Implant Direct implants are very suitable for providing your patients cost efficient, high quality full arch bridges.
In this presentation ES Healthcare CAD Cam technology is used with composite.
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Titanium CAD Bridges with composite
1. Titanium CAD/CAM bridges
with composite
Mรผnchen, 25th of September 2010
Jan Willem Vaartjes, Amsterdam
Implant Direct
2. Full Arch bridges in your dental office
โข Time consuming?
โข Very expensive?
โข A challenge?
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3. Implant Direct stands for:
โข High Quality
โข Cost Effective implant therapy
โข All in One Packaging
โข Innovations
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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
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13. Titanium CAD CAM bridges
โข 1-piece, no welding needed, no weak points
โข Very precise fit (CAM)
โข No distortion and tension due to casting
โข Computer Aided Design (CAD) possible
โข Cost efficient
โข Implant level possible, no abutments
โฌ2500-โฌ3500
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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
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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 169โ174, February 2009
Cuspid
Cuspid
Implant Direct
16. Access to oral hygiene!
Foramen Foramen
Cuspid
Cuspid
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17. Access to oral hygiene!
Foramen Foramen
Cuspid
Cuspid
No saddles
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18. Access to oral hygiene!
Foramen Foramen
Cuspid
Cuspid
brush guidance
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20. Suitable type of implant connection
Better
Legacy Replant ScrewPlus & Swissplant
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21. Suitable type of implant connection
โข Internal bevel
Better
โข Flat connections
โข External bevels
Legacy Replant ScrewPlus & Swissplant
Implant Direct
22. Suitable type of implant connection
โข Internal bevel
Better
โข Flat connections
โข External bevels
Legacy Replant ScrewPlus & Swissplant
Implant Direct
23. Suitable type of implant connection
โข Internal bevel
Better
โข Flat connections
โข 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
Proโs:
Porcelain can be fused or pressed more easily to Zirconia
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25. Composite for bridges
โข Quick and efficient to apply
โข Strong bond to titanium
โข not abrasive for antagonising teeth
โข Easy to repair intra-orally
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26. Case I: 5 ScrewPlus in the mandibula
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