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Implant Direct implants are very suitable for providing your patients cost efficient, high quality full arch bridges. In this presentation ES Healthcare CAD Cam technology is used with composite.
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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!