Post on 08-Mar-2016
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Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Blue Sky Plan is close to full release Blue Sky Plan is free Blue Sky Plan can be used to fabricate
computer guided stents at ANY laboratory (including yours)
Blue Sky Bio does not derive any profit from Blue Sky Plan
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Advantages-to the doctor Low cost modality with no downside Labs can have lower cost Structure avoidance Enhanced safety
Blue Sky Plan and Advanced Tx
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Blue Sky Plan and Advanced Tx
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Result, make sure you are in the correct directory, if not look for it
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Click next
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This is the result. If the scout does not appear (because you don't have a 3D graphics card), click back and redo
Scout
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Hold down shift key and click on the topmost section of the scout you want. Continue holding the shift key. If you don't do this you can choke most computers
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Click a second time at the most inferior area of interest
Blue Sky Plan and Advanced Tx
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Click 'apply'
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The image will process, but will look messed up. You have to target the center of the area of interest. Remember many imaging centers will do this for you. Other programs charge extra for this.
Blue Sky Plan and Advanced Tx
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Center is off target
Click in the panoramic center
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Enlarge with left mouse button
Center with this tool
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Create New Panoramic or center of interest in the Buccal lingual plane
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Click along the center of the axial view to create a centered area of interest in the bucco-lingual center of the axial view
Now the 'panoramic' view is complete
Click the greencheck when complete
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Click here to add the nerve
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Click along the out line of the nerve in the pan view
You can move the nerve within view by changing the center of the bucco-lingual area of interest on the axial viewNerve positions
can be changed or ‘dotted in the cross section view
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Click OK in nerve box, then reopen and click to plus sign to go to nerve two on the other side
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2 nerves ready to Tx plan
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Use the apical red dot and rotate the entire implant with the left mouse button
Use the occlusal red dot to rotate only the abutment using the left mouse button
Hold down the left mouse button over the implant body to move it occlusso-apical or bucco-lingual
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Holding down left mouse button over handle in panorex view rotates the entire implant mesio-distal
Holding down left mouse button over occlusal handle in panorex view rotates the abutment mesio-distal
Center the mouse over the implant body and holding down the left mouse button moves the implant bodily occlusso-apical or mesio-distal
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Right click and hold mouse button to open implant properties
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Tradition
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Single stage UCLA kit
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Traditional way single stage Octagon (8 positions)
Milled abutments and UCLA
Under castings ready for solder transfer
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
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Advanced Tx with Blue Sky Plan and Stent
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Advanced Tx with Blue Sky Plan and Stent
Needs
Ridge Split
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Advanced Tx with Blue Sky Plan and Stent
Lets see if we can fit these in, do the case without sinus lift by using angled implants. Let’s detect collisions.
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Advanced Tx with Blue Sky Plan and Stent
Whoops
Back up implant and do lateral out-fracture
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Advanced Tx with Blue Sky Plan and Stent
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Advanced Tx with Blue Sky Plan and Stent
Expanders for widening ridge (after piezo split)
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Advanced Tx with Blue Sky Plan and Stent
Vertical bone release made with piezo. Flap is not full thickness on buccal.
Angled implant on the distal for full molar
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Advanced Tx with Blue Sky Plan and Stent
Surgical plaster membrane:
Accurate set:
1-973-824-0810
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Advanced Tx with Blue Sky Plan and Stent
Lateral out-fracture
Dr. Sheldon Lerner
Free Software with stent fabrication capability coming soon
Here is adevelopmentcase
Advanced Tx with Blue Sky Plan and Stent
Dr. Sheldon Lerner
Advanced Tx with Blue Sky Plan and Stent
Dr. Sheldon Lerner
Beta Test Beta Blue Sky Stent, Future will use full drill
capability, thanks Emil
Advanced Tx with Blue Sky Plan and Stent
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Advanced Tx with Blue Sky Plan and Stent
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Advanced Tx with Blue Sky Plan and Stent
2.2mm pilot guide
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Advanced Tx with Blue Sky Plan and Stent
Some with guidance some without
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Advanced Tx with Blue Sky Plan and Stent
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Advanced Tx with Blue Sky Plan and Stent
So which ones were put in with the stent? For sure not the last one on the right.
All BSB Trilobe Implants
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Advanced Tx with Blue Sky Plan and Stent
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
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Advanced Tx with Blue Sky Plan and Stent
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Advanced Tx with Blue Sky Plan and Stent
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Advanced Tx with Blue Sky Plan and Stent
What I learned: I can trust the guide in reasonable bone thickness 2mm safety zones should be standard in guides so you
will trust them more take interim radiographs to build confidence it is possible to combine clinical sensitivity developed
over the years to insure primary stability and the confidence of computer stent guidance
there is no substitute for mentor training especially when combined with clinical and digital skills
It is nice to have full drill guidance till at least 2.8mm
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Advanced Tx with Blue Sky Plan and Stent
This patient was a second opinion. The other doc wanted to do an immediate placement and
immediate load. Should I ???
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Advanced Tx with Blue Sky Plan and Stent
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Advanced Tx with Blue Sky Plan and Stent
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Advanced Tx with Blue Sky Plan and Stent
Negative number, very bad
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Advanced Tx with Blue Sky Plan and Stent
So my conclusion is that I am not going to do an immediate load. Limited buccal plate, poor bone density.
Blue Sky Plan saved this guy a disaster. You will soon see that it may have saved his life............................................
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Advanced Tx with Blue Sky Plan and Stent
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Advanced Tx with Blue Sky Plan and Stent
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Advanced Tx with Blue Sky Plan and Stent
Ok we fixed his teeth now let's save his life.
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Advanced Tx with Blue Sky Plan and Stent
Let’s look at the lower
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Advanced Tx with Blue Sky Plan and Stent
What is that!!!
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Advanced Tx with Blue Sky Plan and Stent
Accessory artery runs into midline and distributed in the anterior minter-foramina area
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Advanced Tx with Blue Sky Plan and Stent
Treatment plan avoids the artery!
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Advanced Tx with Blue Sky Plan and Stent
Tx avoids the artery!!!
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Advanced Tx with Blue Sky Plan and Stent
Can be milled up to 15 degrees
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Advanced Tx with Blue Sky Plan and Stent
Pt lives to eat with Blue Sky Bio supported teeth!
Dr. Sheldon Lerner
CT guided stent fabricated at YOUR laboratory
Advanced Tx with Blue Sky Plan and Stent
Dr. Sheldon Lerner
Advanced Tx with Blue Sky Plan and Stent
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Dr. Sheldon Lerner
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Dr. Sheldon Lerner
Fracture proof placement
Dr. Sheldon Lerner
Conical connection and platform switch
Dr. Sheldon Lerner
Dr. Sheldon Lerner
Dr. Sheldon Lerner
Dr. Sheldon Lerner