CAD/CAM - international magazine of digital dentistry

I 25 industry report _ CAMLOG Guide System I CAD/CAM 1_2012 CAD/CAM was used to fabricate the bridge framework from a fibre composite (Everest C-Temp, KaVo) and veneered with an acrylic ma- terial. For passivation of the design, proven elec- troplating was used. Custom CAD/CAM-fabri- cated zirconia abutments were selected. _Conclusion The original goal of the prosthetic recon- struction was a fixed bridge restoration. Owing to the hygienic and functional training phase with the long-term temporary appliance, the patient opted for a removable bridge. The accuracy and simplicity with which the implantscanbeinsertedinprostheticallycorrect or anatomically difficult situations is increased significantly by virtual 3-D implant planning using CBCT or CT in combination with the guided implant bed preparation and implant insertion. Implant therapy is thus facilitated. The drilling sequence in the CAMLOG Guide System is different from other systems. While in a conventional drilling sequence, the pilot drill is advanced to the final implant length, the drilling sequence guided by the CAMLOG Guide first starts with the shorter pilot drill (length 6 mm). To guide all drills by the sleeve geometry from the start, the drilling sequence is performed in succession from the 9 to the 11 mm drill and finally to the 13 mm drill (maximum implant length). The CAMLOG Guide offers a sleeve system. As opposed to multi-sleeve systems, a single sleeve inserted into the surgical template is adequate for guidance during all drilling sequences and implantation procedures. The implants can be inserted through the sleeves._ Editorialnote:ThecasewasfirstpublishedinC.Mairoana &M.Beretta(eds.),Manual of Oral Implantology(Edizioni Italia Press, 2010) and is reprinted here with kind per- mission. A complete list of references is available from the pub- lisher. Fig. 40_CAD/CAM-fabricated zirconia abutments after one year in function. Fig. 41_Veneering work. Fig. 42_Occlusal view before treatment. Fig. 43_Radiological situation before treatment. Fig. 44_Occlusal view two years after final prosthetic restoration. Fig. 45_Radiological situation two years after loading. Dr Claudio Cacaci is a specialist in Oral Surgery and Implant Dentistry.He studied at the Dental School in Munich and worked in the Department of Maxillo-Facial Surgery and the Department of Oral Surgery and Implant Dentistry in Munich.In 1997,he founded a private dental clinic with Dr Jan Hajtó in Munich.In 1998,he established the PrivateTraining Center for Implant Dentistry (F.I.O.I.) in Munich.He is the founder of the Munich Study Group for Implant Dentistry and a member of various national and international study groups and dental associations.Dr Cacaci is author of the book Checklist – Implantology and contributing author of the book Manual of Oral Implantology .Since 2009,he has worked in a group practice specialising in implantology and periodontology in Munich. CAD/CAM_about the author Fig. 45 Fig. 42Fig. 40 Fig. 41 Fig. 43 Fig. 44