Disclosure(s): No financial relationships to disclose
Disclosure(s):
Thomas Kiebach, DDS, MSD: No financial relationships to disclose
Digital workflows for full arch implant rehabilitations have recently become the subject of much research and practice. This is, in part, due to technological and material science advances over the past decade. Technologies like intra-oral scanners, face scanners, 3D printing, and photogrammetry devices are becoming more widespread. Remote anchorage surgical concepts like PATZi allow clinicians to successfully treat even the most atrophic patients with immediately loaded, same-day implant prostheses. This rapid and simultaneous advancement on the surgical, restorative, and laboratory fronts has resulted in a plethora of options in how to plan and treat patients. With so much innovation occurring in the full arch implant space, it can be a daunting task to make informed decisions regarding the particular protocols and workflows that best compliment their knowledge, skill, patient volume, and financial bottom lines. While all workflows share the same desired end goal, each route to getting there represents a series of trade-offs in terms of time, effort, predictability, contingency, and cost. No two patients are the same and things don’t always go as planned in full arch implant therapy, therefore it is essential to clinical long-term success to be nimble in our thinking and technologically prepared to pivot when the clinical situation dictates.
Learning Objectives:
Explore the prosthetic/laboratory hardware, software, and euqipment involved in delivering same-day, 3D printed, direct to MUA All on X restorations. Participants will learn how to prepare a 3D printed full-arch restoration for delivery with application of gingival composite.
Examine several efficient, non guided digital workflows, from preop data collection to applying gingival composite to a printed ALL on X restoratio and describe the advantages and challenges inherent in to each of them
Analyze how implant systems, digital technology (i.e. photogrammetry, IOS, CAD, and CAM), and PATZi protocols can work synergistically to decrease time from consult to surgery, allow surgical and prosthetic teams the ability seamlessly pivot when things don't go as planned, increase ROI and efficiency, and most importantly, ensure the patient never leaves without teeth.