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CAD/CAM international magazine of digital dentistry No. 4, 2016

treatment planning based on CBCT cone beam supplement | www.dental-tribune.com Dental Tribune International The World’s Largest News and Educational Network in Dentistry AD access. A maxillary acrylic nightguard was fabri- cated to help protect the occlusal surfaces from wear and reduce any parafunctional habits. The completed case is shown (Figs. 15–18). At subse- quentappointments,theprostheseswereevaluated to determine if they needed to be removed to assess thesofttissueorifanycontouringoftheacrylicwas necessary.Eventually,thesoftmaterialusedtoclose the access can be replaced with a hard composite material. Conclusion A Complex-SAC Straumann® Pro Arch Case was presented.Managementofthistreatmentutilisedthe advantagesoftheteamapproachformaximisingour combined knowledge to benefit the patient, consis- tentwithITIdoctrine.TheuseoftheBLTimplants,due to excellent initial stability, gave us the confidence in our ability to not only use immediate extraction sites (Type 1 implant placement), but also to increase avoidance of anatomic structures. In this case, the structuresincludethemaxillarysinuses,nasopalatine and mental foramina, as well as the inferior alveolar nerve canals. In addition, with the tapered design of the BLT implant, maxillary anterior areas could be utilised by the surgeon to avoid apical fenestrations where undercuts could become problematic using straight-walled bone level implants. The coordinated appointments, along with the symphony-like steps in the procedure, created a positive, “seamless” ex- perience for the patient._ contact Dr Robert A. Levine Dr Harry Randel Einstein Center One, Suite 211–212 9880 Bustleton Avenue PA 19115, Philadelphia, USA Tel.: +1 215 677-8686 info@padentalimplants.com www.padentalimplants.com Tel.: +1215677-8686

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