Dr. Almgren is very enthusiastic when he talks about working digitally. Achieving the same results in the old-fashioned way would be difficult. To explain how a digital workflow functions, he refers to one of his most recent patients, Sia, a man in his mid-fifties who needed two single implants, on tooth position 25 and 46.
Dr. Almgren talks about the meeting with Sia; a very decisive person normally, but slightly indecisive when it came to implant treatment. Sia was diagnosed and as the first step in the Digital Implant Workflow, a CBCT scan was made.
An intraoral scan is required to obtain information about the patient’s dentition and soft tissue. This provides information about the position of the implant based on the desired esthetic outcome and is a key part of implant planning. During Sia’s first visit to Dr. Almgren, things changed quickly. Sia was a little skeptical initially, but Dr. Almgren really made all the difference.
Dr. Almgren uses mySimplant Planning Service to plan the procedure. This involves sending X-ray files to Dentsply Sirona, who then send him a technical planning schedule based on the CBCT and the intraoral scan. In this way, he can be sure the implants are placed correctly and that the distance to the adjacent roots and bone walls is taken into account. If he accepts the surgical plan, he orders the surgical guide.
In Sia´s case there is a sloping anatomy. Choosing the right implant with the right design is a challenge. Resorption is often pronounced on the buccal side, resulting in a sloped, lingual-to-buccal ridge.
Since Dentsply Sirona introduced the OsseoSpeed Profile EV, with its sloping implant neck that follows the bone, this is an excellent implant option in cases such as this.
On the day of surgery, Sia was a little nervous but when the nurse gave him a tranquilizer his anxiety simply fell away and he got through the whole operation without any difficulty.
As Dr. Almgren works with mySimplant Planning Service, he can apply what is termed soft tissue management and place the implant correctly without damaging the surrounding soft tissue.
The need for suturing is eliminated, resulting in optimal healing and a good esthetic appearance. After the two implants are placed according to the surgical guide, there is a healing period of at least three months.
Three months later, Sia returns. No problems have occurred during this time and the healing is excellent. Dr. Almgren takes a digital impression on implant level and sends the files to the dental laboratory.
In Sia’s case, as in many other cases, Dr. Almgren uses the Atlantis CustomBase Solution – the ultimate patient-specific, single-tooth, screw-retained restoration allowing for angulated screw access.
When Sia’s treatment is finalized he is slightly excited. ‘’Now I can smile without feeling any discomfort’’. Sia is convinced that he has made the right decision by getting implants.
Videoclip of another case showing the restorative procedures on an OsseoSpeed EV implant, position tooth 16:
Sia underwent careful treatment without spending too much time in the chair, and the outcome was excellent.
Apart from satisfied patients, the goal for the clinician and dental technician is to achieve predictable and optimized results.
In this video, Sia gives his version of the experience of a digital implant workfow from the patient's perspective.
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