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ePaper created 2017-05-10, 16:12:25 | version 1.38.0
manufacturer news digital workfl ow Nobel Biocare’s collaborative workfl ow to offer a fully digital restoration on the day of surgery Fig. 1: The new SmartSetup feature automatically generates the diagnostic tooth setup in the NobelClinician Software. – Fig. 2: The plan in NobelClinician (Fig. 1) can then be used to create the provisional design for the TempShell restoration in the DTX Studio design software. based on accurate intraoral tissue information and the underlying anatomy. The planning process will be made even more effi cient by the introduction of the SmartSetup feature. This will automatically create a digital wax-up for the teeth identifi ed as missing, allowing an appropriate prosthetic-driven treatment plan. The fi nal treatment plan can then be used to order a surgical template for pilot-drilling or fully guided implant placement. In the new collaborative workfl ow, the clinician will be able to share the NobelClinician treatment plan via the cloud to a partner laboratory that is using the DTX Studio design software. The lab can then use in- formation from the digital plan to fi nalise the provisional design for the TempShell. This can be produced in-lab and sent directly to the clinician. As the provisional restoration was pro- duced based on the digital treat- duced based on the digital treat- ment plan, the technician can ment plan, the technician can be confi dent it meets the needs of both the clinician and the patient. The next phase of Nobel Biocare’s integrated treat- ment workfl ow will launch in CE-mark-accepting countries in the summer 2017. The updated work- fl ow has been developed to improve collaboration between treatment partners while increasing both treatment effi ciency and acceptance. It will offer a time-effi cient protocol for providing screw-re- tained provisionals on the day of surgery through the fully digital design and in-lab production of a TempShell temporary restoration. Fig. 3: The TempShell is a fully digital provisional restoration, based on the prosthetic treatment plan. As with the current integrated workfl ow, the clini- cian will take a CBCT scan in line with their usual diagnostic procedures. This scan information will then be combined with STL data from either an in- traoral scanner or other surface data from a digit- ised model based on a conventional impression. This hard- and soft-tissue data can be combined effortlessly using the SmartFusion function in the NobelClinician software to provide a detailed vis- ualisation of the anatomical situation. The clinician can then diagnose and plan the implant treatment On the day of surgery, the clinician then places the implants and adjusts the TempShell restoration chairside to form a passive-fi tting, screw-retained provisional. This updated workfl ow will not only allow more effi cient work and collaboration for clinician and the lab, but reduce time-to-teeth for the patient, allowing them to leave the dental offi ce with a personalised, screw-retained provisional resto- ration on the day of surgery. Important note: The new workfl ow described above is due to launch summer 2017. It is not yet available for dental professionals and does not yet have all re- quired regulatory clearances. For information about Nobel Biocare’s collaborative treatment workfl ow, please visit nobelbiocare.com. Please note that im- mediate loading protocols should only be followed when the relevant clinical requirements are met. Nobel Biocare Services AG P.O. Box 8058 Zurich-Airport, Switzerland nobelbiocare.com/tempshell Fig. 4: Example of the TempShell provisional restoration. The wings are to ensure correct positioning of the shell at try-in phase, and will be removed chairside before placement. CAD/CAM 2 2017 57