Blue Sky Plan and Clinical Treatment Planning
81
Dr. Sheldon Lerner Blue Sky Plan and Advanced Tx
-
Upload
blue-sky-bio -
Category
Documents
-
view
223 -
download
5
description
Dr. Sheldon Lerner, prsenets surgical techniques to simplify and treatment plan full arch implant cases - followed by Blue Sky Bio implant system advantages.
Transcript of Blue Sky Plan and Clinical Treatment Planning
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
Click on new
Blue Sky Plan and Advanced Tx
Click on new
Result, make sure you are in the correct directory, if not look for it
Click on new
Click next
Click on new
This is the result. If the scout does not appear (because you don't have a 3D graphics card), click back and redo
Scout
Click on new
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
Click on new
Click a second time at the most inferior area of interest
Blue Sky Plan and Advanced Tx
Click on new
Click 'apply'
Click on new
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
Click on new
Center is off target
Click in the panoramic center
Click on new
Enlarge with left mouse button
Center with this tool
Click on new
Create New Panoramic or center of interest in the Buccal lingual plane
Click on new
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
Click on new
Click here to add the nerve
Click on new
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
Click on new
Click OK in nerve box, then reopen and click to plus sign to go to nerve two on the other side
Click on new
2 nerves ready to Tx plan
Click on new
Click on new
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
Click on new
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
Click on new
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
Click on new
Advanced Tx with Blue Sky Plan and Stent
Click on new
Advanced Tx with Blue Sky Plan and Stent
Needs
Ridge Split
Click on new
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.
Click on new
Advanced Tx with Blue Sky Plan and Stent
Whoops
Back up implant and do lateral out-fracture
Click on new
Advanced Tx with Blue Sky Plan and Stent
Click on new
Advanced Tx with Blue Sky Plan and Stent
Expanders for widening ridge (after piezo split)
Click on new
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
Click on new
Advanced Tx with Blue Sky Plan and Stent
Surgical plaster membrane:
Accurate set:
1-973-824-0810
Click on new
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
Click on new
Advanced Tx with Blue Sky Plan and Stent
Click on new
Advanced Tx with Blue Sky Plan and Stent
2.2mm pilot guide
Click on new
Advanced Tx with Blue Sky Plan and Stent
Some with guidance some without
Click on new
Advanced Tx with Blue Sky Plan and Stent
Click on new
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
Click on new
Advanced Tx with Blue Sky Plan and Stent
Dr. Sheldon Lerner
Blue Sky Plan and Advanced Tx
Click on new
Advanced Tx with Blue Sky Plan and Stent
Click on new
Advanced Tx with Blue Sky Plan and Stent
Click on new
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
Click on new
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 ???
Click on new
Advanced Tx with Blue Sky Plan and Stent
Click on new
Advanced Tx with Blue Sky Plan and Stent
Click on new
Advanced Tx with Blue Sky Plan and Stent
Negative number, very bad
Click on new
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............................................
Click on new
Advanced Tx with Blue Sky Plan and Stent
Click on new
Advanced Tx with Blue Sky Plan and Stent
Click on new
Advanced Tx with Blue Sky Plan and Stent
Ok we fixed his teeth now let's save his life.
Click on new
Advanced Tx with Blue Sky Plan and Stent
Let’s look at the lower
Click on new
Advanced Tx with Blue Sky Plan and Stent
What is that!!!
Click on new
Advanced Tx with Blue Sky Plan and Stent
Accessory artery runs into midline and distributed in the anterior minter-foramina area
Click on new
Advanced Tx with Blue Sky Plan and Stent
Treatment plan avoids the artery!
Click on new
Advanced Tx with Blue Sky Plan and Stent
Tx avoids the artery!!!
Click on new
Advanced Tx with Blue Sky Plan and Stent
Can be milled up to 15 degrees
Click on new
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
