Formula for the Perfect Implant Placement

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"The Reganato Lecture Series" Clinical Presentation: understanding the final restorative outcome and developing the implant site prior to insertion creates an environment conducive for perfect implant placement and an ideal treatment outcome, thus supporting the notion that dental implant surgery is restoratively driven

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Presentation Transcript

Formula for the Perfect Implant Placement:

Formula for the Perfect Implant Placement Anthony J Reganato, DDS, MS Private Practice Periodontist West Suburbs-Chicago, IL “The Reganato Lecture Series” Sponsored by Woodlake Family Dental of Naperville, IL

Formula for the Perfect Implant Placement:

Formula for the Perfect Implant Placement Implant Restorative Background Understanding the biomechanics of dental implant prosthetic design Understanding the restorative challenges of non-ideal implant placement Importance of Site Development Development of the hard +/or soft tissue to restore arch form & physiologic architecture = Perfect Implant Placement

Implant Restorative Background:

Implant Restorative Background SCREW-RETAINED PROSTHETICS

Implant Restorative Background:

Implant Restorative Background CEMENT RETAINED PROSTHESIS CUSTOM ABUTMENTS

Implant Restorative Background:

Implant Restorative Background STOCK ABUTMENTS

Implant Restorative Background:

Implant Restorative Background TEMP PROVISIONALS

Implant Restorative Background:

Implant Restorative Background FIXED DETACHABLE HYBRID PROSTHESIS CLEANSABLE HYGIENIC DESIGN APPROPRIATE ANTERIOR-POSTERIOR SPREAD

Experience Restoring Implants that are Non-Ideal:

Experience Restoring Implants that are Non-Ideal NON-PARALLEL PLACEMENT DIVERGING IMPLANT ANGULATION NEED FOR CUSTOM ABUTMENTS

Experience Restoring Implants that are Non-Ideal:

Experience Restoring Implants that are Non-Ideal NON-PARALLEL PLACEMENT (B/L) DIVERGING IMPLANT ANGULATION EXPENSIVE CUSTOM ABUTMENTS

Experience Restoring Implants that are Non-Ideal:

Experience Restoring Implants that are Non-Ideal ABSENCE OF SITE DEVELOPMENT COMPROMISED ESTHETICS

Experience Restoring Implants that are Non-Ideal:

Experience Restoring Implants that are Non-Ideal POOR IMPLANT POSITIONING ABSENCE OF SITE DEVELOPMENT EXPENSIVE CUSTOM ABUTMENTS CHANGE FROM 4-UNIT FPD TO HYBRID COMPROMISED ESTHETICS

Experience Restoring Implants that are Non-Ideal:

Experience Restoring Implants that are Non-Ideal POOR IMPLANT POSITIONING INTERIMPLANT DISTANCE < 3MM EXPENSIVE CUSTOM ABUTMENTS NON-HYGIENIC RESTORATIONS

Formula for the Perfect Implant Placement:

Formula for the Perfect Implant Placement Implant Restorative Background Understanding the biomechanics of dental implant prosthetic design Understanding the restorative challenges of non-ideal implant placement Importance of Site Development Development of the hard +/or soft tissue to restore arch form & physiologic architecture = Perfect Implant Placement

Importance of Site Development:

Importance of Site Development MAXIMIZING BONE VOLUME RESTORING ARCH FORM GBR HEALING IN 3-4 MONTHS IMPLANT PLACEMENT DICTATED BY RESTORATIVE DESIGN, NOT WHERE THE BONE IS

Importance of Site Development:

Importance of Site Development MAXIMIZING BONE VOLUME RESTORING ARCH FORM GBR HEALING IN 3-4 MONTHS IMPLANT PLACEMENT DICTATED BY RESTORATIVE DESIGN, NOT WHERE THE BONE IS

Importance of Site Development:

Importance of Site Development MAXIMIZING BONE VOLUME RESTORING ARCH FORM GBR HEALING IN 3-4 MONTHS IMPLANT PLACEMENT DICTATED BY RESTORATIVE DESIGN, NOT WHERE THE BONE IS

Importance of Site Development:

Importance of Site Development MAXIMIZING BONE VOLUME RESTORING ARCH FORM GBR HEALING IN 3-4 MONTHS IMPLANT PLACEMENT DICTATED BY RESTORATIVE DESIGN, NOT WHERE THE BONE IS

Importance of Site Development:

Importance of Site Development MAXIMIZING BONE VOLUME RESTORING ARCH FORM GBR HEALING IN 3-4 MONTHS IMPLANT PLACEMENT DICTATED BY RESTORATIVE DESIGN, NOT WHERE THE BONE IS

Importance of Site Development:

Importance of Site Development MAXIMIZING BONE VOLUME RESTORING ARCH FORM GBR HEALING IN 3-4 MONTHS IMPLANT PLACEMENT DICTATED BY RESTORATIVE DESIGN, NOT WHERE THE BONE IS

Importance of Site Development:

Importance of Site Development MAXIMIZING BONE VOLUME RESTORING ARCH FORM GBR HEALING IN 3-4 MONTHS IMPLANT PLACEMENT DICTATED BY RESTORATIVE DESIGN, NOT WHERE THE BONE IS

Importance of Site Development:

Importance of Site Development MAXIMIZING BONE VOLUME RESTORING ARCH FORM GBR HEALING IN 3-4 MONTHS IMPLANT PLACEMENT DICTATED BY RESTORATIVE DESIGN, NOT WHERE THE BONE IS

Importance of Site Development:

Importance of Site Development MAXIMIZING BONE VOLUME RESTORING ARCH FORM GBR HEALING IN 3-4 MONTHS IMPLANT PLACEMENT DICTATED BY RESTORATIVE DESIGN, NOT WHERE THE BONE IS

Importance of Site Development:

Importance of Site Development MAXIMIZING BONE VOLUME RESTORING ARCH FORM GBR HEALING IN 3-4 MONTHS IMPLANT PLACEMENT DICTATED BY RESTORATIVE DESIGN, NOT WHERE THE BONE IS

Importance of Site Development:

Importance of Site Development MAXIMIZING BONE VOLUME RESTORING ARCH FORM FLAPLESS GBR HEALING IN 6 MONTHS IMPLANT PLACEMENT DICTATED BY RESTORATIVE DESIGN, NOT WHERE THE BONE IS

Importance of Site Development:

Importance of Site Development MAXIMIZING BONE VOLUME RESTORING ARCH FORM FLAPLESS GBR HEALING IN 6 MONTHS IMPLANT PLACEMENT DICTATED BY RESTORATIVE DESIGN, NOT WHERE THE BONE IS

Formula for the Perfect Implant Placement:

Formula for the Perfect Implant Placement Implant Restorative Background Understanding the biomechanics of dental implant prosthetic design Understanding the restorative challenges of non-ideal implant placement Importance of Site Development Development of the hard +/or soft tissue to restore arch form & physiologic architecture = Perfect Implant Placement

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement

Ideal Implant Placement:

Ideal Implant Placement

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement

Ideal Implant Placement:

Ideal Implant Placement

Ideal Implant Placement:

Ideal Implant Placement

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

Ideal Implant Placement:

Ideal Implant Placement IDEAL IMPLANT PLACEMENT PRECLUDES THE NEED FOR CUSTOMARY COMPONENTS AND ADDITIONAL PROCEDURES

THANK YOU:

THANK YOU CARNIVORE CHALLENGE “The Reganato Lecture Series” Sponsored by Woodlake Family Dental of Naperville, IL