4.122 Rubber dam application for cementation.Figure 4.123 Cementation procedure.Figure 4.124 Definitive cementation of all crowns and laminate veneers.Figure 4.125 Three‐month follow‐up results of the case.Figure 4.126 Occlusal view of the tooth remnant.Figure 4.127 Periapical radiograph of tooth 46.Figure 4.128 After tooth preparation, a digital impression was done using a ...Figure 4.129 Bite registration.Figure 4.130 Cavity evaluation and occlusal contacts.Figure 4.131 Cross‐sectional view of the preparation.Figure 4.132 The file obtained in PLY extension was sent to the ChairsideCAD...Figure 4.133 Digital design of the inlay restoration.Figure 4.134 Inlay restoration was milled using a feldspathic block of ceram...Figure 4.135 After try‐in, prior to cementation, the preparation was cleaned...Figure 4.136 Final appearance of the preparation and restoration made of fel...Figure 4.137 Polishing and finishing were done after contact points were che...Figure 4.138 Initial smile situation.Figure 4.139 3D‐printed palatal guide.Figure 4.140 Details and adaptation assessment before using the rubber dam....Figure 4.141 Photograph taken after cleaning the tooth with phosphoric acid ...Figure 4.142 Palatal guide try‐in after dentin layer is ready.Figure 4.143 Palatal shell created using the achromatic enamel resin to achi...Figure 4.144 Buccal layer created using the buccal guide before removing the...Figure 4.145 Construction of the vestibular layers of the other teeth.Figure 4.146 Final result with the same shape design that was planned before...Figure 4.147 Final smile result.Figure 4.148 Evaluation of the edentulous patient.Figure 4.149 Facial evaluation of the edentulous patient.Figure 4.150 Evaluation of the existing prostheses.Figure 4.151 Vertical dimension assessment.Figure 4.152 Digital planning of the smile.Figure 4.153 (a) Maxillary preliminary impression. (b) Mandibular preliminar...Figure 4.154 (a) UTS CAD. (b) UTS CAD BP measurement. (c) CAD CE measurement...Figure 4.155 (a) Papillameter. (b) Papillameter measurement.Figure 4.156 (a) Digitally mounted casts. (b) 3D bite plate design.Figure 4.157 3D bite plate.Figure 4.158 (a) Closed mouth impression movement 1. (b) Closed mouth impres...Figure 4.159 (a) UTS CAD CE measurement. (b) UTS CAD BP measurement.Figure 4.160 (a) Gnathometer CAD stylus. (b) Gnathometer CAD striking plate....Figure 4.161 (a) Gnathometer fixed intraoral. (b) Verification of VDO. (c) P...Figure 4.162 Form selector.Figure 4.163 (a) SR Phonares II age characteristics. (b) SR Phonares II livi...Figure 4.164 (a) Virtual models. (b) Virtual tooth arrangement. (c) Virtual ...Figure 4.165 (a) Monoblock try-in side. (b) Monoblock try-in straight.Figure 4.166 (a) Smile side profile full. (b) Smile profile front. (c) Smile...Figure 4.167 Monoblock try-in with modifications.Figure 4.168 Software finalization.Figure 4.169 (a) Ivotion disk. (b) Shell Geometry. (c) True monolithic manuf...Figure 4.170 (a) Carbide burs and diamond disk. (b) Diamond disk individuali...Figure 4.171 (a,b) Final polished dentures.Figure 4.172 (a) Side smile close‐up. (b) Front smile close‐up. (c) Candid s...Figure 4.173 (a) Edentulous situation. (b) Existing situation. (c) New prost...Figure 4.174 (a) Reference denture. (b) Existing denture. (c) 360 Reference ...Figure 4.175 A full‐arch implant‐supported fixed prosthesis, designed using ...Figure 4.176 3D‐printed crowns used in a research project.Figure 4.177 (a) Temporary prostheses designed on DentalCAD (Exocad). (b) Vi...Figure 4.178 Temporary prostheses on the 3D printer software (FlashDLPrint®,...Figure 4.179 Temporary prosthesis finalized and waiting for removal from the...Figure 4.180 Temporary prosthesis make‐up using Vita Enamic® stains kit (Vit...Figure 4.181 Importing the initial file.Figure 4.182 Model positioning before mesh cleaning.Figure 4.183 (a–g) Mesh cleaning regarding one region.Figure 4.184 (a,b) Mesh cleaning throughout the model.Figure 4.185 Visualizing mesh triangles.Figure 4.186 Decreasing brush size.Figure 4.187 Selecting the outermost triangles of the mesh.Figure 4.188 (a,b) Completing mesh edge smoothing.Figure 4.189 (a,b) Creating model base.Figure 4.190 Initial steps for making the model solid.Figure 4.191 Finalized, solid model.Figure 4.192 Finalizing the process for making the model hollow.Figure 4.193 (a,b) Initial procedures for cutting the plane.Figure 4.194 (a–c). Final procedures for cutting the plane.Figure 4.195 Exporting the file.5 Chapter 5Figure 5.1 Diagnosis and management of the “gummy smile.”Figure 5.2 An acetate periodontal surgical guide.Figure 5.3 Facial images used for virtual planning of periodontal plastic su...Figure 5.4 A digital surgical simulation.Figure 5.5 A tomographic study concerning periodontal surgical planning.Figure 5.6 A more complete periodontal study on the tomographic scan and int...Figure 5.7 (a,b) Periodontal surgical planning and guide design.Figure 5.8 A periodontal surgical guide ready to use.Figure 5.9 Using the periodontal guide for orienting internal bevel incision...Figure 5.10 Using the periodontal guide for orienting bone recontour.Figure 5.11 (a,b) Initial and final aspects of a clinical case in which mini...Figure 5.12 Initial steps of virtual planning for soft tissue graft.Figure 5.13 (a,b) The incisions are simulated for the creation of structures...Figure 5.14 (a,b) Surgical guides for soft tissue graft ready for use.Figure 5.15 (a) The surgical guide for soft tissue graft is stabilized. (b,c...
6 Chapter 6Figure 6.1 Diagnostic digital waxing using DentalCad® software.Figure 6.2 Virtual surgical planning for image‐guided surgery using ExoPlan ...Figure 6.3 Surgical guide design created by the software following the surgi...Figure 6.4 3D‐printed surgical guide of the case. A PolyJet 3D printer was u...Figure 6.5 Implant site of the surgery.Figure 6.6 Surgical guide in position to orientate implant site drilling.Figure 6.7 The implant placement performed using the surgical guide.Figure 6.8 (a) Immediate postsurgery installation of milled PMMA temporary c...Figure 6.9 Initial image exams from the patient.Figure 6.10 Extraoral and intraoral initial conditions. In this case, the pa...Figure 6.11 Virtual dental implant position, and fixation pins planned in de...Figure 6.12 Virtual dental implant position related to the prostheses. The p...Figure 6.13 Surgical printed guide in two parts, with the objective to insta...Figure 6.14 The surgical guide should be tried in mouth prior to surgery. Th...Figure 6.15 In the first surgical step, fixation pins are positioned to secu...Figure 6.16 The surgical procedure at different points. 1 Surgical punch. 2,...Figure 6.17 Intraoral aspect directly after the surgery. The procedure was s...Figure 6.18 Comparison of preoperative images (a,b) with postoperative panor...Figure 6.19 Using Blue Sky Plan to process the DICOM files from the patient....Figure 6.20 In the model Editing interface, select the segmentation tool – A...Figure 6.21 (a) With the segmentation tool, we select maxillary volume in di...Figure 6.22 The STL file will superimpose to the original DICOM file automat...Figure 6.23 In the implant selection tool, “Add implant” should be selected ...Figure 6.24 (a) In the Advanced Surgical Guide interface, the zygomatic impl...Figure 6.25 (a) Now, in the Denture module, we can create the path of insert...Figure 6.26 (a) With this procedure, we are able to generate a new STL model...Figure 6.27 Virtual surgical planning.Figure 6.28 (a) The thickness of the guide should be between 2 and 3 mm, cor...Figure 6.29 (a) In Meshmixer, we separate both STL files, using the boolean ...Figure 6.30 During surgery, after rising the mucoperiosteal flap, the surgic...Figure 6.31 The clinician may perform the drill sequence taking into account...Figure 6.32 Dynamic image‐guided surgical procedure – 1.Figure 6.33 Dynamic image‐guided surgical procedure – 2.Figure 6.34 Dynamic image‐guided surgical procedure – 3.Figure 6.35 Dynamic image‐guided surgical procedure – 4.Figure 6.36 Cone beam computed tomography multiplanar reconstruction showing...Figure 6.37 Alveolar socket volumetric measurement output, showing an estima...Figure 6.38 Clinical view of the alveolar socket filled with equine‐derived ...Figure 6.39 CBCT image obtained after 5 months of graft healing, showing buc...Figure 6.40 Clinical view of the surgical site prior to implant placement.Figure 6.41 Representative histological sections of the material presented i...Figure 6.42 Final implant position after obtaining a peak insertion torque o...Figure 6.43 Final clinical result after installation of the implant‐supporte...Figure 6.44 Final periapical radiograph after a 27‐month follow‐up.Figure 6.45 Measurement of the desired area to receive sinus grafts in a cro...Figure 6.46 Final volumetric measurement for sinus grafting.Figure 6.47 Volume measurement output.Figure 6.48 Comparison of planned and actually executed sinus grafts using H...Figure 6.49 Virtual planning for anterior maxillary graft.Figure 6.50 3D model of the bone graft.Figure 6.51 Milled allogeneic bone block as part of a research study. The bl...
7 Chapter 7Figure 7.1 Superimposed IOS and CBCT scans used to locate the tooth in a 2D ...Figure 7.2 Axial view of 2D measurements performed during surgical planning ...Figure 7.3 Digitally designed tooth‐supported surgical guide used to orienta...Figure 7.4 Use of the CAD‐CAM surgical guide. (a) Surgical guide in position...Figure 7.5 CT scan, initial aspect (coronal, sagittal, and axial views, and ...Figure 7.6 CT scan slices reconstructed
