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CAD/CAM - international magazine of digital dentistry

technique _ veneering options I provide natural-looking, lifelike prosthetic emer- gence from the gingival tissue. No artificial gingiva was acceptable for the patient. Because of the daily administration of oral anti- coagulant medications, a minimally invasive surgical approach, avoiding any major bone grafting proce- dures, was medically essential (Figs. 14–20). Treatmentchoices Anovelfixedrestorativeoption,comprisingsingle CAD/CAM lithium disilicate crowns cemented onto a precision zirconia framework, was used to rehabil- itate the upper and lower jaws. NobelClinician Software was used to prepare the digital treatment plan—and to communicate that plan with the patient. NobelGuide was employed to allowforidealimplantpositionandangulationbased on available bone in order to reduce the surgical invasiveness and post-operative morbidity, and still ensure ideal framework design._ Editorial Note: This article is a reprint from Nobel Biocare News Vol. 15, No.1, 2013 and No.2, 2013; Nobel Biocare Services AG, 2013. All rights reserved. Nobel Biocare, the Nobel Biocare logotype and all other trademarks are, if nothing else is stated or is evident from the context in a certain case, trademarks of Nobel Biocare. Product images arenotnecessarilytoscale.Disclaimer:Someproductsmay not be regulatory cleared/released for sale in all markets. Please contact the local Nobel Biocare sales office for currentproductassortmentandavailability. All the treatment concepts presented in this article have been evaluated in extensive clinical trials. These concepts meet patient needs and expectations, as well as advanced functional and esthetic criteria. Together, they represent only a few of the many alternatives available when using productsfromNobelBiocare. To view the complete treatment sequences online and to read short biographies of the dentists and technicians whose work is represented in this article, please visit: www.nobelbiocare.com/newsletter. Fig. 18_In the lower jaw the screw access holes did not impact the aesthetic area of the restoration and thus all the crowns have been cemented in the lab. Furthermore, the biomechanical strength of the CAD/CAM lithium disilicate allowed the perforation of the units in order to deliver a screw-retained, easy-to-retrieve restoration. Fig. 19_The post-operative smile of the patient combines a pleasant prosthetic design with a natural soft tissue framework. Fig. 20_The RX orthopantomograph at just under three-year follow-up. The bone level around the six NobelActive implants and the four NobelReplace Conical Connection implants in the upper and lower jaw, respectively, demonstrate the success of the implant-supported restorations. I 41CAD/CAM 3_2015 Prof.Stefan Holst graduated from the Medical University of Hanover,Dental School in 1999 followed by a postgraduate education at the Louisiana State University Dept. of Prosthodontics (Head:Gerard Chiche), New Orleans,USA before becoming full time faculty at the University of Erlangen,Department of Prosthodontics where he held a position as Professor for clinical education and headed the CAD/CAM research laboratories for 11 years prior to joining Nobel Biocare as Global Head of Research and Science in 2013.In 2012 Professor Holst was appointedAdjunct Professor for Restorative Dentistry at the University of Pennsylvania,USA.From 2009 to 2011 Prof.Holst served asAssociate Editor of the Quintessence International journal and since 2011 he is member of the editorial review board of the International Journal of Prosthodontics. CAD/CAM_about the author Fig. 20 Fig. 19Fig. 18

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