The Art of Healing ÒDynamic Biologic Transformation of ... · 2. Orthodontic Extrusion Tx Plan...
Transcript of The Art of Healing ÒDynamic Biologic Transformation of ... · 2. Orthodontic Extrusion Tx Plan...
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“Dynamic Biologic Transformation of Hard & Soft Tissue”
2008 Dental Implant ConferenceDecember 5, 2008
Kenneth F. Hinds DDS
The Art of Healing
Wednesday, November 13, 13
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History
Age 56“Patient does not like the black spaces at her gum line and would like to improve the appearance of her
front teeth.” Wednesday, November 13, 13
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Maxilla: History of Advanced Periodontal DiseaseWednesday, November 13, 13
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5-6mm
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Treatment Options & Sequence?
Fixed Prostheses?
Regenerate 5-6mm Crest Height?
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1. Orthodontic Extrusion – Full Arch?2. Sinus Augmentation – Bilateral, Iliac Crest 3. Immediate Implants – When & Where?4. Custom Healing Abutments – Where?5. Provisionals – Type?6. Definitive Prostheses – Design?
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3. Sinus Augmentation4. Implants & Provisionals
1. Tuberosity Implants 2. Orthodontic Extrusion
Tx PlanPhase I:Posterior
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8. Provisionals9. Metal-Ceramic Prostheses
5. Orthodontic Extrusion 6. Anterior Immediate Implants7. Custom Healing Abutments
Tx PlanPhase II:Anteriors
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Treatment Plan: “Implant Mapping”1. 12 Total Implants planned2.Determine Tooth Sizes3. Implant Targets Locations
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Custom Abutment / Ceramic collar / Cementable Prostheses
4 5 7 12 13 13 13 13 12 7 5 4 7 7 6 6 6 6 6 6 6 6 7 7
8 9 7 7.5 6 8.5 8.5 6 7.5 7 9 8
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8 9 7 7.5 6 8.5 8.5 6 7.5 7 9 8
Planned Tooth SizesWednesday, November 13, 13
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8 9 7 7.5 6 8.5 8.5 6 7.5 7 9 8
Target Implant Sites
6.0 6.07.5 7,57.0 7.0
9.0 8.0
9.0 8.0
8.5 8.5
Planned Tooth Sizes
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Prosthetic TemplateRadiographic TemplateSurgical Template
6.0 6.07.5 7,57.0 7.0
9.0 8.0
9.0 8.0
8.5 8.5
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Radiographic Template
5 4 4 4 4 5Wednesday, November 13, 13
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Orthodontic Extrusion
Tuberosity Implants
Bilateral SinusAugmentation
Treatment: Phase I “Posteriors”Implant
Provisionals
The Role of Orthodontic Extrusive Remodeling in the Enhancement of Soft and Hard Tissue Profiles Prior to Implant Placement: A Systematic Approach to the Management of Extraction Site Defects.
H. Salama, M. Salama, Int J Perio Rest Dent 1993;13:4,313-333Wednesday, November 13, 13
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3. Sinus Augmentation4. Implants & Provisionals
1.Tuberosity Implants 2. Orthodontic Extrusion
Tx PlanPhase I:Posterior
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Orthodontic Extrusion - Posteriors1. Endodontic Therapy2. Provisionals
Before BeforeAfter
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Before BeforeAfter
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Before
Provisionals & Retention 3-4 monthsWednesday, November 13, 13
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Extractions, Sinus grafts(Iliac Crest) &Expose Implants
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Provisionals: Tuberosity Implants
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New Metal Reinforced, Precision, Provisionals
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5 4 4 4 4 5
Posterior Implants
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Orthodontic Extrusion
ImmediateImplants
Custom Healing
Abutments
Treatment: Phase II “Anteriors”
Metal Ceramic Definitive Prostheses
Custom Impression
Coping
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Orthodontic Extrusion: AnteriorsDynamic Biologic Transformation
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Elastic Thread Technique
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Sequence: 1. Splint Anteriors 2. Reduce 8 & 9 3. Extrude two teeth
Elastic Thread Technique
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Elastic ThreadOrmco,
Glendora, CAFile Cemented in Root
Ortho Wire in #55 K File
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1. Reduce roots 2. Reset Hook3. Change Elastic
Elastic Thread Technique
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Wednesday, November 13, 13
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Provisional Attach to Brackets
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Orthodontic Extrusion
ImmediateImplants
ImmediateCustom Healing
Abutments
Treatment: Phase II “Anteriors”Custom
Impression Coping
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Extractions Implant Sites
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Immediate
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ISQ StabilityTest 65-70
Fixture Placement Preserve Soft
Tissue?
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Preserve Soft Tissue?
Custom Healing Abutments1. Plastic Temp Cylinders2. Line with Composite3. Attach to Implants4. Add Composite &Light
Cure.Wednesday, November 13, 13
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Plastic Temporary Cylinders
Add Composite ResinWednesday, November 13, 13
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Fill Voids
Smooth & PolishWednesday, November 13, 13
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Immediate Custom Healing Abutments
Reduce to Tissue Wednesday, November 13, 13
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6 Months
Definitive Impresssions?
orProvisionals?
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6 Months
Provisionals
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6 Months
Accurate Transfer to Technician?
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Orthodontic Extrusion
ImmediateImplants
ImmediateCustom Healing
Abutments
Treatment: Phase II “Anteriors”Custom
Impression Coping
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Fabrication?
Custom Impression Coping
“Custom Impression Coping For An Exact Transfer in The Esthetic Implant Restoration” . International Journal of Periodontics and Restorative Dentistry, NOV-DEC 1997; Vol 17, No#6: Pages 585-591. Hinds, K
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Fabrication?Custom Impression Coping
“Custom Impression Coping For An Exact Transfer in The Esthetic Implant Restoration” . International Journal of Periodontics and Restorative Dentistry, NOV-DEC 1997; Vol 17, No#6: Pages 585-591. Hinds, K
Direct or Indirect
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Fabrication Direct: “Custom Impression Coping”
Add Composite ResinWednesday, November 13, 13
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Transfer Technique: “Custom Impression
Connect to Implant & Light Cure Composite ResinWednesday, November 13, 13
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Remove Abutment Attach to Analog
Fabrication Indirect: “Custom Impression Coping”
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Attach Implant Replica into a small container 6 7 8 9 10 11
Connect Provisional AbutmentsInject Regisil to fill containerRemove AbutmentsConnect Pickup Impression CopingInject Composite Resin Around Imp Coping
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Custom Impression Coping
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IndividualSplinted SplintedWednesday, November 13, 13
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Ceramic?Titanium?Gold?
Master Cast
Abutment Selection?
Strength & EstheticWednesday, November 13, 13
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Custom Abutment / Ceramic Collar
A procedure for a modified cylindric titanium abutment.J Prosthet Dent. 1997 May;77(5):546-9. Marchack CB, Yamashita T
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Metal Ceramic Fixed Prosthesis
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Before Provisionals
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Definitive ProsthesesBefore
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Female, Age 55Patient History:
Hx: Tooth #7 Apical LesionWednesday, November 13, 13
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Orthodontic Extrusion RX: Antiobiotics
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Custom Healing Abutment at One Week
Extraction and Immediate Implant
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Provisional
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Definitive Prosthesis
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Single Site Multiple Implant Sites
Dynamic Biologic
PotentialPatients
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4 5 7 12 13 13 13 13 12 7 5 4 7 7 6 6 6 6 6 6 6 6 7 7
8 9 7 7.5 6 8.5 8.5 6 7.5 7 9 8
“Initial BluePrint”Custom Abutment / Ceramic collar / Cementable Prostheses
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Metal Ceramic Prosthetic Template8.5 8.5 8.5 8.5
6.0 6.0 6.0 6.07.5 7,5 7.5 7,57.0 7.0 7.0 7.0
9.0 8.0
9.0 9.0 9.0
8.0 8.0 8.0
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• Interdisciplinary Team• Sequencing•Do not be in a hurry to remove teeth•Do not be in a hurry to remove teeth
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Thank You for the Opportunity to Share This
Time With You
The Art of Healing
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