Computer guided

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<ol><li> 1. Dental Implants Computer guided treatment planning and implant placement John Beumer III DDS, MS Allesandro Pozzi DDS Robert Faulkner DDS Division of Advanced Prosthodontics, UCLA Thisprogramofinstruc1onisprotectedbycopyright.Nopor1onofthis programofinstruc1onmaybereproduced,recordedortransferredbyany meanselectronic,digital,photographic,mechanicaletc.,orbyanyinforma1on storageorretrievalsystem,withoutpriorpermission. </li><li> 2. Computer guided treatment planning and surgery </li><li> 3. Computerguidedplanningandsurgery Computerguidedtreatmentplanningwillbethe standardofcarewithinthenextfewyears </li><li> 4. Computerguidedplanningandsurgery Deni1onselec1onofimplantsitesandplacementof dentalimplantsemployingsurgicaltemplates developedwithCBCTscansandsoCwareprograms. </li><li> 5. Freehanddrilling Previousmethod Freehanddrillingusesthe templatetoiden1fytheposi1on oftheimplants. Thecliniciandecidesthe angula1onanddepthofthe osteotomyprepara1on. </li><li> 6. Disadvantagesoffreehandimplantplacement Catastrophic mistakes madein posi1onand angula1on Labiallyinclinedimplants Buccallyinclinedimplants Implantsposi1onedinterproximallyMisalignedimplants </li><li> 7. Advantagesofcomputerguided treatmentplanningandsurgery Visualizepoten1alimplantsitesin3Dinrela1on totheproposedprosthesis Preciseimplantplacement Lessriskofcompromisingadjacentvital structures Prefabrica1onoftheprosthesis,abutmentsand immediateloading Enablesaplesssurgery </li><li> 8. Advantages Visualizepoten1alimplantsitesin3D inrela1ontotheproposedprosthesis </li><li> 9. Advantages Enablesaplesssurgery Lesspostsurgicalmorbidity(pain,swellingetc.) </li><li> 10. Advantages BeSerimplantdistribu1on paSernformorefavorable biomechanics </li><li> 11. Advantages SelectanimplantofproperLengthanddiameter </li><li> 12. Advantages Preciseimplantplacement Implantscanbeprecisely placedintoothposi1onsas opposedtointerproximal posi1ons </li><li> 13. Advantages Lessriskofcompromising adjacentvitalstructures Inferioralveolarnerve Branchesofthelingual artery CourtesyDr.N.Barakat </li><li> 14. Advantages Lessriskofcompromisingadjacentvitalstructures Maxillarysinus Anteriorpala1neforamen </li><li> 15. Advantages Prefabrica1onoftheabutments,prostheses </li><li> 16. Twotypes Fullyguidedsurgery-impliesthatthesurgical templateswiththeirdrillsleeves(bushings)control theposi1on,angula1on,diameteraswellasthedepth oftheimplantosteotomysites Computerguidedimplantplacement </li><li> 17. Indica1onsFully guidedapproach Edentulouspa1ents Computerguidedplanningandsurgery </li><li> 18. Fullyguidedimplantplacement Providesmoreexibilityduringplacementofthe implants-soC1ssuemanipula1ons,bonegraCingetc. 2Piecesurgicaltemplate </li><li> 19. 2Piecesurgicaltemplate Fullyguidedimplantplacement Usedto Ensuretheimplantsareperfectlyparalleltooneanother Performthedesiredalveoloplastypriortoimplantplacement </li><li> 20. Fullyguidedapproach Usedlessfrequentlyinpar1allyedentulous pa1ents Lackofmesialdistalspace Lackofinterocclusalspace Computerguidedplanningandsurgery </li><li> 21. Fullyguidedapproach Usedlessfrequentlyinpar1allyedentulous pa1ents Lackofmesialdistalspace Lackofinterocclusalspace DisadvantageouswhenboneorsoC1ssuegraCingis necessary Verica1onandaltera1onofapicalcoronalposi1onis dicult Computerguidedplanningandsurgery </li><li> 22. Disadvantages Lackofexibilityduringsurgery SoC1ssueandbonegraCingismoredicult Coronal-apicalposi1onisdiculttovisualize andcontrol </li><li> 23. Twotypes Semi-guidedsurgery-employsthesametreatmentplanning soCwareprogramsasfullyguidedsurgery,butthedrillsleeves (bushings)incorporatedwithinthesurgicaltemplatesaredesigned toaccommodatethe2-3mmtwistdrillsandasaresult,controlonly theposi.on,andangula.onoftheini)alosteotomy. Computerguidedimplantplacement </li><li> 24. Indica1ons-Semi-guidedapproach Par1allyedentulouspa1ents Posteriorquadrantswithlimitedinterocclusalspace Theesthe1czone Apical-coronalposi1oningand angula1oniscri1cal PermitsboneandsoC1ssuegraCing Computerguidedplanningandsurgery </li><li> 25. Semi-guidedimplantplacement WhensoC1ssueproceduresorbonegraCingare an1cipatedduringsurgery Pa1entswiththinperiodontalbiotypefrequently requiresoC1ssuesupplementa1onandbonegraCing </li><li> 26. Whenexibilityisrequiredduringsurgery Theesthe1czone Apicalcoronalposi1oning GraCing Semi-guidedimplantplacement </li><li> 27. Combinedfullyguidedandsemi- guidedimplantplacement </li><li> 28. Combinedfullyguidedandsemi- guidedimplantplacement Posteriorimplantsplacedwithfullyguidedapproach Anteriorimplantsplacedwithasemi-guidedapproach </li><li> 29. Combinedfullyguidedandsemi- guidedimplantplacement The1ltedimplantswereplacedusingfullyguidedtechnique Theanteriorimplantswereplacedwithasemi-guided technique </li><li> 30. Fullyguidedorsemi- guidedapproach? Interocclusalspace Mesialdistalspace Theneedforboneor soC1ssuegraCing </li><li> 31. Issuestoconsider InterocclusalspaceLimitedmesialdistalspace Requiresaminimumof40 mmintheanteriorregion </li><li> 32. vVisitofr.orgforhundredsof addi1onallecturesonComplete Dentures,FixedProsthodon1cs, ImplantDen1stry,Removable Par1alDentures,Esthe1cDen1stry andMaxillofacialProsthe1cs. vThelecturesarefree. vOurobjec1veistocreatethebest andmostcomprehensiveonline programsofinstruc1onin Prosthodon1cs </li><li> 33. v Visitofr.orgforhundredsof addi1onallectureson CompleteDentures,Implant Den1stry,RemovablePar1al Dentures,Esthe1cDen1stry andMaxillofacialProsthe1cs. v Thelecturesarefree. v Ourobjec1veistocreatethe bestandmostcomprehensive onlineprogramsofinstruc1on inProsthodon1cs </li></ol>