Dental Implant Procedures and Digital Workflow Protocols

Occlusal Treatment and Patient Education

• Occlusal splint therapy
• Occlusal equilibration (selective grinding)
• Restorative or prosthetic rehabilitation
• Orthodontic treatment

Types of Dental Implants

• Subperiosteal
• Transosteal
• Endosteal (Blade/Root)

Indications for Dental Implants

• Inability to wear a removable or complete denture
• Need for a long-span fixed partial denture
• Unfavorable number and location of natural tooth abutments
• Single tooth loss necessitating preparation of undamaged teeth

Contraindications for Dental Implants

• Acute or terminal illness
• Pregnancy
• Uncontrolled metabolic disease
• Radiation at the implant site
• Improper patient motivation
• Abnormal bone metabolism
• Lack of operator experience
• Inability to restore the prosthesis
• Extraction due to caries

Implant Treatment Planning

• Clinical evaluation
• Radiographic evaluation
• Diagnostic cast evaluation
• Bone sounding evaluation

Diagnostic Cast Evaluation

• Assess remaining dentition
• Evaluate residual bone
• Analyze maxillomandibular relationships
• Diagnostic wax-up
• Surgical stent fabrication

Implant Components

• Implant fixture
• Implant cover screw
• Impression post
• Abutment analogs
• TiBase
• Scanbody
• Healing cap

Closed Tray Impression Steps

1. Affix closed tray impression posts on the implants or multi-unit abutments.
2. Load the tray with impression material and seat in the mouth.
3. Dislodge and remove the impression post after polymerization.
4. Attach the abutment analogs to the impression post.
5. Insert the coping-analog assembly into the definitive impression.

Prosthetic-Driven Workflow

• Scan
• Plan (design)
• Place
• Restore

Surgical Guide Workflows

Classic Workflow

• Diagnostic model
• 3D scan of patient
• Digital implant planning
• Shipping to lab
• Surgical guide completion

Optiguide Workflow

• Optical scan
• Radiographic guide
• Patient scan
• Implant planning
• Surgical guide

Digital Diagnostic Tools

• CBCT
• T-Scan Occlusal Analysis
• Caries detection
• Shade detection

T-Scan System Components

• Intraoral sensors
• Scanning electronics (handle)
• Intuitive software

E.lab Components

• Digital camera
• White balance card
• e.lab software
• e.lab co-pilot kit

Dental Milling Materials

Wet Milling

• Glass ceramics
• Metals: Co-Cr / Titanium
• Hybrid ceramics
• Partially or fully sintered Zr

Dry Milling

• Wax
• PMMA
• Non-sintered Zr

Materials for Both Methods

• Hybrid ceramics
• Composites
• PMMA