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Digital wax‐up.Figure 11.30 Model printed.Figure 11.31 Teeth mock‐up with bis‐acryl resin.Figure 11.32 Gingival composite resinFigure 11.33 Final Intraoral mock‐up.Figure 11.34 Digital evaluation of implant positioning.Figure 11.35 Tomographic evaluation of implant positioning.Figure 11.36 Implant transfer.Figure 11.37 Dental preparation.Figure 11.38 Ti‐base and zirconia abutments and ceramic crowns.Figure 11.39 Free connective tissue graft removed from the hard palate.Figure 11.40 Immediate postoperative aspect.Figure 11.41 Cementation of ceramic crowns.Figure 11.42 Cementation done and all the sutures in position.Figure 11.43 Final facial aspect – frontal view.Figure 11.44 Final intraoral aspect – frontal view.Figure 11.45 Initial clinical situation.Figure 11.46 Smilecloud software analysis.Figure 11.47 (a–c) Use of facebow before mounting on the Virtual Articulator...Figure 11.48 Patient's profile with the Virtual Articulator.Figure 11.49 Intraoral scans mounted on the Virtual Articulator.Figure 11.50 Periodontal surgical guide.Figure 11.51 Clinical aspect after periodontal surgery.Figure 11.52 Final restorations.Figure 11.53 Teeth preparations.Figure 11.54 Final intraoral photograph.Figure 11.55 Final smile of the patient.Figure 11.56 Initial occlusion – scanner view. Observe the posterior interfe...Figure 11.57 Initial smile.Figure 11.58 Initial occlusion – scanner view. Observe the open anterior bit...Figure 11.59 Initial radiograph.Figure 11.60 Kois deprogrammer in mouth.Figure 11.61 Digital wax‐up.Figure 11.62 Mock‐up with bisacryl resin.Figure 11.63 Mock‐up. Observe the new occlusion.Figure 11.64 Mock‐up. Esthetic result.Figure 11.65 Guided surgery.Figure 11.66 Implants, connective tissue graft, and biomaterial in place.Figure 11.67 Lower arch prep.Figure 11.68 Lower arch scanned by iTero and in perfect occlusal relation.Figure 11.69 Lower arch ceramics. Lithium disilicate on printed model.Figure 11.70 Upper arch with posterior preps.Figure 11.71 Upper arch with posterior ceramics during bonding process.Figure 11.72 Emergence profile of the implants scanned by iTero.Figure 11.73 Upper anterior preps and scanbodys in position.Figure 11.74 Final scan of anterior upper teeth and implants.Figure 11.75 Details of the scan. Observe how precise we can be.Figure 11.76 Final design of the restorations. Observe the superimpositions ...Figure 11.77 Checking all details of emergence profile of the restorations....Figure 11.78 Lithium disilicate restorations and zirconia abutments on the 3...Figure 11.79 Zirconia abutments intraoral try‐in.Figure 11.80 Try‐in procedure.Figure 11.81 Final restorations after 48 hours of the bonding process – 1.Figure 11.82 Final restorations after 48 hours of the bonding process – 2.Figure 11.83 Final restorations after 48 hours of the bonding process – 3.Figure 11.84 Final restorations – 1.Figure 11.85 Final restorations – 2.Figure 11.86 Final patient's smile.Figure 11.87 Final periapical radiography.Figure 11.88 Initial clinical situation. (a) Tooth #22. (b) Tooth #12.Figure 11.89 Teeth preparations.Figure 11.90 (a) Color assessment. (b) Conventional temporary crowns.Figure 11.91 (a) Project definition in the Zirkonzahn Modellier software. (b...Figure 11.92 (a) Margin outlining procedure (see Chapter 4). (a) Tooth #12. ...Figure 11.93 Insertion axes definition.Figure 11.94 Assessment of areas with remaining undercuts (red color). These...Figure 11.95 Virtual articulator set‐up.Figure 11.96 Superimposition of the minimum thickness mesh to the photograph...Figure 11.97 Digital wax patterns.Figure 11.98 (a) Design of the final STL files. (b) CAM strategy chosen in t...Figure 11.99 CAD‐CAM crown milled with lithium disilicate (E‐max, Ivoclar Vi...Figure 11.100 Final crown aspects after staining.Figure 11.101 Final smile of the patient.Figure 11.102 Initial clinical situation.Figure 11.103 Initial intraoral scans.Figure 11.104 Initial virtual smile design.Figure 11.105 (a) Virtual wax‐up to increase OVD. (b) Virtual wax‐up finishe...Figure 11.106 Kois deprogrammer.Figure 11.107 Intraoral scans of the final preparations.Figure 11.108 Intraoral scans with the preparation at the correct occlusion ...Figure 11.109 Final intraoral aspect.Figure 11.110 Patient monitoring system.Figure 11.111 The concept of “top‐down treatment” is part of a global trend,...Figure 11.112 Digital workflow with the Zirkonzahn Plane System, which consi...Figure 11.113 CAD for computer‐aided implant surgery (CAIS) in mandible. I d...Figure 11.114 CAD for CAIS in maxilla with top‐down treatment planning. I de...Figure 11.115 Computer‐aided implant surgery in maxilla with top‐down treatm...Figure 11.116 Computer‐aided implant surgery in mandible with top‐down treat...Figure 11.117 I placed six implants (IS‐II Active, NeoBiotech) on the mandib...Figure 11.118 Jaw relation record at the newly established VD occlusal plane...Figure 11.119 CAD procedure (Modellier Software, Zirkonzhan) for a definitiv...Figure 11.120 CAD‐CAM procedure for the definitive lower implant prosthesis ...Figure 11.121 Panoramic radiographs and oral clinical pictures from pretreat...Figure 11.122 Intraoral evaluation from the baseline with old dentures to th...Figure 11.123 For evaluation of the final treatment results, VD was measured...Figure 11.124 Initial aspect – a facial frontal view.Figure 11.125 Initial aspect – an intraoral frontal view.Figure 11.126 Facial references used for guiding digital study wax‐up.Figure 11.127 Digital study wax‐up.Figure 11.128 Digital study wax‐up superimposed on the initial facial photog...Figure 11.129 Digital study wax‐up superimposed on the patient's initial STL...Figure 11.130 Initial set‐up.Figure 11.131 Final set‐up presenting the temporary prosthesis.Figure 11.132 Superimposition: initial aspect and wax‐up.Figure 11.133 Superimposition: set‐up and wax‐up.Figure 11.134 Superimposition: set‐up and final wax‐up. Note the ideal denta...Figure 11.135 Staging of movements for a treatment period of 8 months, total...Figure 11.136 Using Meshmixer, a space is created between the aligner and th...Figure 11.137 Attachment template for bonding attachments during installatio...Figure 11.138 Temporary crown manufacturing using light‐cured flow resin dir...Figure 11.139 Initial scanning (left). STL from the last clear aligner (midd...Figure 11.140 Initial wax‐up superimposed to the postorthodontic scanning.Figure 11.141 Initial appearance.Figure 11.142 Mesh union (2D–3D).Figure 11.143 Digital diagnostic wax‐up.Figure 11.144 Printed resin model.Figure 11.145 Mock‐up without adhesion in bisacrylic resin.Figure 11.146 References of vestibular and incisal wear.Figure 11.147 Finished preparations with the gingival margin properly remove...Figure 11.148 Digital molding.Figure 11.149 Final appearance after cementation.Figure 11.150 Follow‐up after 1 year.Figure 11.151 Initial clinical situation. Note the restoration margin at the...Figure 11.152 Preparation and gingival management before intraoral scanning....Figure 11.153 Intraoral scanning using rubber dam.Figure 11.154 Lock‐surface tool being used.Figure 11.155 New set of intraoral scans after lock‐surface tool was used.Figure 11.156 New set of intraoral scans after lock‐surface tool was used.Figure 11.157 Preparation aspect on the intraoral scanning images.Figure 11.158 Glass‐ceramic restoration.Figure 11.159 Final clinical result after cementation of the onlay restorati...Figure 11.160 Initial clinical situation of the left maxillary first premola...Figure 11.161 Occlusal view of the remaining structure.Figure 11.162 Execution of the preparation – 1.Figure 11.163 Execution of the preparation – 2.Figure 11.164 (a) Preparation aspect (frontal view). (b) Color selection.Figure 11.165 Use of the rubber dam to install a temporary restoration.Figure 11.166 Temporary restoration.Figure 11.167 Digital design of the final onlay restoration (a–c).Figure 11.168 Occlusal view at the final appointment.Figure 11.169 Application of the rubber dam.Figure 11.170 (a–c) Cementation and final clinical result.
Guide
5 Foreword
6 Preface
