implant treatment planning: model base planning for implant fixed treatment
DESCRIPTION
Each diagnostic wax-up starts with the division of the edentulous spaceTRANSCRIPT
Model Based Planning for
implant fixed treatment
Dr. Zvi Fudim
1 Facial Lip, profile, Naso-labial fold.
2 Dental Incisal margin, midline, exposure or smile line.
3 Occlusion Class I
Main objective: Esthetics
To determine the relation between:
1. The proximal end of the implant and
2. The center of the future restored tooth
Goal
Point #2 Center of the waxed
tooth
(occlusal plan level)
Diagnostic wax up
Point #1 The proximal end of
the implant
(mucosal surface level)
SG ™ Partition stickers
Which Came First - The Chicken or the Egg?
Each diagnostic wax up starts with the division of the edentulous
space
Optimal - straight abutments Little or no bone lose.
Borderline - up to 15º angled abutmentModerate bone resorption.
Difficult - 20º and more angled abutmentImportant bone lose.
Prosthetic Outcomes
SG ™ Partition Stickers
Diagnostic wax up
Silicone Jig
Evaluation
Division of the edentulous space is one of the first steps of the planning which determines the location of the future implants.
Light or light-moderate bone lose in the posterior area seldom
requires wax up.
Moderate or Heavy bone lose should be diagnosed with aid of diagnostic wax up to create favorable conditions to restore the esthetics.
The results of the evaluation should determine the necessity of
angled abutments or even bone graft.
Conclusions