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Titanium CAD/CAM Bridges and Composite Full Arch Solutions
- 1. Titanium CAD/CAM bridges with composite München, 25th of September 2010 Jan Willem Vaartjes, Amsterdam Implant Direct
- 2. Full Arch bridges in your dental office • Time consuming? • Very expensive? • A challenge? Implant Direct
- 3. Implant Direct stands for: • High Quality • Cost Effective implant therapy • All in One Packaging • Innovations Implant Direct
- 4. Implant Direct stands for: Let me show you How to use these principles to treat your patients with an affordable and also predictable solution Implant Direct
- 5. Conventional full arch bridges • Abutment level • Casted (gold alloy) structure • Fused porcelain • Highly expensive Implant Direct
- 6. Conventional full arch bridges • Abutment level • Casted (gold alloy) structure • Fused porcelain • Highly expensive Costs of materials €5000-€9000 Implant Direct
- 7. Conventional full arch bridges Implant Direct
- 8. Conventional full arch bridges Implant Direct
- 9. Conventional full arch bridges Implant Direct
- 10. Conventional full arch bridges Implant Direct
- 11. Titanium CAD CAM bridges The smart alternative Implant Direct
- 12. Titanium CAD CAM bridges €2500-€3500 Implant Direct
- 13. Titanium CAD CAM bridges • 1-piece, no welding needed, no weak points • Very precise fit (CAM) • No distortion and tension due to casting • Computer Aided Design (CAD) possible • Cost efficient • Implant level possible, no abutments €2500-€3500 Implant Direct
- 14. Mandibula vs Maxilla Foramen Foramen Cuspid Cuspid 4-5 implants 6-8 implants Anterior or ideally spread when possible Stay out of the esthetic zone in resorbed ridges Esthetically, functional and phonetical predictable Esthetically and phonetical challenging Implant Direct
- 15. Access to oral hygiene! Peri-implantitis in partially edentulous patients: association with inadequate plaque control Foramen Foramen Clinical Oral Implants Research Volume 20, Issue 2, pages 169–174, February 2009 Cuspid Cuspid Implant Direct
- 16. Access to oral hygiene! Foramen Foramen Cuspid Cuspid Implant Direct
- 17. Access to oral hygiene! Foramen Foramen Cuspid Cuspid No saddles Implant Direct
- 18. Access to oral hygiene! Foramen Foramen Cuspid Cuspid brush guidance Implant Direct
- 19. The screw has to withstand the load Implant Direct
- 20. Suitable type of implant connection Better Legacy Replant ScrewPlus & Swissplant Implant Direct
- 21. Suitable type of implant connection • Internal bevel Better • Flat connections • External bevels Legacy Replant ScrewPlus & Swissplant Implant Direct
- 22. Suitable type of implant connection • Internal bevel Better • Flat connections • External bevels Legacy Replant ScrewPlus & Swissplant Implant Direct
- 23. Suitable type of implant connection • Internal bevel Better • Flat connections • External bevels Legacy Replant ScrewPlus & Swissplant Implant Direct
- 24. Zirconia vs Titanium in large bridges Cons: Colour of the inner structure has minor aesthetic influence No longterm studies for large Zirconia bridges Titanium has a significant higher strength Zirconia is brittle, (ageing process?) Titanium is more price efficient Comparable biocompatibility Pro’s: Porcelain can be fused or pressed more easily to Zirconia Implant Direct
- 25. Composite for bridges • Quick and efficient to apply • Strong bond to titanium • not abrasive for antagonising teeth • Easy to repair intra-orally Implant Direct
- 26. Case I: 5 ScrewPlus in the mandibula Implant Direct
- 27. Cover screws with extenders Implant Direct
- 28. Wound healing after 3 months Implant Direct
- 29. Closed tray transfers Implant Direct
- 31. Case I: 5 ScrewPlus in the mandibula Implant Direct
- 32. Use the fixture mounts, they come for free! Implant Direct
- 33. Fixed bite registration plate Implant Direct
- 35. Case I: Anterior Posterior Spread 1:2 Implant Direct
- 36. Case I: Anterior Posterior Spread 1:2 1 2 Implant Direct
- 37. Case I: Anterior Posterior Spread 1:2 1 2 Implant Direct
- 38. Case I: Milled titanium structure Implant Direct
- 39. Case I: Milled titanium structure Implant Direct
- 40. Case I: Sandblasting for retention Implant Direct
- 42. Gradia GC composite, dentin layers Implant Direct
- 43. GC Gradia composite, enamel layers Implant Direct
- 46. Access to oral hygiene! Implant Direct
- 47. Case I: Perfect fit Implant Direct
- 48. Case II: Bredent technique Implant Direct
- 49. Bredent veneers used for the setup Implant Direct
- 50. Computer Aided Design Implant Direct
- 52. Smaller titanium structure Implant Direct
- 55. Attaching veneers to Ti structure Implant Direct
- 57. Finishing and completing Implant Direct
- 59. Implant Direct
- 60. Thank you very much! Implant Direct