed access hole filled with gutta percha.

Wax-up scanning guide - figure 2
Surgical Stent - Fig. 3
  • 3

    Surgery Appointment

Osteotomy using surgical stent for pilot hole

The stent is used as a surgical tool to give the surgeon a basic idea as to where the implant access hole should ideally be placed. Surgeon can take an x-ray to have a general idea as to the bone position relative to the guide hole due to the gutta percha radio opaque markers. Typically in a non-guided surgery the initial pilot hole uses the surgical stent, then the stent is discarded and the rest of the osteotomy is performed free-hand.

Surgery - Figure 4
Surgery - Figure 5
  • 4

    Placing of healing cap

The healing cap can be used to shape tissue creating the desired emergence and support papilla between the teeth and the implant restoration.

Placing of healing cap - Fig. 6
Placing of healing cap - fig. 7
  • 5

    Implant level impression appointment

After healing and integration of the implant at the next step is an implant level impression. In most cases it is advisable to take an open tray impression.

Open Tray Procedure Presentation - Fig. 8
Freehand vs. Guided Surgery - Fig. 9
  • 6

    Restoration / Abutment(s)

Burbank Dental Lab

From Lab - Restoration(s)

Restoration / Abutments - Fig. 10

Single Implant Abutments - Digital Workflow

  • 1

    Initial Impression Pre-Operative

Digital dental impression scanner - Burbank Dental Lab - California Dental Lab
  • 2

    Scanning Appliance

Burbank Dental Lab

From Lab - Digital Wax-up

From Lab -Printing of CT Scanning appliance, with radio opaque teeth in the proposed implant position(s).

Digital wax-up - Fig. 12
Digital CT scanning device - Fig. 13
  • 3

    CT Scanning Appointment

Patient appointment for CBCT scan with scanning appliance.

CT scanning appointment
  • 4

    Digital Surgery Planning

1. Merge CT scan (DICOM file - .dcm) with .stl of arch model

Merge CT Scan - Fig. 16

2. Plan surgery and design guide in planning software. Blue Sky Plan or Galileos Implant are two known software solutions that have the ability to export a .stl file for the completed guide, which is required to fabricate a surgical guide in an open system.

Intraoral - Figure 17

3. Export guide .stl file for fabrication, transmit .stl file to lab.

Guide .stl in mesh - Figure 18
  • 5

    Guided Surgery Appliance

Burbank Dental Lab

From Lab - Guided Surgery Appliance

Guided Surgery Appliance - Fig. 19
  • 6

    Fully Guided Implant Surgery

Using Guided Surgery Appliance is used in conjunction with fully-guided surgical kit to perform the osteotomy and place the implant(s).

After implant placement - Figure 20
Implant Placement - Figure 21
  • 7

    Healing Cap

The healing can be used to shape tissue creating the desired emergence and support papilla between the teeth and the implant restoration.

Abutment - Figure 22
surgery - post - Figure 23
  • 9

    IOS Implant Scan Body Impression

Scan - Figure 24
  • 10

    Abutment and Implant Restorations

Using CAD/CAM design software the lab designs implant restorations, and mills the custom implant restorations. The restorations may include:

Titanium abutments

Zirconia abutments

Screw-retained restorations

Figure 25
Implant abutment milling - Figure 26
3Shape - Implant Studio - Figure 27
  • 11

    From Burbank Dental Lab: Implant Restorations

Burbank Dental Lab
Dual implant abutment - Figure 28
Zirconia abutments with TI base - Burbank Dental Lab

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Fabrication
of the future
is here!

Burbank Dental Lab has three new state-of-the-art Carbon M2 printers. We are very excited about the options that these cutting-edge printers will allow us to offer our dental clients. Here are some of the advantages that these printers will begin to deliver to you and your dental practice.

Our New
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Carbon offers a highly dependable 3D manufacturing solution for many dental applications with its breakthrough Digital Light Synthesis™ technology, enabled by a wide range of dental materials.