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Immediate placement
immediate restoration
       presentations




                           Lodewijk van Zwol
                             +31(6)53856994
                       lodewijk.van.zwol@gmail.com
             1
Protocol immediate
     restoration
impression/ x-ray/ intra oral photo

aesthetic risk-model/ SAC

Planning/ extra information/ extra 3D

Preparing clearoverlay and plaster-model

Atraumatic extraction tooth, checking for buccal bone

placing implant, checking stability

placing therapeutic crown and temporary abutment

                          2
Dhr Voncken



              impression/ x-ray/ intra oral photo




                               3
aesthetic risk-model/ SAC
The SAC Assessment Tool                    08-01-12 17:05




                            4
Planning/ extra information/ extra 3D




                    5
Preparing clearoverlay and plaster-model




                     6
Atraumatic extraction tooth,

checking for buccal bone




               7
placing implant,

checking stability




               8
placing therapeutic crown and
temporary abutment




              9
placing therapeutic crown and
temporary abutment




              10
placing therapeutic crown and
temporary abutment




              11    protecting clearoverlay
after healing- and osteo-integration

in this case 10 weeks




               12
how to make an impression for keeping the
soft-tissue the way you designed it




                     13
how to make an impression for keeping the
soft-tissue the way you designed it




                     14
how to make an impression for keeping the
soft-tissue the way you designed it




                     15
Another case




      16
dhr Melisse



              impression/ x-ray/ intra oral photo




                               17
aesthetic risk-model/ SAC
The SAC Assessment Tool                       08-01-12 20:37




                               18
Planning/ extra information/ extra 3D




                moet nog van dhr
                Melisse invoegen




                           19
Preparing clearoverlay and plaster-model




                     20
Atraumatic extraction tooth,

checking for buccal bone




               21
placing implant,

checking stability




               22
placing therapeutic crown and
temporary abutment




              23
placing therapeutic crown and
temporary abutment




              24
DMw Damen



            impression/ x-ray/ intra oral photo




                             25
Esthetische Risico factoren     Laag              Medium          Hoog
aesthetic
              Medische anamnese               Gezond


risk-model/   Rookgedrag                      Niet roker


              Patiënt esthetische

SAC
              verwachtingen                                                     Hoog


              Lip-/ lachlijn                                    Medium


              Gingiva biotype                                   Medium


              Vorm klinische kroon            Rechthoekig


              Infectie bij implantaat regio   Geen


              Botnivo buurelementen           <5mm
                                              tot contactpunt

              Restauratie status
              buurelementen                                                     gerestaureerd


              Diasteem breedte                                  1 tand (<7mm)


              Anatomie soft-tissue            Intact


              Anatomie alveolaire crest       Geen
                                              botdeficiëntie

                               26
Planning/ extra information/ extra 3D




                   27
Preparing clearoverlay and plaster-model




                     28
Atraumatic extraction tooth,

checking for buccal bone




               29
placing implant,

checking stability




               30
placing therapeutic crown and
temporary abutment




              31
placing therapeutic crown and
temporary abutment




              32
placing therapeutic crown and
         temporary abutment




Checkup after 1 week




                       33
Use of a cheeny in
 the implantology




         34
Use of a cheeny in
 the implantology




         35
http://www.megagen.us


               http://www.samenwerkendetandartsen.nl


               http://www.tandartsenpraktijkwaspik.nl


•   http://w                http://www.tc-u.nl

                 http://www.materialise.com/dental

                           http://www.2Ingis.eu

                  http://www.kaakchirurgie-amphia.nl

                         http://www.straumann.nl

                       http://www.megagenbenelux.nl


                  36

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Immediat placement imm restoration by L van Zwol

Notes de l'éditeur

  1. \n
  2. have you ever considered how useful a CT could be for your practice?\nWould you agree there&apos;s a future for guided surgery?\nAt this moment we use these guides\nIn the coming hour I&apos;ll give you a summary of these guide- when we use them and why we use them.\n\n
  3. to clear up any misunderstanding:\nvacuum transparent form or cheeny or clearoverlay\nimplants or fixtures are the same. In my presentation I&apos;ll use cheeny and implants\nFirst let me show you an example in a standard case\n\n
  4. second I&apos;ll show you a slightly more advanced case using a duplicated false denture \n
  5. third Is only an image of a lab fabricated stent, I&apos;ve used it in the past but recently not any more \n
  6. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  7. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  8. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  9. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  10. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  11. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  12. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  13. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  14. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  15. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  16. finally a new, mostly unknown system\n
  17. to clear up any misunderstanding:\nvacuum transparent form or cheeny or clearoverlay\nimplants or fixtures are the same. In my presentation I&apos;ll use cheeny and implants\nFirst let me show you an example in a standard case\n\n
  18. second I&apos;ll show you a slightly more advanced case using a duplicated false denture \n
  19. third Is only an image of a lab fabricated stent, I&apos;ve used it in the past but recently not any more \n
  20. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  21. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  22. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  23. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  24. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  25. \n
  26. to clear up any misunderstanding:\nvacuum transparent form or cheeny or clearoverlay\nimplants or fixtures are the same. In my presentation I&apos;ll use cheeny and implants\nFirst let me show you an example in a standard case\n\n
  27. second I&apos;ll show you a slightly more advanced case using a duplicated false denture \n
  28. third Is only an image of a lab fabricated stent, I&apos;ve used it in the past but recently not any more \n
  29. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  30. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  31. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  32. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  33. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  34. the last 2 procedures are fabricated by the industry, so it&apos;s out soured\n \n
  35. 2 different ways you can use the cheeny:\n1th: as drill-guide/ template\n2sd: as temporary after surgery\nIt could be model-based template or CT-scan-based \n
  36. prosthetic driven planning\nCould me model-based or CT-scan-based\nTop-down treatment\nFirst collecting data:\n1,plaster model\n2,X-ray\n3,Ideal position off the to-replaced tooth on the model\n decision: model-based or CTscan-based\n4,Preparation of the first drill on model with the vacuum transparent form\n5, placing in the mouth, use the first drill (into the bone)\n6, opening the flap \n7, use the second and third drill\n8, place the implant \n9, if needed followed with local bone-augmentation\n\ntransparent form\n5, placing in the mouth, use the first drill (into the bone)\n6, opening the flap \n7, use the second and third drill\n8, place the implant \n9, if needed followed with local bone-augmentation\n\n\n
  37. well thanks for your attentions \nI&apos;m happy to answer any of your questions now\n\n\n\nQuestions:\n\n\nOkay, if there&apos;re no more questions. I&apos;ll just say thank you all again \n