Clinical dentistry by Richard L. Seberg, DDS
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IntroductionOne of the most exciting recent advancements in implant dentistry is digital treatment planning and guided surgery. In some cases, ancillary procedures may be required. This photo essay showcases grafting in conjunction with guided surgery. Here, you will see the step-by-step process, from planning the case to the final restoration.Figure #1The patient's old bridge is removed and the preps are cleaned up. Note the typical saddle defect in the edentulous area. -
Figure #2The patient had a CT scan, and the implant was virtually planned. The SurgiGuide® is fabricated based on the digital plan. -
Figure #3The SurgiGuide is seated and used to direct the pilot drill. -
Figure #4Osteotomes are used to expand the ridge and create the osteotomy. -
Figure #5The implant is threaded into place. -
Figure #6An implant level impression is made. -
Figure #7Note the improved labial contour due to the ridge expansion. -
Figure #8A BioTemps® bridge is modified to seat over the Healing Abutment during the osseointegration period. -
Figure #9An Inclusive Custom All-Zirconia Implant Abutment is seated. -
Figure #10Individual Prismatik Clinical Zirconia™ crowns are delivered. Full retracted view of the patient's smile.
