Titanium CAD Bridges with composite

Implant Direct

Titanium CAD/CAM bridgeswith composite

München, 25th of September 2010

Jan Willem Vaartjes, Amsterdam

Implant Direct

Full Arch bridges in your dental office

• Time consuming?

• Very expensive?

• A challenge?

Implant Direct

Implant Direct stands for:

• High Quality

• Cost Effective implant therapy

• All in One Packaging

• Innovations

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

Implant Direct

Conventional full arch bridges

• Abutment level

• Casted (gold alloy) structure

• Fused porcelain

• Highly expensive

Implant Direct

Conventional full arch bridges

• Abutment level

• Casted (gold alloy) structure

• Fused porcelain

• Highly expensive

Costs of materials €5000-€9000

Implant Direct

Conventional full arch bridges

Implant Direct

Conventional full arch bridges

Implant Direct

Conventional full arch bridges

Implant Direct

Conventional full arch bridges

Implant Direct

Titanium CAD CAM bridges

The smart alternative

Implant Direct

Titanium CAD CAM bridges

€2500-€3500

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

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

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

Implant Direct

Access to oral hygiene!

Foramen Foramen

CuspidCuspid

Implant Direct

Access to oral hygiene!

Foramen Foramen

CuspidCuspid

No saddles

Implant Direct

Access to oral hygiene!

Foramen Foramen

CuspidCuspid

brush guidance

Implant Direct

The screw has to withstand the load

Implant Direct

Suitable type of implant connection

Better

Legacy Replant ScrewPlus & Swissplant

Implant Direct

Suitable type of implant connection

• Internal bevel

• Flat connections

• External bevels

Better

Legacy Replant ScrewPlus & Swissplant

Implant Direct

Suitable type of implant connection

• Internal bevel

• Flat connections

• External bevels

Better

Legacy Replant ScrewPlus & Swissplant

Implant Direct

Suitable type of implant connection

• Internal bevel

• Flat connections

• External bevels

Better

Legacy Replant ScrewPlus & Swissplant

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

Implant Direct

Composite for bridges

• Quick and efficient to apply

• Strong bond to titanium

• not abrasive for antagonising teeth

• Easy to repair intra-orally

Implant Direct

Case I: 5 ScrewPlus in the mandibula

Implant Direct

Cover screws with extenders

Implant Direct

Wound healing after 3 months

Implant Direct

Closed tray transfers

Implant Direct

Impregum impression

Implant Direct

Case I: 5 ScrewPlus in the mandibula

Implant Direct

Use the fixture mounts, they come for free!

Implant Direct

Fixed bite registration plate

Implant Direct

Wax setup

Implant Direct

Case I: Anterior Posterior Spread 1:2

Implant Direct

Case I: Anterior Posterior Spread 1:2

21

Implant Direct

Case I: Anterior Posterior Spread 1:2

21

Implant Direct

Case I: Milled titanium structure

Implant Direct

Case I: Milled titanium structure

Implant Direct

Case I: Sandblasting for retention

Implant Direct

Opaque

Implant Direct

Gradia GC composite, dentin layers

Implant Direct

GC Gradia composite, enamel layers

Implant Direct

Polishing

Implant Direct

End result

Implant Direct

Access to oral hygiene!

Implant Direct

Case I: Perfect fit

Implant Direct

Case II: Bredent technique

Implant Direct

Bredent veneers used for the setup

Implant Direct

Computer Aided Design

Implant Direct

Silicone key

Implant Direct

Smaller titanium structure

Implant Direct

Individual coloring

Implant Direct

Individual coloring

Implant Direct

Attaching veneers to Ti structure

Implant Direct

Individual grinding

Implant Direct

Finishing and completing

Implant Direct

Staining

Implant Direct

Implant Direct

Thank you very much!