A simplified approach to to implant restorations utilizing patient specific CAD CAM abutments

1. Digital Dentistry
Lecture Series
Restorative Implant Dentistry:
A Simplified Approach
Presented by Joe Apap, CDT, MDT
GENERAL MANAGER
Director of Digital Technology

2. Key Concepts
• CAD/CAM abutments:
Can ‘better’ actually cost less?
• How CAD/CAM abutments eliminate the
need for stocking parts
• Simplified Implant Restorative Protocol
• Every doctor. Every patient. Every tooth.

3. Fill the Edentulous Space
with the “Ideal” Crown

4. Abutment Choices
Pre-fabricated Waxed and CAD/CAM
(stock) cast (Atlantis)
(UCLA)
Waxed and
milled
(Procera)

5. Abutment Choices
Superior coronal support
Proper biologic width
Ideal margin
Natural emergence profile

6. Teeth are not round
Atlantis™ abutments are
ideally designed from
eference:
heeler´s Dental Anatomy, Physiology and Occlusion,
the final tooth shape
ajor M. Ash, Stanley Nelson

7. Stock vs. Atlantis abutment
™

8. At l a n t is ™ b u t m e n t o r s t o c k
a
abutmen t?
C o u r t e s y o f La r r y R . H o l t ,D D S

9. Atlantis™ replicates natural
prepared teeth
Parallel path of insertion
for multiple implants
Optional retentive surface
Anatomic
coronal
preparation
Customized
margins
Subgingival
shoulder follows
contour
Angle from implant
Offset axis matches
width path of insertion

10. Atlantis Abutment Options
Titanium
Biocompatibility
& Strength Zirconia
Strength &
High Esthetics
Gold Hue
Thin tissue
A solution for every patient.

12. Outstanding Function and
Esthetics
The closest thing to a natural prepped
tooth

13. Be ne fits with Atlantis™
Simplicity
• No parts and pieces to order or stock
• Restorative procedure is simplified1
“This flexibility…may increase patient
acceptance …because minimal
impressions are required.”2
1
Ganz, D esai, W ein er. IJ M I 2006; 21 (4):593-599
O
2
W h itesid es LM . Insid e D entistry 2006;2(7):98-99

14. Better Clinical Result

15. Better Clinical Result
CAD/CAM abutments provide
a better clinical result
in less time
for less money
with less stress

16. Available for
all major
implant
fixtures

17. Simplified Treatment Protocol
• GP – Consultation appt
• Surgeon – surgery; implant
fixture; healing cap
• GP – 1st Appt: Impression (15 min)
• GP – 2nd Appt: Placement (15 min)

18. GP-First Restorative Visit
(no more than 15 minutes)
Remove healing caps

19. GP-First Restorative Visit
(no more than 15 minutes)
Place Transfer Copings; X-ray

20. GP-First Restorative Visit
(no more than 15 minutes)
Pick-Up Impression with Transfer Copings

21. GP-First Restorative Visit
(no more than 15 minutes)
Replace healing caps; Take bite
registration

22. Send this to Town & Country:
• A fixture-level
impression
with transfer
coping(s)
• A counter model
• A bite registration
• (Copy of surgeon’s
letter)
• (Shade)

23. fabrication
process

25. 3D Viewer

26. simpl Delivers
Atlantis CAD/CAM Abutments

27. simpl Delivers
SIMPL Abutment Placement Jig

28. Positioning Jig for Abutments

29. GP-Second Restorative Visit
(no more than 15 minutes)
Remove healing caps

30. GP-Second Restorative Visit
(no more than 15 minutes)
Seat abutments using Placement Jig

31. GP-Second Restorative Visit
(no more than 15 minutes)
Finger-tight using driver

32. GP-Second Restorative Visit
(no more than 15 minutes)
Abutments not
completely seated
Abutments seated
Confirm abutment seating

33. GP-Second Restorative Visit
(no more than 15 minutes)
Torque to manufacturer’s
recommendation

34. GP-Second Restorative Visit
(no more than 15 minutes)
Load cement

35. GP-Second Restorative Visit
(no more than 15 minutes)
Cement restoration

36. simplified Bridge Case
SIMPL Verification Jig
SIMPL Anti-rotation Placement Jig

37. simpl full mouth case
We do this every day.

38. Exact Duplicate Abutments
Gemini
Twice the abutments
Half the time

41. With SIMPL, the only part you
need to supply is the
impression transfer coping

42. What simpl requires
• A fixture-level
impression
with transfer
coping(s)
• A counter model
• A bite
registration

43. What simpl delivers
• Restoration, coping, temporary
• Abutment Screw
• SIMPL Anti-rotation
Abutment Placement Jig
• Patient-specific Atlantis
CAD/CAM Abutment
• Laboratory Analog
• Soft Tissue Model
• T&C technical support

44. Top 5 benefits of CAD/CAM
Abutments for your practice
Tap into the growing implant market
CAD/CAM abutments are superior
CAD/CAM abutments cost less
No need to stock implant parts
We’ve made restoring them “simple”

45. Town & Country
Dental Studios

46. Digital Dental Technology
Skilled Hands Working Together
With Technology

47. For Additional Consultation
Contact:
Joseph M. Apap, CDT, MDT
GENERAL MANAGER
Director of Digital Technology
1-800-925-8696 ext 228
Email: japap@tncdental.com