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CAD/CAM - international magazine of digital dentistry

I case study _ backward planning _Summary Patient A 50-year-old male patient missing tooth 26 asked for an implant-supported crown. Challenge The patient wished to combine implant place- ment and insertion of a provisional crown in only one treatment session. Treatment Using a CBCT scan of the clinical situation im- ported into the SIMPLANT software, a customised ATLANTIS Abutment, as well as a provisional crown andasurgicalguide,werefabricatedbeforesurgery. Onthedayofimplantplacement,theabutmentand provisionalcrownwereincorporated,followingthe Immediate Smile concept. _Case study Planning Planning for dental implants starting from the desired crown position (backward planning) has been an intrinsic part of implant therapy for years andisimplementedsuccessfullybymanytreatment teams. This case presents a treatment protocol in which the advantages of backward planning were realised using SIMPLANT computer-guided treat- Fig. 1_When determining the ideal prosthetic implant position, the virtual set-up acted as specification. Fig. 2_The design for the drill template to be made using stereolithography (SIMPLANT). Fig.3_Theconstructionproposalforthe patient’s custom ATLANTIS abutment can be assessed in various views. Fig. 4_Check of function. Fig.5_Toothplacedvirtuallyinthegap. Fig. 6_The prefabricated titanium abutment with the composite crown for temporary restoration. Thinking backwards— digital workflow using SIMPLANT withASTRATECHImplantSystemEV Author_ Dr Christian Mertens, Germany 20 I CAD/CAM 1_2016 Fig. 1 Fig. 2 Fig. 3 Fig. 4 Fig. 5 Fig. 6 CAD0116_20-23_Mertens 21.01.16 10:48 Seite 1 CAD0116_20-23_Mertens 21.01.1610:48 Seite 1

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