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cone beam – international magazine of cone beam dentistry

I special _ digital technologies detailed motion analysis (10 microns) that replicates the jaw movements exactly by utilising computer technology. Arcus digma has a bite-fork that makes it easy to position the upper jaw in the articulator. A fully ad- justablearticulatororadigitalarticulatorispreferred. It is critical to get a perfect bite registration in CR. The functional wax-up can be generated semi-auto- maticallyintheCAD/CAMsoftwarebyusingthedata gathered from the models and functional move- ments. Alternatively, we do it the old fashioned way byaddingwaxtothestonemodel.(Notethatthepre- cision of the wax-up will reflect the care taken to ac- quire the diagnostic information.) With the wax-up approved by the dentist, the placement of the implant can be performed in the cone beam imaging software. We use the OnDemand software by Cybermed Inc. The software has a fair price. It can handle all DICOM based cone beam im- ages.TheIn2Guideplugin(inOnDemand)enablesyou to do the implant planning with whatever guide system you prefer (i.e. Straumann, Nobel Biocare, Zimmer, etc.). Usually we use the universal drill kit developed for the In2Guide system. It gives the user theabilitytoplaceanyimplantonthemarkedwiththis single drill kit. The only brand specific tools needed is the implant driver and a prosthetic kit. Another ad- vantage of the In2Guide software is that you don’t havetosegmenttheconebeamimageorexportitinto thirdpartysoftware.Theplanningisdoneinthesame softwareaswhereyoudoyourdiagnosis.Inmyopin- ion, this makes it easier to implement in the practice. One note about guide sleeves. The In2Guide soft- ware enables you to choose whatever guide sleeves you want to use. There is a huge difference between the distance from the coronal implant surface and the guide sleeve among the different guide systems 14 I cone beam3_2015 Fig. 3a Fig. 3b

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