implant treatment planning: model base planning for implant fixed treatment

Model Based Planning for

implant fixed treatment

Dr. Zvi Fudim

1 Facial Lip, profile, Naso-labial fold.

2 Dental Incisal margin, midline, exposure or smile line.

3 Occlusion Class I

Main objective: Esthetics

To determine the relation between:

1. The proximal end of the implant and

2. The center of the future restored tooth

Goal

Point #2 Center of the waxed

tooth

(occlusal plan level)

Diagnostic wax up

Point #1 The proximal end of

the implant

(mucosal surface level)

SG ™ Partition stickers

Which Came First - The Chicken or the Egg?

Each diagnostic wax up starts with the division of the edentulous

space

Optimal - straight abutments Little or no bone lose.

Borderline - up to 15º angled abutmentModerate bone resorption.

Difficult - 20º and more angled abutmentImportant bone lose.

Prosthetic Outcomes

SG ™ Partition Stickers

Diagnostic wax up

Silicone Jig

Evaluation

Division of the edentulous space is one of the first steps of the planning which determines the location of the future implants.

Light or light-moderate bone lose in the posterior area seldom

requires wax up.

Moderate or Heavy bone lose should be diagnosed with aid of diagnostic wax up to create favorable conditions to restore the esthetics.

The results of the evaluation should determine the necessity of

angled abutments or even bone graft.

Conclusions